Trick or Treat – ish, Part 2

Yes, yes, more tricks and treats coming out of the cobweb filled corners of my brain.

THOGHT ONE
It’s fall. Autumn. That season between summer and winter when apparently it can be either summer or winter depending on Mother Nature’s mood. Last week outside my door snow accumulated for the first time this season. Last week outside my door it was 80 degrees (About 26 or 27 C). Man does that make it difficult to decided what pajamas to wear! TRICK

It’s fall. Autumn. Spring is probably more colorful based on the wide variety of hues displayed by blossoming plants and blooming flowers, but autumn leaves have to be the most dramatic display of nature’s beauty with its riot of reds and yellows and oranges. TREAT!

 

THOUGHT TWO

It’s fall. Autumn. Pumpkin spice flavor everything season. REPEAT TRICK

It’s fall. Autumn. Apple everything season. From apple butter to apple cider to apple fritters to apple soup. Last week I made a batch of apple fritters from freshly picked apples. I can’t scientific prove it, but I’m sure they tasted better than from those store bought apples you get in February. And you say you never had apple soup? There are a million recipes for it on line (okay okay, that’s an exaggeration, maybe only two or three hundred), this is the one I most often used. YUMMY, COLORFUL TREAT!!

 

THOUGHT THREE (Part A)

A throwback to my recent plan ride. Did you know they don’t have air all catalogs in the seat back pockets in planes anymore? What are we supposed to read during take off and landing when you can’t be connected to the in flight Wi-Fi? TRICK

If you’re sitting by a window it is still a thrill to see yourself being lifted from the ground and cutting through the clouds in take off and watch the land become more and more distinct like you own personal nature movie on landing. TREAT!

THOUGHT THREE (Part B)

Did you know they now have in flight Wi-Fi? Can we never get away from being plugged in? TRICK
You are still allowed to read a real book, take a real nap, or if you get a friendly seat mate, talk to a real person. TREAT!

 

THOUGHT FOUR

I’m done with thoughts for this week. Go in. You can admit it. TREAT!!

Don’t tell anybody, it’s a secret, but there will be even more next week too! TRICK!!!


Extra bonus THOUGHT

What happens when someone breaks down your front door? Surprise! When things go unexpectedly, stay calm. See it as a chance to learn and grow. A true story you have to read at ROAMcare.org.

 


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The Most Wonderful Time of the Year

It’s that time again. Actually tomorrow is that time again. Technically tomorrow morning, around 9:30 give or take is that time again. Specifically tomorrow morning around 9:30 if you live in the northern hemisphere is that time again. It’s fall! Autumn. The end of summer. The autumnal equinox. All that stuff. And flu shot time!!!
 
Yes it’s time for me to harass the unsuspecting, cajole the semi-suspecting, preach to the choir, and harangue whoever is left. Whomever? Whatever, just go get your flu shot.
 
The only legitimate reason to not getting a flu shot is because you don’t want to get a flu shot. And that isn’t. But really, if you don’t want want to get a flu shot just say you don’t want one, you don’t care that you may potentially infect billions of others, that you might contribute to trillions of dollars of economic losses or that you may be single handedly responsible for a facial tissue/acetaminophen shortage. But don’t say you will get sick, it doesn’t work, it’s too expensive, your doctor advises against it, or you are allergic to it.
 
Cue the harangue! 
 
Excuse 1. You won’t get sick from the shot. You might get sick at the same time you get the shot and if that happens you would have gotten sick had you not gotten the shot anyway. The other thing that might happen is you’ll have a slight reaction to it. Your arm will be sore because they are sticking a small neeedle in it. Yes, that will hurt. Get over it! You might feel chills a few hours after. That’s because you’re body is getting ready to make the antibodies. That will go away in an hour or two if you get it at all. You might be tired for 2 or 3 days. Again, that’s normal. Your body is working hard bulking up for the onslaught of flu viruses and that takes work. Don’t be a wimp! You won’t be any more tired than after a hard day at the gym or a hard night at the bar back in the day.
 
Number 2. It does work. With a few caveats. It is not a miracle cure. No vaccine is. (Keep that in mind when a COVID vaccine eventually reaches the public.) The flu virus changes and the folks making the vaccine have to think like a virus and decide what form it will take this year. (Keep that in mind at COVID vaccine time also.) Sometimes they hit the nail on the head and all ends up right in the world. Sometimes they are close and you might not completely escape the little buggers but what you get is much less severe than had you not gotten the shot and don’t ever forget the worst that could happen is death. Slow, fevered, shaking, quaking death.
 
fluNon-reason the Third. Even if you don’t have insurance you can get a free flu shot. Many hospital systems and county and state health departments have free flu shot days because it’s cheaper to give away a vaccine that to treat the disease. Some retail pharmacies give free flu shots and some give you a shopping coupon equal to your cost. If you have insurance you are covered. All insurance plans must cover vaccines. You might have to go to a doctor or clinic of your carrier’s choice and/or you may have a co-pay but you are covered.
 
Harangue Paragraph Four. If for some reason your doctor advises against a flu shot and you are certain he or she is a real doctor and didn’t just print a diploma down at Kinko’s, get a new doctor. You aren’t long for this world trusting your health to that person and not getting a flu shot is not increasing your odds.
 
Excuse the Fifth. There once was a time when egg allergies posed a serious limitation to the universal recommendation for flu shots. Likewise with gelatin and latex. Today’s flu shots are safe for almost all allergic patients. There are very very very very very very very very few exceptions. You may be one. You may also have won the Powerball. That does happen. If you are, you know you are and probably came close to death at some time and don’t want to do that again. 
 
Epilogue: Nothing is perfect. There are two groups of people who should not get the flu shot in addition to the analogous lucky lottery winner. Group 1 – If you are not yet six years old don’t get the flu shot. If you are not yet six years old and you are reading this immediately ask somebody to play the Powerball numbers you are thinking of right now! The second group of people who should not get the flu shot are a subgroup of those with Guillian-Barre Syndrome. If you have a history of Guillain-Barre Syndrome talk to your doctor specifically about the flu shot. (Doctors advising against the flu shot under these circumstances are exempt from Harangue Paragraph Four.)
 
A special word about immunosuppressed individuals (like me) and pregnant women (not like me). We know some vaccines for us can be as dangerous as getting the disease. These are the live virus vaccines. Some vaccines actually contain weakened strains of the virus and these can overrun the weakened immune system in these individuals. An example of this is the early form of the shingles vaccine. But the flu shot is not a live virus. All FDA approved injectable flu vaccines are inactivated vaccines with no live virus. However, the nasal form of the flu vaccine contains weakened strains of live virus and these should not be used by immunocompromised individuals or pregnant women whose immune systems are already working double time. But there is no reason for an immunosuppressed or immunocompromised person not to get an injectable form of the vaccine. The shot’s mild side effects may be exaggerated or prolonged but it is still very safe. I had my vaccine Friday and Friday night I had some chills and in Saturday I didn’t feel like doing much but by Sunday afternoon I was my old self. One of these days I’m going to feel like my young self and when that happens, look out world! Oh. Sorry. I digress.
 
A special word for everyone. If you are already sick don’t get your flu shot now. Wait until your cold or infection passes then get the flu shot. 
 
Now that all of that nonsense is out of the way, back to the business at hand. Do you remember when Fall would start on September 21? Fall was September 21, winter on December 21, Spring started March 21, and Summer came on June 21. Maybe the 22nd. None of this “Autumn begins at 9:31:27am September 22 when the sun is somewhere over the edge of the flat side of the world not visible by those perched on the pole pointing away from Venus while drinking a pumpkin latte on a horse drawn hay wagon.” Those were the good old days.
 
 

Corn Sweet Corn

Darn that pumpkin spice craze. The real flavor darling of the season rightfully should be Candy Corn. You read that right – Candy Corn. Capitalized Candy Corn because it is something special.
 
Candy Corn is not only the perfect candy dish filler but it is also a perfect food and a superfood all in one. It’s a perfect food in that it contains the four basic food groups – water, sugar, corn syrup, and artificial colors and flavors. It’s a superfood because it is fat free, low calorie (compared to a bag of chocolate bars), and tastes better that kale. And Candy Corn has it’s own day that isn’t even Halloween orThanksgiving. Take that, kale!
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Candy Corn has been around for a long time, and contrary to some thinking, it isn’t the same corn every year you see in the stores. You would be confusing Candy Corn with fruit cake. Candy Corn first hit the confectioners’ shelves in the 1880s. It wasn’t until after World War II that it become really popular but like all things genius, Candy Corn took a while a catch on.
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As far as candy goes, Candy Corn is a healthy snack. Umm, healthier snack. Each serving, officially 15 pieces or one generous handful, is fat and cholesterol free, low sodium, and contains 22 grams of sugar and only 110 calories. Unlike real corn it is also fiber free so they’ll be no uncomfortable bloating if you should go wild and eat an entire bag in one sitting. Not unheard of, let me tell you!
 
Thirty-five millions pounds of Candy Corn are made each year. That’s nine billion (9,000,000,000) kernels. Give or take a few. Candy Corn sales will bring in $340 million this year! That’s not chicken feed, which incidentally was Candy Corn’s original name. Those numbers are just the commercial production. Candy Corn is easy to make at home with recipes abounding on the internet even from the likes of celebrity chef Alton Brown, no fancy molds required. 
 
You still have a couple days to get ready for the biggest fall holiday, October 30, National Candy Corn Day! Whether you make your own or buy a bag, celebrate responsibly this year with Candy Corn!
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Seeing Isn’t Believing

It’s been a busy past couple of weeks. What days haven’t been spent at doctor appointments have been spent at dialysis,  then last Friday I made an unplanned trip to the outpatient surgery unit to have my fistula opened. Something I’ve taken note of on all these trips is how the view has changed on the same roads since the beginning of this month.
 
Thanks to the miracle of arbochemistry, and my decision to take residence along the hills and mountains of Western Pennsylvania, I’ve been treated to the increasingly colorful forests that can be seen from almost any road between here and there in the area. 
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Of course you do know that those oranges and reds that we wait for each fall are always in the leaves. We can’t see them in July because there is so much chlorophyll in the leaves that only its green is visible. As the air cools and the light fades less chlorophyll is produced, the camouflage is lifted, and those vibrant fiery colors come out of hiding. Just because you can’t see them doesn’t mean those colors weren’t there last month. Don’t believe me? Ask your favorite tree.
 
Leaves aren’t there only things that hide all their colors. Across America Election Day is fast approaching. “Off year elections” it’s called. Some states are fortunate enough to have Governor or state house and row office elections this year. In a couple weeks here in Pennsylvania, like many states, all we will have to vote for are county, school district, and municipal offices. 
 
I haven’t seen one ad, recieved one post card, or heard one news story for any local office even though local government is the one that most closely touches people’s lives. But everywhere campaigning abounds. Just not for this year. There are all kinds of news about what’s coming up in a year and a couple weeks. Maybe that’s not such a bad thing though. As the campaign seasons change, support becomes cooler, and somebodies’ dreams fade, their veneer will be replaced by what was always there, just hidden from view by large quantities of camouflage. It could turn out to be quite fiery. How vibrant may be a different story.
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It’s All Falling In Place Now

Listen up…today is the first day of fall, the onset of autumn, the equinox (at 3:52am at my longitude). It’s also the best day to get your flu shot. Yes this post is going to be more PSA than post but if you can’t trust me, who can you trust.

It’s time you get a little background so you have at least a little faith in me when I say GET YOUR FLU SHOT! And I’ve been doing this blog for almost 8 years so I guess you deserve some background information. (Really, eight years. Can you believe that? My first post was on Nov. 7 2011.) (woah). November also marks my 40th year as a licensed pharmacist (Nov. 12 1979). (double woah) Of those 40 years I spent 32 of them working in hospitals and four of them I taught undergraduates at college of pharmacy and administered continuing education courses for registered pharmacists.Then last 4 I’ve been living the Life of Riley and let me tell you, Riley really doesn’t live a high life.

But I still have my license and keep up with my annual education requirements so I think I can still speak about drugs pretty well. And when that drug is the flu vaccine I can tell right now who should NOT legitimately get the annual flu shot. Nobody! Okay, as the people who give away free stuff, like your cell phone carrier, there are some exclusions. Maybe 10 of them. Not 10 exclusions, ten people. Not 10 groups of people, ten people. That’s how many people 2 years ago (the last year with complete data available) had anaphylatic reactions to some component of the flu vaccine in the United States. Ten. Out of almost 8 million vaccines administered.

To put that in perspective, out of 56 people who got the flu that year 10 were hospitalized. And almost eighty thousand people died. That’s 10,000 more people than were at the Super Bowl last January.

Considering those numbers, why would you not want to get a flu shot. Hmmm?

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“I never get the flu.” Lucky you but by getting the flu shot you help minimize the flu’s effect on the very young, the very old, and immunocompromised which depends on the “herd effect,” that is the more of the mass that is resistant to a pathogen the less severe its effect to the individual.

“I get the flu from the flu shot.” No you don’t. The flu vaccine is a dead vaccine and it cannot give you the flu. You may experience some discomfort at the injection site, it is a needle being stuck in you arm after all, and you may experience some tiredness while your immune system is doing its thing (which might go on for up to 48 hours), or you could be getting the flu because you waited too long to get the flu shot!

“I’m immunosuppressed or take immunosuppressive drugs.” So am I and so do I and I have and for almost 20 years. I’ve had a fkubsjotbgirveacj one of those years and I’m still here, other issues notwithstanding. The prohibition to vaccines for immunosuppressed individuals is restricted to live virus vaccines (MMR, Oral Polio (not used in the US any longer, the injectable vaccine is not a live virus), Chicken Pox (but not the new shingles vaccine). As we already noted, the flu vaccine is a dead, inactivated virus.

“I’m allergic to eggs.” Sorry, this excuse want out of business before I gave my first shot. Today’s flu vaccines are not grown in egg media. The initial antigen is still grown in eggs so there is the slightest chance that an egg allergic patient can experience a reaction. If that reaction is just hives or rash get the shot, if it’s shortness if breath have it done at a doctor’s office or hospital rather than at a campaign like at work unless you work at a doctor’s office or hospital. If you’re still concerned there is a product that is completely egg free. That is Flublok (r) by Sanofi Pasteur. While we’re talking about it, no vaccines contain aluminum, or mercury and most do not contain thimerosal. No single dose vaccines contain thimerosal or latex and some multi brands are stoppered with non-latex materials. Again, if you’re concerned about any allergies, ask. There is a flu vaccine right for you.

“I got the shot but still got the flu.” Unfortunately this can happen but if you should get the flu even though you had a flu shot for the season you are probably going to experience a less severe reaction. Why does this happen anyway? The flu virus is a cunning little critter and it can mutate during the season. Or you might have had the timing wrong when you got your shot, either too early or too late.

That brings us to timing and why the first day of fall is the best time for you to get that flu shot. Immunity from the shot does not happen as soon as the needle plunger squirts the solution into your arm muscle. It’s just there to get your own immune system ready to fight off the flu and that takes time, about 4 weeks to get to an effective level. Once your immunity is established it will stay at effective levels for up to 24 weeks. That takes us from October through April, bookending the usual flu season.

So, trust me. Get a flu shot today.

We now return you to your regular blog posts.

Fall Fetched Ideas

Fall arrived two days ago. Up here, north of the Equator fall arrived. In the Southern Hemisphere you’re just getting to spring so you might want to bookmark this and come back to it in 6 months. Yeah, there are a few brave souls south of zero degrees that read this. I was amazed also but thank you my Southern friends.

Anyway, fall rolled in here a little after 9:30 pm (2130 hours to those with 24 hour clocks) (just in case) and that should have been the end of it. “It” could be summer but in this case “it” is the question, “When does fall begin?” Apparently it’s not at the end of summer. Who knew?

This morning I read an article about the upcoming harvest moon, that being the full moon closest to the Autumnal Equinox, which you recall from 3 sentences ago was Saturday evening. Or night depending on your interpretation of a day’s divisions. The full moon closest to that day and time happens tonight, which according to the article signals the start of fall. Hmm.

Three weeks ago Americans celebrated Labor Day which not only commemorates violent confrontation between labor and management but also rocking hot, year-end deals on leftover 2018 model cars and trucks. And…the “unofficial end of summer” and darned if not then by extrapolation, the “unofficial start of fall.” That’s three down.

Starbucks, AKA If We Say So It Must Be So, Inc., released their Pumpkin Spice Latte (PSL to those under 35), which according to Business Insider, “has become an iconic marker of the beginning of autumn.” That’s four.

FloridaFallTo meteorologists, also known as weather guys (or weather people to the more inclusive (which is the more inclusive term for politically correct)), “Meteorological Fall” begins September 1. To football fans (American Football naturally) fall begins with the first high school, college or NFL game of the year, to horse racing enthusiasts the summer ends after the Breeders Cup and by that same extrapolation used above, fall will start the day after (November 4 this year), and to residents of South Florida, fall never comes. We’re up to 5 through 8 if you’re still counting.

And then there are those who mark the change of season with the changing of time as Daylight Saving Time morphs into regular, old, ordinary Time, which itself keeps moving around. The last time I checked, and when I’m planning on changing my clocks, that is the first Sunday of November which is November 4 in 2018. Hey, that’s the same day as the beginning of the Fall of the Horse People. Should it count twice? My post, my rules, I say yes. Number 9.

Personally for me, fall begins the last Sunday of October (this October that’s the 28th) when I pull the battery on the Miata and consign it to the garage until spring (my spring, but that’s a different post).

Ten ways to figure out when fall starts. And in a few months, nobody will think twice about winter other than to question will it never end. Well, give me six months and I’ll see if I can figure out when the first day of spring arrives for 2019. Except for the Southern Hemisphere.

Sorry, you’re still on your own down there, but thanks for reading!

Leafed by the Side of the Road

Yesterday, for the fourth time this month I took the little car out of the garage, dropped the top, donned a pair of polarizing sunglasses (one lens Democrat, the other Republican), grabbed the real camera, and set out in search of autumnal magic, fall leaves. And for the fourth time I was disappointed.

The first time, which happened to be the 1st, I wasn’t surprised that not many trees had shifted from their summery green foliage. On the second Sunday I saw some yellowing and was given hope that the following week would be more colorful. Last week’s attempt fell in the middle of what the TV weather forecasters predicted to be the peak for color. The only red I saw was the car’s paint job. (In fairness I should have expected no colored leaves since I was going on a weather person’s prediction. After all, these were the same people who brought us “partly cloudy.”)

But yesterday’s disappointment hit a little on the hard side. There’s only one Sunday left to October. If the foliage is still as dull then as it had been I fear I may not see another leaf as pretty as on a fall tree, given that my medical history and its corresponding future are as uncertain as weather forecasting. (My long range plan is to live to at least 100. I tell my daughter that every chance I get so she won’t get to thinking that she’ll be able to live into her golden years off her inheritance. Of course only I know it’s really because if I were to drop dead tomorrow she’d only be able to live comfortably until next Thursday, so my only chance of not disappointing her in that regard is to grow so old that she herself will be old enough that she forgets that she has anything coming to her.)

It’s been an exceptionally warm fall so far this year. If you are to believe the Farmer’s Almanac (and why shouldn’t you?) it will stay above average in temperature until the week before Thanksgiving, much too late for fall foliage festivities. I don’t know if it’s the extended warm weather causing the poor color spectacle. Those pesky weather people who two weeks ago said it wouldn’t are now saying it is. But then in the past, they have said disappointing color was because it got too cold too soon. Other years it was too dry. During still others, too much rain was the cause for a dull fall.

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Last good color I shot, October 2009

To be perfectly honest, I haven’t seen a really vibrant fall for some years now. I suppose the easy thing to blame it on would be climate change. That seems to be a good reason for just about anything we aren’t happy with climatically speaking. Which makes perfect sense since in the truest sense of it, any change in the air can be defined as climate change. Unfortunately we actually believe we can do something about it.

The hardest thing for us to accept is recognizing that yes, people do things that aren’t good for the environment but that the environment is going to change anyway. That’s not to say that we shouldn’t be respectful of the environment and do what is good and healthy for it and for us. It is to say though that eventually, the world’s history is going to catch up with it and there are going to be changes that we aren’t responsible for and that we can’t do anything about.

As hard as it is for us and our egos to accept, we aren’t in charge here. The world came before us and had its routine well established before we propelled our first ozones into the ozone. It’s been hot, it’s been cold, it was covered in ice and covered in water. We are here at its invitation and are welcomed to ride the rides while we are here but that’s as far as it is willing to go.

This year’s colors might not be to my liking and that’s going to have to be ok. Colorful or not, the leaves will drop, spring will be back and new ones will bud on the trees. Next fall I’ll again look forward to a day when I can aim my camera at the beauty of the fall foliage.

Until then, like yesterday, I’ll just enjoy the ride.

 

In Labor

If you are reading this from outside the United States, boy, are you lucky! Here it is Labor Day. Oh, there’s nothing wrong with the holiday. I just hate its placement in the calendar. It’s so close to the actual end of summer that everybody wants to make it the end of the season. When they started doing that a month ago I expressed my displeasure at rushing through summer. (See “Strike Up the Grill,” Aug. 27, 2017.) Well, they’re at it again!

Yesterday, a whole day before this fictitious end of summer, I received 7 e-mails, 4 tweets, and a text message touting extra special, lowest prices of the year, super savings packed “End of Summer Sales!” But, as much as I want to criticize the marketing world for keeping us 4 to 6 weeks ahead of any actual event you can think of, I have to admit that this weekend, even I was doing some preparation for the arrival of autumn.

Although I would never think of putting it into storage this early, I did some fall prep work on the little convertible. I conditioned its top and got a good wax to cover its paint, taking advantage of the coolish weekend weather knowing neither conditioner nor wax would dry prematurely in blazing sun and heat making me work less enthusiastically on an already heartbreaking time when the garage door will be closed for good. Or at least for 4 or 5 months.

And even though I didn’t put the walking shorts and the tropical print shirts away, they got shuffled to the back of the closet and the more cool weather practical khakis and polos took their spots on the lower closet bar. Save for one pair that I hope to use later today during the pool’s last operating hours of the year, the swimwear has been laundered and folded and stowed in their bin, hoisted onto the top shelf where room was made in the space formerly occupied by [shudder] sweaters.

In the dining room, the baby blue and yellow and white napery was swapped for navy and orange and ivory linens. The tablescape now sports sunflowers instead of pansies.

So there you have it. A share of my shame. As much as I decry hastening the loss of the season, I too was swept up in the American fixation of making Labor Day the end of summer. Now I don’t know what I’ll do in three weeks when fall actually makes its entrance.

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