Medical Update

Feeling fine, looking good.

Went through my annual physical on Tuesday, and all seems well. Blood work will be done next week to reveal what’s going on under the skin.

I went through the TURBT procedure for bladder cancer in late June. Next steps are the BCG wash. My urologist first said it would start in July, maybe August.

I mentioned this to my PCP on Tuesday. She was surprised. “Oh, they’re doing them? There was a nationwide shortage.”

Oh.

Forward to today. The BCG wash won’t start until the end of October.

The reason: a nationwide shortage of BCG. The United States has one source, a Merck facility. They’re trying to increase production but that won’t be successful — if it happens — until the end of 2026.

This is only a US issue:

The BCG shortage in the United States has been primarily due to a reliance on a single manufacturer, Merck, which produces the TICE strain of BCG. This dependency became critical after Sanofi Pasteur ceased production of the Connaught strain in 2012, leaving Merck as the sole supplier for the U.S. and many other countries . In contrast, other countries have access to multiple BCG strains produced by various manufacturers . In the U.S., the stringent FDA approval process has limited the availability of foreign-produced BCG strains, contributing to the prolonged shortage.

I’m simultaneously happy that the BCG wash is available and I have the means to have the procedure and frustrated by this continuing trend in the US. We become dependent on one source, and live and die by it.

It’s not just BCG; an article I read the other day recounted the US shortage of 155mm howitzer shells:

Manufacturing woes hamper US 155-mm ammo production

Businesses love to consolidate, buying up competitors, merging to ‘improve production’. Rarely works. Instead, we find ourselves more and more with just one location, putting all our trust and faith in them.

We often won’t modernize infrastructure until it reaches the brink of failure.

And in the US, we tend to wait to earnestly fix things until a crisis is clear. Witness what’s going on with Lake Meade and the growing water shortage. Even there, instead of actively addressing the problem, the Trump administration is paying to reduce consumption.

Something to think about as news and entertainment companies continue to merge.

Wednesday’s Theme Music — Blind

Ashland, southern Oregon — Wednesday, July 15, 2026.

Gonna be 95 F here again. 79 right now. Will drop tomorrow to 85, they say. We’ll see.

Happy birthday to my younger sister. A mother of two, grandmother of two, she just retired from a long and very successful career in banking, and continues to have a happy marriage after 48 years.

To the news.

Heather Cox Richardson’s letter for yesterdayJuly 14, 2026 — relates how the United States slowly created and built its national parks and monuments. Presidents from both parties embraced the idea of saving natural lands for people to enjoy.

Armed with Project 2025 ideas and declaring a national energy emergency, Trump has rolled back protections. Even though people love the parks and the parks bring income into the nation’s coffers and create jobs, Trump is more interested in what it can do for the timber, mining, and energy industries. Under him, the parks will be smaller and trashier than they’ve been since the 1890s.

Shaking my head.

This article made me laugh this morning:

Fox News viewers savage Donald Trump for ‘redneck garbage dump’ White House decorations

The best comments for me:

“White House every day is looking more like a red neck garbage dump,” someone else blasted, with a fourth viewer weighing in, “Just because it’s gold doesn’t make it elegant. At some point, it starts looking less like a palace and more like a casino lobby.”

An article from TNR asked a question which many of us wonder:

Can We Lose the Same War Twice? With Trump, Anything’s Possible

Nice summation of the current mess in Trump’s war with Iran right here:

“The two New Jersey property managers Trump sent to negotiate his surrender produced a poorly written memorandum of understanding, or MOU, that captured the new power relations—Iran got nearly everything it demanded, including a $300 billion reconstruction fund, while the United States got vague promises of talks on all the issues Trump had started the war to resolve.”

Now Trump is back at it, launching attacks, still after the same objectives that he claimed to have achieved before, fighting the way he claimed to have won before.

Feels like just more Operation Epic LOOK — SQUIRREL! to me.

Your Trump Quote of the Day:

Classic Trump word weave. Little meaning, less truth, far less connection with reality.

I’m not an expert but based on experts’ opinions and history, I believe this policy will dramatically increase the costs of goods in the US, thereby increasing inflation, straining affordability and healthcare for many Americans.

Today, in honor of MAGA and Republicans, Les Neurons served up a song called “Love is Blindness”. U2 came out with it first. It was too mellow and chill for me. I prefer Jack White’s harder, more challenging edge.

Sample Lyrics:

A little death
Without mourning
No call
And no warning
Baby, a dangerous idea
That almost makes sense

Love is drowning
In a deep well
All the secrets
And no one to tell
Take the money
Honey
Blindness

h/t to Bing.

May this day come with peace, grace, and joy for you, and gently carry you forward to the best times possible.

Cheers

Randy & the General Dream

I was back in the military. One of my people, Randy, a friend, was chosen for a special honor. He was very nervous.

I told him, “Relax, there’s nothing to worry about. You’ll do great.” I then promised to circle back around but I had dozens of things to attend so I kept moving.

Somebody caught me and asked me if it was true that Randy had been selected for the honor. Yes, I confirmed. Did I have anything to do with it, I was asked. Yes, I answered, I nominated him and wrote up the nomination.

Leaving them, I checked on another task. A young officer was selected for a risky mission. I went by to see him and ask if I needed anything. He thanked me for my part in getting him the assignment because he knew I had something to do with it. Laughing, I joked, “Oh, no, don’t try to pin this on me,” and moved on.

After going by some other places, I returned to Randy. More details were emerging. He’d been sitting in a stadium full of people. A spotlight and camera would be on him.

I again assured him that he’d be fine. He then put on a black sports jacket. He told me, “I hate wearing things like this.”

I answered, “You’ll be fine. It’s just for a short time. Besides, it makes you look skinnier.”

He laughed and swore at me.

Time for me to leave. I headed for the exit, still with many things to do. A one star – brigadier general – tall, white, skinny – stopped me. I didn’t know him.

He explained that he’d heard that I’d supported the officer’s request for the assignment.

“Yes,” I replied. “I talked to him and he wanted it.”

The general said, “But it’s risky.”

“I know,” I said.

The general went on, “It took a lot of courage for you to agree with him going.”

“It did,” I agreed.

Thinking the conversation over, I went to move past him.

The general apparently thought I wanted a hug. When I realized that, I reciprocated the hug but I found it very strange. We ended up in an awkward half embrace that was made worse because he was much taller than him. When I looked up at his face, I was surprised that he was teary eye.

We broke the hug. I began moving on.

Dream end.

Tuesday’s Theme Music — Jail

Ashland, southern Oregon — Tuesday, July 14, 2026.

Gonna be hot today, probably 96. Reached 96 yesterday, too. Today’s sky offers blue, blue, blue, and blue wherever you look. It’s a comfortable 74 degrees F right now with a mild breeze gracing us.

It’s the birthday for one of my younger cousins today, but she passed away from cancer several years ago. I remember her with fondness for who she was, sadness for her reduced life and the disease she endured.

Trump announced another blockade of the Strait of Hormuz in conjunction with his war on Iran. Then Trump said that he was going to charge ships a 20% fee to go through, something well-established as illegal.

Then Trump TACOed and rescinded that announcement.

I suspect it was just another Operation Epic LOOK — SQUIRREL! move. Keep us distracted from his many failures and setbacks, such as that other distraction, the Lincoln Memorial Reflecting Pool fiasco, and that mess called the Epstein Ballroom, sartorially named after Trump’s good friend.

Your Trump Quote of the Day:

Judge Kathleen Williams blocked Trump’s sweeping IRS settlement. If you remember, Trump sued the IRS, demanding $10,000,000,000 in damages. The DOJ announced a settlement between the IRS and Treasury in which a victim fund of $1.47B was established to be paid out. It also said the IRS agreed never to audit Trump and his family and their businesses or tax returns.

Judge Williams found some problems with the settlement.

I read her 56-page ruling yesterday, skipping many of the footnotes and some of the legal precedents. Fun read, though.

The Federal judge said this is a case of Trump against Trump, with Trump controlling both sides. She cited Trump’s early Executive Orders when he took office for his second term, noting that he made it clear that he was in charge of the executive branch and all of its offices, personnel, and decisions. As the case pitted the Treasury against the IRS and both of them are part of the Executive Branch, and Trump controls both, it’s like arguing with yourself.

Judge Williams also went on to note the lack of evidence, documentation, and statements made by the defendants. All this pointed to a lack of adversity, so the two sides were not arguing about anything. There were also a few comments made about the lawyers, and things the lawyers said in testimony to Congress and public statements.

Along with all that, she found the fund they established as a ‘settlement’ made no sense, because it awarded money to be given to parties unrelated to the lawsuit, and it established no means for controlling it.

I like the way that Judge Williams put it after laying out her reasoning:

“The Parties used the existence of federal litigation as a means of conferring
legitimacy upon a course of action that they were unwilling to subject to judicial review.
The context of the “settlement,” the relationships of the people involved in negotiating and
approving it, the ethical implications of their conduct, and the Parties’ swift efforts to
dismiss this case after the Court raised fundamental jurisdictional questions all support
this conclusion.”

Other news found the Trump Administration unfreezing money meant for blue states. Trump had the $10B HHS funds for the five states frozen, claiming that they were perpetuating fraud. Standard for Trump, he offered little evidence for his claim and made sweeping allegations.

The affected states sued. A federal judge blocked the freeze and mandated that Trump administration needed to explain why they’d frozen the money and justify their action. Rather than share their thinking, the money was unfrozen.

Trump also finally paid the $5M plus interest Trump owed E. Jean Carroll. A court ruled three years ago that Trump owed her the money for sexually assaulting her in 1996 and defaming her.

After all that, I was thinking about Trump and jail. The Neurons noticed and slotted a Thin Lizzy song into the morning mental music stream, “Jailbreak”. *smile*

I hope this day gives you many reasons to smile and be happy.

Cheers

Monday’s Theme Music — Sweet Lies

Ashland, southern Oregon — Monday, July 13, 2026.

We’re climbing through the 70s, on our way to 90 degrees F. Sunny. Blue sky. No clouds. Supposed to be different tomorrow, with a 55% chance of rain. We will see.

We took a moment at our house to talk about Sam Niell passing. We both enjoyed his work. I was just watching him in the television “Peaky Blinders” last night.

My wife said today, “Who could have guessed that the cease fire with Iran would unravel?”

Yes, a Trump deal unraveling? Perish the thought.

I’ve been following numerous stories in the press that analyze what Trump says and how much of it is a lie. It’s become like a hobby for me. It takes enormous time because Trump lies frequently.

Some of his recent lies are in these stories:

Analysts fact-check the president‘s latest claims about the US economy

Trump Justifies Money Made as President With Inaccurate Claims

Trump claims 59% approval, but recent polls show support far lower

And then there was this headline out of Fortune Magazine:

U.S. Treasury has borrowed $155 billion every month of this fiscal year—and is now paying $24 billion a week in interest on its debts

Tax cuts and spending increases have pushed current spending. The nation is expected to borrow $2T to finance the debt in 2026.

Trump still believes in magic, though, claiming he will balance the budget without doing a thing. Your Trump Quote of the Day:

I file this Trump declaration with Trump’s many other declarations, lies, and broken promises, including the one about no new wars, releasing the Epstein files, and that other one about lowering inflation.

Today’s morning mental music stream is “Sweet Lies” by Fleetwood Mac. The Neurons inform that they are playing this song for me because Trump tells sweet little lies. MAGAts and Republicans faithfully nod, agreeing with his lies. Does that make them liars by proxy?

Hope your day comes free of lies and full of joy, peace, and security.

Cheers

Saturday’s Theme Music — Uneasy Distractions

Ashland, southern Oregon — Saturday, July 11, 2026.

65 and cloudy, it feels like a comfortable 72 outside. The temperature will rise into the high 80s today in our valley.

It seems to me like Trump has been losing mojo. Just IMO. Gas prices are rising — again, after a brief reprieve while a ceasefire was in effect — and the recession vibe remains strong. People keep talking about it and they’re not pleased.

Although Republicans ‘support’ the war with Iran, it’s not very popular. His objectives are all over the place, as is the timetable. Only the triple impacts of death, destruction, and costs are clear.

Hustling to keep power, Trump is trying distraction after distraction under Operation Epic LOOK — SQUIRREL! This week, he rolled out the classic right-wing trope, ‘commies’.

Like many of Trump’s tactics, he’s going after emotional votes, and uses fear. Basic insights tell us that this shift is to attract anyone previously affected by communism, such as Cuban voters who escaped Castro. It’ll also speak directly to those cold war survivors who had the commie threat ingrained in them for decades.

Threat inflation, I believe it’s called, and it’s been used in politics forever, most recently when JD Vance and Trump made up stories about Haitians eating people’s pets.

Trump is hoping that the commie threat will distract us from the tangible and intangible expenses of his war with Iran. He also has his fingers crossed that it’ll be enough of a distraction to lower our concerns about the rising challenge of affordability in the US, extreme weather problems being fueled by climate change, his grifting, and the many other ways he’s broken promises and failed.

That emotional vibe is what keeps MAGAts riding the Trump bus.

Meanwhile, the rural hospital crises goes on. Measles outbreaks have already surpassed 2025’s total, and will get worse. Measles used to reflect the school-year cycle but now, as children attend summer camps, the spread of measles is no longer contained to the school systems as much as it was.

A new vision of Trumpland rises. The wealthy top five to ten percent enjoy life as poverty grows. People outside of the wealthy class increasingly struggle to keep up with needs — food, health, shelter, energy — or the house and health insurance to save them when things go wrong.

Trump keeps juggling distractions: Greenland! Ballroom! Security! Freedom 250! Formula 1 race in DC! Immigrants! Commies, commies, commies! Iran with nukes! The Lincoln Memorial Reflecting Pool. Stolen elections! Election fraud!

Emotional voters will vote for him because he says it like it is, because he speaks to their fears.Yes, that’s a little reductive; others will vote for him because ‘the Bible’ or ‘woke’. More will vote for him because ‘Merica, or ‘Republican’.

That’s what we face to bring sensible change back into the national conversation.

Today’s song came out in 1973. The ballad of the “Uneasy Rider” was by the Charlie Daniels Band — CDB. It tells the story of a long-haired person driving through the south back in the early 1970s when they have a flat tire.

While waiting for their tire to be fixed, the narrator takes refuge in a bar, where he hides his hair up under his hat. But circumstances arise when he must ‘tip his hat to a lady’. He does, revealing his long hippie hair.

Suddenly he’s nervous and in danger. In order to escape, he starts accusing one of the others of various things — playing on fears. Here’s the lyrics that tell the tale:

And I knew I better think of something pretty quick
So I just reached out and kicked ol’ green teeth right in the knee
Now he let out a yell that’d curl your hair
But before he could move I grabbed me a chair
And said, “Watch him folks ’cause he’s a thoroughly dangerous man!”
“You may not know it but this man is a spy
He’s a undercover agent for the FBI
And he’s been sent down here to infiltrate the Ku Klux Klan!”

He was still bent over holding on to his knee
But everybody else was looking and listening to me
And I laid it on thicker and heavier as I went
I said, “Would you believe this man has gone as far
As tearing Wallace stickers off the bumpers of cars
And he voted for George McGovern for President”

“Well, he’s a friend of them long haired hippy-type, pinko fags!

I bet you he’s even got a commie flag
Tacked up on the wall inside of his garage”
“He’s a snake in the grass, I tell you guys
He may look dumb but that’s just a disguise
He’s a mastermind in the ways of espionage”

h/t Genius.com

The narrator plays on fears to distract so he can escape, just as Trump does to ‘change the narrative’.

Listening to the song, I heard a few differences in this version.

  1. He doesn’t mention peace signs on his car.
  2. The original mentioned voting for Wallace; it’s been changed Reagan.
  3. The narrator accuses green teeth of voting for Jimmy Carter for president.
  4. “Mario Andretti would have sure been proud” was the original reference; that was changed to Cale Yarborough.
  5. And the references to their peckers on fire has been changed…

Hope you have a distractionfree day of peace, grace, good food and good health.

Cheers

Friday’s Theme Music – Golden Years

Ashland, southern Oregon — Friday, July 20, 2026.

It’s 70 F under bright sunshine this morning. A high of 90 is expected. Papi has already out to sleep through the heat in a comfortable space.

The Mitch McConnell pool remains open. Is he or isn’t he alive? He hasn’t been seen in public since June 14. People kept insisting they spoke with him but never offer proof. I suspect some mad scientist is probably trying to reanimate McConnell, or tech bros developing an AI version of him.

I can see the new Roberts Court ruling: “AI are people, too.”

Reminds me of an old nursery rhyme. “Fe fi fo fum, I smell the blood of a Republican. Be he live or be he dead, there’s not enough there to fit between my bread.”

My wife and I were talking last night about how things were before. It was mostly about our lives and bodies and their changes, but the conservation expanded in multiple directions.

One question that arose was, did we ever live in a golden age? Neither of us thought so. We used to work hard, budget money carefully, save. We were not extravagant people. Still aren’t. That kept us secure and safe. But we were young and healthy, with that glow that anything was possible.

We believed our society would keep moving forward and work closer together to solve what seems like insurmountable problems. Now, with Trump in the White House and most Republicans with their heads planted where the sun doesn’t shine, we have no faith that all the progress we thought had been made would continue.

For laughs, I reminded my wife that Trump said that we’re living in a golden age.

She mimed gagging, choking, and puking in response. Her follow up was, “Only if you’re wealthy. But every era is a golden age if you have enough money.”

No matter how well some might be doing now, as Trump attacks programs that aid the impoverished and needy, I can’t ever think of this period as a golden age or golden years. Since Trump began his second term, overall prices have not fallen. Real wages have declined and economic growth has not accelerated. Manufacturing employment continues to decline and the national debt keeps growing.

To distract us from noticing this, Trump attacks others. Right now, Trump is attacking Iran — again — after declaring that conflict over.

With his history — three marriages, cheating on his wives, numerous affairs, multiple business bankruptcies, the Epstein files, and a campaign strewn with broken promises — Trump can’t be trusted. How can I ever believe him when he says we’re in a golden age?

I don’t see the evidence for a golden age. My wife and I are in a golden age in the sense that we don’t organize our lives around our employment schedules. That sort of freedom is golden, if you’re financially secure. That’s a big caveat in the US. As for the rest of life, this is not a golden age.

Which takes me to the music. Today we have David Bowie singing “Golden Years” in the morning mental music stream. Came out in 1975.

For me the lines which matter from this song are,

“Run for the shadows, run for the shadows

“Run for the shadows in these golden years.”

Yes, run for the shadows.

Golden years are supposed to be a time of prosperity, happiness, and satisfaction. We seem to have some distance to that goal right now.

My hope for you is you have a golden day — one of prosperity, happiness, and satisfaction.

Cheers

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