
#Weekend Music Share





Thank you for stopping by today, I enjoy your comments. Have a great weekend. M
| Good Day, The August series of my Lyme Q&A Webinar begins this Thursday. I have three webinars planned on Thursdays. Did you sign up? Join my Lyme Q&A Webinar, Conversations with Marty Ross MD, to get answers. If you read this before Thursday 6 PM CST, it is not too late. Each week is NEW. No two Lyme Q&A Webinars are the same because you create each one with your questions. What do you want to know about Lyme? I have an answer for that! Find ways to improve your Lyme disease treatment. I am ready to help your recovery. Join me for the next Conversations with Marty Ross MD. Sign up now to reserve your space for this Thursday. Ask your Lyme disease questions in my live webinar called Conversations with Marty Ross MD. In this webinar you willlearn fresh ideas to take back your health and life. No two webinars are alike because they are designed by your questions. Join me in my mission to improve lives. Please forward this email to anyone you know who has Lyme disease who will benefit from one of my Lyme Q&A Webinars. So what are you waiting for? Sign up now to reserve your space for Thursday at 6 PM CST. I look forward to helping you. In Health, Marty Ross MD, LLMD Sign Up! |

I’m having a rough day so the history is short but quite interesting this week. Have a great day. M
On this day in 1974, on an evening televised address, President Richard M. Nixon announces his intention to become the first president in American history to resign. With impeachment proceedings underway against him for his involvement in the Watergate affair, Nixon was finally bowing to pressure from the public and Congress to leave the White House. “By taking this action,” he said in a solemn address from the Oval Office, “I hope that I will have hastened the start of the process of healing which is so desperately needed in America.”On this day in 1974, on an evening televised address, President Richard M. Nixon announces his intention to become the first president in American history to resign. With impeachment proceedings underway against him for his involvement in the Watergate affair, Nixon was finally bowing to pressure from the public and Congress to leave the White House. “By taking this action,” he said in a solemn address from the Oval Office, “I hope that I will have hastened the start of the process of healing which is so desperately needed in America.”On this day in 1974, on an evening televised address, President Richard M. Nixon announces his intention to become the first president in American history to resign. With impeachment proceedings underway against him for his involvement in the Watergate affair, Nixon was finally bowing to pressure from the public and Congress to leave the White House. “By taking this action,” he said in a solemn address from the Oval Office, “I hope that I will have hastened the start of the process of healing which is so desperately needed in America.”
July 23, 2019/ U.S. Pain Foundation
Too often, due to broad misconceptions and a lack of understanding about pain, pain warriors are afraid or ashamed to speak up about their stories.
But the only way we can create change is if we start talking–to loved ones, coworkers, neighbors, clinicians, and even policymakers.
That’s why our theme for Pain Awareness Month 2019, which begins September 1, is “Let’s Talk about Pain.” We’ll be hosting numerous events, campaigns, and activities that center around this idea. In order to truly get the word out, though, we need your help.
Below, please find a short list of ways you can participate right now in Pain Awareness Month. Many of these campaigns require involvement before September, so don’t wait!

Submit your video story! Share a 3-5 minute video about your pain journey with us by August 9. All participants will receive a limited-edition Pain Awareness Month bracelet and our new Living with Pain educational booklet–AND be entered to win a prize pack. A handful of individuals will be selected to have their videos featured online throughout September! Get started here. Questions? Email us.

Request a proclamation. Ceremonial proclamations from state and local representatives help bring awareness to pain at the government level. To get started, fill out this form by August 9. We have easy-to-use templates and tips to make the process easy and fun. Please note that proclamations can take time, so put in your request now! For questions, email us.

Host an information table. Hosting an information table at a local hospital, library, town hall, or even a retail store is a great way to educate your community about pain. We’ll provide all the materials you need, including table cloths, brochures, and giveaway items. Simply fill out the questionnaire here. Keep in mind we need two weeks’ notice to ship materials!

Shine Blue for Pain. Through this campaign, you can request a government, historic, or private building or landmark light up in blue–the designated color for pain–on September 13. To get involved, fill out this form or send us an email by August 15. We’ll give you all the tools you need to make your request. Be sure to take a photo so we can celebrate your hard work!

Organize a Wear Blue Day. New this year, we’re encouraging people with pain to host Wear Blue Days at their schools or workplaces! By rallying together and wearing the designated color for pain, people with pain can feel included and supported. And, it helps raise awareness about the issue of pain on a large scale. For information on how to get involved, send us an email.

Help Beautify in Blue. Through this visual campaign, volunteers display blue ribbons and flyers in public locations such as town halls, community centers, libraries, municipal parks, or grassy areas. We provide a template letter to request permission to display the materials, as well as the materials you need (at no cost to you). Get started here.
To learn more about all Pain Awareness Month 2019 activities, visit our website. And remember to keep an eye out for more details about our social media challenge and weekly events.
If you have any questions about getting involved, please email us at painawareness@uspainfoundation.org.GET INVOLVED NOW!

Surveillance case definitions are not intended to be used by healthcare providers for making a clinical diagnosis or determining how to meet an individual patient’s health needs – CDC
The Centers for Disease Control and Prevention (CDC) has agreed to add a disclaimer to the surveillance case definition for Lyme disease that it is “not intended to be used by healthcare providers for making a clinical diagnosis or determining how to meet an individual patient’s health needs.”
According to a July 16 letter from Lyle Peterson, MD, Director of the CDC Division of Vector-Borne Diseases, this change is being implemented on “all individual case definition pages, including the 2017 Lyme disease case definition page.”
This action was taken following an Information Quality Request for Correction complaint filed by the Patient Centered Care Advocacy Group on May 20, 2019.
According to the complaint, many healthcare providers incorrectly rely on the case definition to interpret results of the two-tier test, resulting in large numbers of patients who are misdiagnosed and denied medically necessary treatment and insurance coverage. This situation worsens the Lyme epidemic and increases the financial impact on our country in terms of lost productivity, disability, and increased medical expenses.
The CDC disclaimer states:
“A surveillance case definition is a set of uniform criteria used to define a disease for public health surveillance. Surveillance case definitions enable public health officials to classify and count cases consistently across reporting jurisdictions. Surveillance case definitions are not intended to be used by healthcare providers for making a clinical diagnosis or determining how to meet an individual patient’s health needs.”
According to the case definition for Lyme disease, most patients must either have an erythema migrans rash (EM, also known as a bull’s eye rash) or test positive on a two-tier blood test according to a narrow threshold. Yet many patients never get a rash, and a systematic meta-analysis of published data shows the mean sensitivity of two-tier test to be only 35.4% in the acute stage and 64.5% in the convalescent stage, with an overall sensitivity of 59.5%. The unreliability of the two-tier test is compounded by widespread misconception by healthcare providers and insurers that patients must test positive according to the surveillance criteria to confirm they have a legitimate case of Lyme disease.
“The disclaimer is a step in the right direction,” said Bruce Fries, President of the Patient Centered Care Advocacy Group, “but a lot more needs to be done to educate healthcare providers that the two-tier test is unreliable and the case definition should not be used for diagnosis. CDC has been encouraged by Congress as far back as 2002 to aggressively pursue and correct the misuse of the definition. Unfortunately, however, little was done and the case definition continues to be misused.”
Following are links to the complaint and CDC’s response.
Information Quality Request for Correction
www.lymepatientadvocacy.org/Documents/CDCInfoRequestforCorrection-05-20-2019.pdf
CDC Response
www.lymepatientadvocacy.org/Documents/CDCResponse-071619-CaseDefinition.pdf

I call this my Wild Wild West version. What do you think?
TED TALKS
Jul 22, 2019 / Daryl Chen

Justin Tran
This post is part of TED’s “How to Be a Better Human” series, each of which contains a piece of helpful advice from someone in the TED community; browse through all the posts here.
“Doctor, is this really necessary?”
Oslo neurosurgeon Christer Mjåset, vice president of the Norwegian Medical Association, says that he experienced a jolt when a woman asked him this question, he recalls in a TEDxOslo talk. It was a first in his career — he’d never had a patient say this to him.
It occurred after Mjåset suggested spinal surgery to her; she was troubled by intense pain caused by a herniated cervical disc. While he’d performed this procedure many times before, it did come with risks — with paralysis from the neck down being one of the most serious. This led the patient to ask: “Doctor, is this really necessary?”
“You know what I realized right there and then?” Mjåset says. “It was not.”
When he looked more deeply at his motives, he saw that he’d been largely driven by enthusiasm for his work. He says, “I have to admit: I wanted to operate. I love to operate. Operating is, after all, the most fun part of my job.”
There’s a stark imbalance in the healthcare system in much of the world — while medical treatment is extremely difficult and expensive for some to access, it’s overly easy for others. Thanks to this patient, Mjåset has shifted his worldview about the latter category of care. Researchers, he says, suggest that “3 out of 10 times your doctor prescribes or suggests something that is completely unnecessary. You know what they claim the reason for this is? Patient pressure.”
For many of us, the whole process of receiving healthcare — making an appointment, waiting for it to arrive, rearranging our schedule so we can go, showing up for it — takes considerable time and energy. We may feel, consciously or not, that our efforts need to yield a concrete result. We want to leave our encounter with a doctor bearing a diagnosis, plan of action, prescription, or some other decisive, active response.
Mjåset believes that both physicians and patients need to be vigilant about excessive care. He says, “A good doctor sometimes says no, but the sensible patient also sometimes turns down an opportunity to get diagnosed or treated.” When he spoke to his colleagues about his patient and her question, they said they’d also never been asked: “Is it necessary?”
He suggests 4 questions that we should pose to our doctors the next time they recommend a medication, procedure, test, treatment or surgery.
Is this really necessary?
What are the risks?
Are there other options?
What happens if I don’t do anything?
Mjåset knows raising these questions is easier said than done. It’s especially true given the limited time most people have with healthcare providers. In a 2017 study, doctors’ appointments in the 18 countries that accounted for half the world’s population lasted for five minutes or less; even countries like Sweden and the US had average appointment lengths of 22 minutes and 20 minutes, respectively. But he urges us to speak up. He says, “You need to get in the front seat with your doctor and start sharing decisions on where to go.”
Asking these 4 questions, he says, will help us and our doctors. They can reduce the burden and cost of unnecessary care on our overall system and prevent us from suffering complications and side effects that could have been avoided. As he puts it, “People like me need your help.”
Watch his TEDxOslo talk here:
Daryl Chen is the Ideas Editor at TED.

Jul 31, 2019 / Amanda Little

The summer of 2019 has seen heat records tumble like dominoes across the Northern Hemisphere. On May 26, the thermometer climbed to 102 in Savannah, Georgia, an all-time high for that month; the same day, it hit an unprecedented 103.1 in Hokkaido, Japan’s northernmost island. Then, in June, a three-week heat wave tore through Pakistan and India, where it reached 123.4 in the central city of Churu. In July, it was Western Europe’s turn when the temperature soared to 108.7 in Paris and 102.2 in Brussels.
Of course, intense heat doesn’t occur in a vacuum. It’s accompanied by water shortages and drought, which are expected to be the new norm on our planet. In the US, drought has become associated with California. In fact, from December 20, 2011, through March 5, 2019, some form of drought existed somewhere in the state. This prolonged parching has resulted in billions of dollars in agricultural losses and the death of over 100 million trees in state forests alone.
Below, journalist Amanda Little goes to Southern California to learn more about two sources of drinking water which the state — and our planet — will be tapping in coming years.
Almost all of the water consumed by the 22 million people of California’s water-stressed southern region is imported. Much of it is pumped long distances, over mountains, from Northern California. Southern California also draws heavily from the Colorado River, the beleaguered waterway that supplies six other states and Mexico. As these freshwater sources have dwindled, the cost of water imported to Southern Californian cities has been climbing nearly 10 percent a year. The changing economics of water have forced utilities to turn in a new direction for relief: westward to the Pacific Ocean.
California has 840 miles of coastline adjoining the world’s largest ocean, an oversupply of brine lapping up against an increasingly thirsty landscape. In order to tap this massive reservoir, the San Diego Water Authority partnered with the Israeli company IDE to build a $1 billion desalination plant in Carlsbad, a suburb of San Diego. It opened in 2017, the largest desalination facility in the Western Hemisphere.
“If we could ever competitively, at a cheap rate, get freshwater from salt water, that … would really dwarf any other scientific accomplishments,” President John F. Kennedy told the Washington press corps in the 1960s.
Mark Lambert, the head of IDE’s U.S. division, who oversaw the building of the Carlsbad plant, describes desalination as “the most significant kind of modern alchemy. About 97 percent of the earth’s water is in the ocean, yet only recently have we been able to tap that resource to grow crops or quench human thirst.”
“Desalination may seem like a panacea, but from a cost and energy standpoint it’s the worst deal out there,” says Sara Aminzadeh of the California Coastkeeper Alliance.
Desalination has been around for millennia if you count the evaporation techniques pioneered by the ancient Greek. Sailors in the 4th century BC boiled salt water and then captured the steam. When cooled, steam condenses into distilled water that’s free of virtually all contaminants. This same basic technology — thermal desalination — is still used in places like Saudi Arabia, where fuel for boiling the water comes cheap. Since the 1960s, most desalination operations use reverse osmosis (RO), a method that simulates the biological process that happens within our cells as fluids flow across semipermeable membranes.
There remain big challenges for desalination, and number one is the energy cost. A NASCAR vehicle does about 700 horsepower at full throttle. By contrast, the series of pumps at the Sorek plant near Tel Aviv — the world’s largest desalination facility, which processes some 200 million gallons daily — collectively exert roughly 7000 horsepower of energy (or 1100 pounds per square inch of pressure) night and day.
Improvements in the pumps, pipe design and membranes have cut the total amount of energy used in desalination by about half in the past two decades. The energy demands will come down further as efficiencies improve, but many see it as a sticking point.
Sara Aminzadeh, the executive director of the California Coastkeeper Alliance, one of many environmental groups that have opposed the development of desalination plants in California, tells me, “Desalination may seem like a panacea, but from a cost and energy standpoint it’s the worst deal out there.”
The Carlsbad deslination plant provides nearly 1/10th of San Diego County’s total water supply — enough for about 400,000 county residents.Up the coast, another large desalination plant is under construction in Huntington Beach, which will supply drinking water to LA suburbs. More than a dozen similar plants have been proposed along California’s southern and northern coastlines.
Daily, the Orange County plant pumps out 100 million gallons of drinking water. The sewage moves through eight stages of filtration before it is drinkable.
But there’s another source that’s becoming even more critical to the future water supply, one that officials call “recycled wastewater,” a pleasant term for human sewage. This is one of the harder realities I’ve come to accept about modern agriculture — that everything we’re now flushing down our toilets and pouring down our drains may have to play an important role in feeding us and growing our food.
“We call it the big tooth comb — step one of the filtration process!” Snehal Desai, Global Business Director of Dow Water & Process Solutions, shouts above the sound of sluicing water. There’s a visible torrent of raw sewage water flowing through a channel below us at the Orange County Sanitation District, a facility that treats waste from the toilets, showers, sinks and gutters of 1.5 million suburban Californians. An enormous rake descends into the depths of the sewage flow and brings up cardboard, wet wipes, tampons, egg shells, marbles, toys, tennis balls, sneakers — all the detritus that can’t fit through the screen covering the plant’s intake.
The flow that passes through the screen has begun a journey through an advanced purification process that culminates in a stage of RO filtration. Daily, the plant pumps out 100 million gallons of drinking water — enough to supply 850,000 county residents — which makes this the largest “toilet-to-tap” facility on the planet. The sewage moves through eight stages of filtration, including a gravel-sand filter and a bacterial “bioscrubbing” process used in Israeli plants. Orange County also has a “microfiltration” stage, in which the water is sucked through thousands of tiny porous straws. In the final and most critical stage, the water is forced through a massive hive of cylinders containing the RO membranes.
This Orange County facility is setting a precedent for the use of sewage to produce drinking water every bit as pure as the water that comes from desalination. This process is cheap compared to desalination — about half the cost. Sewage has much lower salinity than seawater, which makes it easier to process. “Recycled wastewater is the fastest-growing area in the water industry. Why? Because not every city has an ocean, not everyone has good lakes and rivers, but everybody’s got sewage,” says Desai. “That’s the megatrend.”
“Accepting recycled wastewater is kind of like being asked to wear Hitler’s sweater,” says social psychologist Paul Rozin.
San Diego recently announced plans to produce 35 percent of its water from recycled sewage by 2030 — not just for irrigation but for drinking. It has completed designs on a toilet-to-tap facility larger than Orange County’s. Still, there are barriers to overcome, and the gross factor is first among them. Even the desperation of drought can’t eliminate the fact that drinking your own waste is nobody’s first choice, unless you’re a resident of the international space station.
“Accepting recycled wastewater is kind of like being asked to wear Hitler’s sweater,” says Paul Rozin, a social psychologist at the University of Pennsylvania who has consulted water utilities on marketing toilet-to-tap programs to residents. “No matter how many times you clean the sweater, you just can’t take the Hitler out of it.”
But the purity you get from the RO process is quantifiably better than the water you get from conventional treatments — better even than some bottled water. “What flows from our membranes is the Rolls-Royce of municipal water,” says Desai. Whereas tap water is often treated with chemical coagulants and chlorine, RO filtration is a mechanical filtration of water contaminants that cuts the need for those chemicals. It’s analogous to the mechanical removal of weeds in a field practiced by organic farmers in lieu of chemical pesticides: “Think of it as ‘organic’ tap water,” says Desai.
For now, Dow is focused on making membrane products for big industrial and municipal water systems, but it envisions micro-scale systems down the line. Bill Gates made a pitch for a similar approach when he blogged a few years back about watching a pile of human feces on a conveyor belt enter a small-scale waste-treatment plant built to serve a community of a few thousand people in Senegal, and, in minutes, get converted into “water as good as any I’ve had out of a bottle. I would happily drink it every day.”
Desai predicts that water filtration technology will become decentralized everywhere. We’ll control and regenerate our own water supplies farm by farm, neighborhood by neighborhood, or household by household. Eventually the water production could become, like the food production, circular — a closed-loop system in which 100 percent of water that goes down commercial and residential drains is recycled; whatever is lost in evaporation or leakage can be made up for with desalinated salt water that moves through shared networks. Although the vision is at least decades from becoming a reality, it may be necessary to our future food security and critical to our survival.
At the end of my tour of the Orange County plants, we arrive at a shining stainless-steel sink where water that hours earlier had begun as raw sewage was now flowing crystal clear from the tap. Desai filled up two Dixie cups. “To the future!” he toasted. I shuddered as I knocked mine back. But somehow, the stuff tasted every bit as good as water that had bubbled up from a spring in the Alps. I poured myself a second cup.
Excerpted with permission from the new book The Fate of Food: What We’ll Eat in a Bigger, Hotter, Smarter World by Amanda Little. Published by Harmony Books, an imprint of the Crown Publishing Group, a division of Penguin Random House LLC. Copyright © 2019 Amanda Little.
Watch her TEDxNashville talk now:
Amanda Little is a professor of journalism and writer-in-residence at Vanderbilt University. Her reporting on energy, technology and the environment has taken her to ultra-deep oil rigs, down manholes, and inside monsoon clouds. Little’s work has appeared in publications ranging from The New York Times and The Washington Post to Wired, Rolling Stone and Bloomberg Businessweek. She is also the author of the book Power Trip: From Oil Wells to Solar Cells — Our Ride to the Renewable Future.


Your Friday prompt for Stream of Consciousness Saturday is “astronomical.” Use it any way you like. Have fun!
There are so many ways I could use astronomical, gas prices, trade tariffs, my dogs constant desire for attention but the weather seems more appropriate. Many do not believe in Global Warming, they don’t see the ancient ice melting or water levels rising but it’s hard to argue with global temperatures. Europe is sweltering, the news has shown people cooling off in the fountains. Here in America it’s a major heat warning for half of the US with record breaking temps. I even let my flowers die because I would not go out in the astronomical heat.
That might not be a proper way to use the word, or a cheesy way out but today that’s all there is. Have a great weekend. M

Here are the rules for SoCS:

This is such a fun song, I’d never heard it before. Most of the world can relate to the Summer HEAT and probably are wearing less layers themselves. I hope you enjoy.
Brene Brown

It’s a short post this week, no birthdays. Have an awesome day and stay hydrated. M
1916
After several attempts, an area surrounding the Kīlauea and Mauna Loa volcanoes is designated as the Hawaii National Park, the first national park in a US territory. In 1961, it will be renamed Hawaiʻi Volcanoes National Park. During summer 2018 the park will be closed to visitors because of explosive eruptions from the Halemaʻumaʻu Crater.
1966
Former Eagle Scout, ex-Marine, and engineering student Charles Whitmanmurders his mother and wife, then carries a cache of firearms to the top of a 300-foot tower on the campus of the University of Texas at Austin, where in 90 minutes he kills 14 and wounds 32 with sniper fire.
1981
Cashing in on a new form of popular entertainment, the MTV networkdebuts, complete with “video jockeys” (VJs) introducing music videos, a way of both listening to and watching popular songs. The first video shown, ‘Video Killed the Radio Star,’ will prove partially prophetic.