From Axios: America’s Healthiest and Least Healthy States

(The United Health Foundation was established by UnitedHealth Group in 1999 as a nonprofit, private foundation dedicated to improving health and health care. To date, the United Health Foundation has committed more than $845 million to programs and communities around the world, including a $100 million commitment to help advance and grow the health care workforce.” (from the United Health Foundation website)
This is one of the non-governmental agencies using facts and statistics to measure outcomes of health practices in the USA. Official statistics are disappearing. Entire years of government studies have been deleted from websites. Fortunately, there are people who saw it coming and who recorded the data from the websites, hoping for a future that respects science, research and statistics, and uses that research to create a greater good for us all, and shares that knowledge and best practices with the world.
So Much For Health and Transparency

It started during COVID. Politicians and their Administrations stopped publicizing statistics when the stats revealed their government was doing little or nothing to prevent spread of disease. Now, under the cover of cost reductions and eliminating fraud they are gutting the agencies that maintain the statistics and restricting publications of what few statistics are being gathered. Fortunately, private institutions and individuals are watching, keeping track, and doing their best to keep a vulnerable population informed.
Saying Goodbye to Al Marai Coffee Cups

All my nomadic life, I have had to sift, sort and weigh the value of my belongings – literally. As an Army wife and later a corporate wife, I had a weight allowance as we moved from country to country. My life was full of leaving things behind – friends, churches, social groups, jobs, my identity – as well as belongings.
Unlikely items made the cut. In 2003, when we moved to Doha, Qatar, I discovered a nearby store, the LuLu (which means lovely large pearl), where a gallon of Al Rifai milk came with a free coffee cup sturdily taped to it. I was delighted. I’ve always believed good design does not necessarily correlate with price – and these cups were a perfect size and had these wonderful scenes from Doha life, where there was a dhow harbor in the center of town, dhows in the harbor, and camel races with human riders on Saturdays. Look! The dhow coffee cup even has a wind tower in the background.
So yesterday, Christmas Day, as I opened two beautiful new coffee cups, one from Giverney and one from Barcelona, my husband looked at me sorrowfully, and approached the subject gently.
“It’s time we give up the Doha coffee cups,” he said.
“They have served us well. They are over 20 years old. They were free, probably made in China from materials we don’t even want to think about. I use them all the time, and even as I do, I wonder what might be leaching into my drink.”
I know he is right. There is no marking of any kind to indicate origin. After all these years, marks are appearing where we have stirred for twenty years. And yet – these cups have served me loyally. They are still bright and unmarred. I love their memorialization of a slower time in Doha. And I have options.
At Christmas breakfast, I have the cups out on display and offer them to my son. He is a discerning collector of first editions by selected authors, first edition Legos from the space exploration collections, edged weapons, and selected items that catch his attention. He also knows how to buy and sell on the Internet when he wants to refine his collections.
He expresses interest but does not take them with him. Their departure, however, is Christmas Day chaotic – bags full of presents, the food divided to be used for quick meals in the coming week (even our grandchildren contributed to our Christmas Eve dinner, my grandson a crab dip and my granddaughter a wreath made of crescent roll wrapped little smokies. My son, who was never interested in cooking, astonished us with a baked Brie!) and last-minute check-ins on upcoming family plans.
I am a patient woman. I know those cups deserve to find new appreciation in a new home. I believe my son will get involved but if not, I have other options.
Update: This is what it is like to be me. It is not that I am getting older, it is that I will tell you things I believe to be true, and they are close, but not the same.
My friend Yusuf, below, said he thought it must be Al Marai, and that sounded familiar. AdventureMan said maybe really we should keep the cups, and as he handled them, He found Al Marai logos on the cups. Not just one. Two on each cup.

In our family, we are all very very sure we are right. When we are not right, we are required to humbly state it. I was wrong, so very very wrong; the cups were labeled, Al Marai, not Al Rifai, and YOU, Yusef and AdventureMan, were RIGHT.
And we are keeping the cups!
18 Years as Intlxpatr

18 years as Intlxpatr, and who knew I’d still be blogging? I remember the combination of terror and excitement with which I began – and the kindness of the bloggers in Kuwait who welcomed me in, and what great discussions we had. Mostly I remember how much I learned from those early years. I had begun thinking there were things I wanted to remember; I had no idea I would be learning so much, and changing my own perspectives in response. For that, I thank God for giving me the courage to start, and the commitment to persevere.
I’m not the same person now as when I started. What I love is that I am surrounded by people within 20 years on either side of my age who are also changing, evolving, thinking about the bigger things and focusing, too, on the greatness of the small things.
One of the big changes in my life came with being diagnosed with diabetes ten years ago, losing, over the course of ten years, forty pounds and finding again how much I enjoyed swimming. I was once a competitive swimmer; I quit at 16, I just didn’t like being so focused on winning. It spoiled swimming for me. Now, I can’t wait; I get in the pool and just chug along until I’ve done two miles, three days a week. On the days I am not swimming, I miss swimming!
My blood sugar and A1C are NORMAL! I feel twenty years younger!
So today I welcome you in for some healthy and delicious snacks. (Yes! Chocolate is healthy!) All good things in moderation.

My healthy favorite, a blueberry smoothie!

Not boring fruit! Exciting presentation.

Charcuterie!

Veggies for the strong and courageous!

Oranges!

Small amounts of something delicious – you get to choose!

Chocolate to top us off, good healthy chocolate.
I appreciate your stopping my to help me celebrate. Thank you for your support these many years.
“Mom, That is Very Bold”

He looked troubled. He knows living here is one of the reddest counties in one of the reddest states in the country, a sign like this could invite trouble.
“I’ve had the sign for weeks; I was afraid to put it out.” What I didn’t say is that this is Florida. People express themselves in ways I find unacceptable, like shooting at your house, or at the very least, stealing signs that express an opinion they don’t like. I didn’t have to say it. He deals with it every day.
You might think that sign means I am pro-abortion. I am not. I believe abortion is a last, desperate resort. And it is a remedy I want women to have – I want women to make decisions for their own bodies. Not men. Not a legislature. Not a governor.
It was a shock when we amassed enough signatures to get this initiative on the November ballot, not only enough, but way more than enough. The people of Florida want to vote on this and be a part of the decision-making. Right now in Florida, there is a six-week deadline on the pregnancy, during which a person might get an abortion – but that assumes the person realizes she is pregnant and can process and make a decision in that very short time.
Statistics show that since the states began limiting abortions, the number of abortions actually rose. Go figure?
No woman chooses abortion lightly. It is a medical procedure. It costs money. It takes time. It is uncomfortable. Women only choose abortion when the alternatives are unthinkable. Not having the right to choose doesn’t stop abortion, it only makes it a greater burden on women.
So I planted my sign and I hope for the best. I have found that in this very conservative neck of the woods, there are many like-minded people who of necessity keep their heads down. I want them to feel a ray of hope when they see my sign, and maybe, maybe along with voting for Proposition Four, they might even put a sign in their own yards, help others register to vote, or help transport voters to the polls in November.
Christmas Markets on the Elbe: Meissen
We left Torgau early in the morning cruising slowly through the snowy landscape to Meissen, with an arrival just after lunch. We are all delighted for the opportunity to catch up – re-organize our suitcases, catch up on e-mails, just watch the Elbe drift by – so very rural, all the way. Churches. Monasteries. Fields. People are out walking their dogs. We love that so many wave at the boat.
We are right in the middle of the demographic on board. There are some young sixty’s. There is one woman, stalwart and brave, who is 88. We like her a lot. The people who have chosen this cruise are interesting; we all tend to switch around at meals and have gotten to know one another. When there are only maybe 90 passengers, you become familiar quickly. There is one group of maybe 22 people who were all from Philadelphia, worked together in a start-up back-in-the-day, and who have traveled together for years. They are also good mixers.
The big topic is The Next Chapter. Some of us have already downsized, some are in the process, and some are contemplating it. While I was not a big collector as a young wife, I do have treasures, some with which I have parted, and some of my Middle East treasures passed along to Little Diamond. The problem we all have is that we all have treasures our children and our culture no longer value. Times are changing, no one wants a buggy whip or fine china or crystal champagne glasses for 40 people, LOL.
We board the bus for the Meissen factory, but once there, we told Eve we would take off and we could make our way back to the boat on our own. I think she was taken aback, but she rolled with it after asking Gary “You don’t want to learn about porcelain making?” and then to me, in disbelief “You don’t want to buy some Meissen pieces?” “No,” I responded, “We just want to walk and enjoy our time here.” And she let us go.

We stopped and picked up money at the ATM, limited to under $500/day. That would be plenty, except that we are trying to gather funds for our June trip with the family. I asked some nice women, one with a baby carriage, how to get to the market, and they gave me simple directions. I can still speak and understand the simplest German, not the complicated German.


The town hall has numbered its windows like an Advent Calender, and they open to a different display with each day. We walked around the market – and then headed up to the cathedral on the top of the hill, a hike of several hundred steps uphill, with a few level areas where we could catch our breath as much younger hikers breezed past us. It’s humbling.
But what a thrill to reach the top, see the massive church complex at the top of the hill, look out over 180 degrees of vineyards, the Elbe, the old city of Meissen and the newer areas.


Sometimes, when you’ve done something like climb straight uphill on snowy, icy steps, and you’ve made it – it’s just great to be alive.




We slowly wound our way down the hill via the streets, and the steps, ending up back in the old market. Nearby, we found a cafe where we ordered the hot chocolate (it comes with lots of whipped cream) and apfelstrudel.













I actually like the decorations sold in some of these specialty shops better than the goods I see in the Christmas Markets.



The walk back to the ship was actually very short, but also windy and we were cold when we got back. I snuggled up under the featherbed for a nice, but short snooze. It was the Viking Explorers cocktail hour night, special drinks and hors d’oeuvres, and then the announcement of the German Night dinner and our Port talk for the next day’s visit to Dresden, 90% destroyed by allied bombers near the end of WWII.
Not my favorite dinner, but lovely for those unfamiliar with German food. Heavy emphasis on Bavarian fare, blue and white decorations, sausages on the table, first course of charcuterie, nice cuts of black forest ham, salami, and some very nice cheeses (sort of odd progression.) Then a buffet of primarily sausages and noodles, rot kohl, but also some sauerbraten and chicken schnitzel, which I had with green salad and a little potato salad. Skipped dessert, still happy with the afternoon’s apfelstrudel. Around 2030 my husband kicked me under the table to indicate he was ready to leave. Got things ready for the next day, got ready for bed, and had one of the best night’s sleep since we arrived.
Barcelona to Abu Dhabi: A Stop in Haifa

First, a little orientation. On the map above, in the upper left corner, you will see Acre, and just south of Acre you will see Haifa. At the bottom central, you will see Jerusalem / Bethlehem / Hebron and a short distance to the east of Jerusalem you will see Amman, Jordan, where we lived for two years several years ago.
Early, early in the morning, we make port in Haifa. It isn’t picturesque, the port, and we are instructed that every person on board has to make a face-to-face immigration visit even if they are planning to stay aboard.

Those of us on trips have to do it en route to our tour bus. It is bureaucratic and annoying. The lines are long. There are two other larger tour boats in town, an Azamara and a Costa (full of Italians) so there are a LOT of people processing, and there is also a lot of noise.

The lines more quickly, and we find our bus, which is fairly full, and . . . there is more coughing and sneezing. Some of us are masked. My forehead and upper cheeks feel a little tight, like some little allergen is bothering me.

The trip is to Acre, an old Crusader stronghold with a fascinating history, but we don’t get a lot of the history, but we do get a lot of the guide’s perspective on Israelis and Arabs and threats to Israel, and generalities about the medieval times.




He takes us first to a large souvenir shop with two meager restrooms, and lets us spend a long time there before even beginning our trip.

We spent our time wandering around – nearby – and taking photos. It was a waste of our time, and there was so much we could have seen.


He won’t tell us where we will meet, does not want us wandering off, and because we don’t know when and where we have to meet, we have to stay with the group, my least favorite thing. He may have known a lot about Acre and the Fort, but he failed to convey the significance of what we were seeing, and he failed to place events in their context. “This is the Knight’s Hall” he would say, and let us look at a barren room with a slide show.



















We found a map to help us out – except that it was in Hebrew

When we left the fort, the guide led us to the Arab market, we had about an hour. We could hear the call to prayer. Everything was about to come to a halt and we were starving. AdventureMan found a really good – really busy – falafel stand. It took us about half an hour just to get the meal, but it was so worth it – lots of vegetables, pickled eggplants, onion, etc, and the falafel were fresh out of the pot for each sandwich. That, and being able to watch all the regular customers as they ordered take-out for their families, was a lot of fun, and the best part of this trip to Acre.

I have visited Acre before. It is an old city, with a long history, back and forth. It was a sleepy old seaport, then a Crusader Citadel, then the site of a lengthy battle, which the Moslems won. A few Crusaders escaped alive through a secret hidden tunnel. I was so looking forward to visiting this site. I feel short-changed. If I had it to do over again, I would skip the Oceania tour and take the local ferry to Acre (Acre is a very short distance from Haifa) and we could wander at will (it is not a large location) and take the ferry back and see the things we want to see at our own pace.
When we got back on the bus, it was a hassle getting out of the lot, one couple was missing, and a lot more people were coughing. I couldn’t wait to get back to our quiet room on board. I also had allergies, or sinus, an almost-sore throat and I was just tired.


We considered ordering dinner in our room but decided it would be quicker to just run up to the Terrace buffet and grab something quick. We both had the asparagus salmon soup (not a lot of salmon) and I had a variety of vegetables – a pickled rolled up eggplant called involtini, a little mousse of sweet red pepper, some olives.
We ate outside – we have a table we like a lot to the far right, shaded from the breeze. It was actually warmer eating outside than inside. I drank a lot of mint tea with lemon and honey for my throat and head. Moustafa, our Turkish waiter, told us about farming practices near Ephesus, where he is from, about yoghurt, and fat content, and wanted to know about the varying kinds of cattle in the US. We didn’t know a lot, he was asking really good questions. We love those kinds of conversations.
By the time we got back to the room, all I wanted to do was go to bed.
I slept poorly, my sinuses swollen, not able to breathe well, feeling like a cold was coming on, until some point I got up and went to the couch where I could sleep in a more vertical position. It worked. I could breathe again, and when I woke up, I was feeling pretty good.
At Sea: We Need to Talk About Ashok

Those of you who know AdventureMan and I personally know that we are relentlessly self-reliant. With all our years of moving and living in a variety of countries, we have needed to be, but in truth, we are wired that way. You will laugh when I say I am uncomfortable even introducing this topic.
Our beautiful room comes with a butler.
It has been an awkward dance, but Ashok, our butler, is a pro at assessing people and working with their preferences. We don’t need a lot of service, and he has found ways to make himself useful to us anyway. Discovering I like Ginger Beer, he scoured the bars, alerted his contacts, and made sure our little refrigerator was well stocked with AdventureMan’s Coca Cola, and my Ginger Beer. He was always polite and pleasant.
The night we had decided to have dinner on the balcony after our day in Taormina and had saved parts of our sandwiches from lunch, we also found a generous tray of hors d’oeuvres waiting for us when we arrived late back to the ship. We had to admit, it was really nice, he had intuited well what we might like.
When we got tired of dressing for dinner and asked to have dinner in our room (part of the perks), he served us with elegance and grace, and made it so much fun that we indulged every few nights.
When AdventureMan wanted his laundry done professionally, Ashok made sure it came back very quickly.
In spite of our self-reliance, Ashok learned how to make himself invaluable to us. And, in truth, we really liked him, and loved our discussions with him. We were impressed with his resourcefulness, and his delight in making things happen. He seemed to delight in delighting us.

We are at sea for two days, en route from Messina to Haifa, Israel.
I was wide awake by five, so I got up quietly and dressed, grabbed my computer, found a cup of coffee at Barista’s, and headed up to Horizon’s, the forward observation lounge to check e-mails. Over 300 e-mails, horrors! I spent a while just deleting, then responding to the few requiring attention – requests from Air France for rating how I liked my flights, and a couple e-mails from friends. Most of the time, in this large lounge, it was just me and one or two others. I did get a nice photo of the sun coming up; it looks a lot like the day before.

When I headed back to our cabin, AdventureMan was just getting up, so we went together to breakfast where I am so delighted to find marinated herring and smoked salmon, two of my favorite things in the world. (It’s my Swedish blood talking.) AdventureMan finds herring abhorrent, and so does the Indonesian lady dishing it up; when I say a bright cheery “thank you!” her response was meant to be a smile, but it was a little twisted by disgust. I also had my virtuous oatmeal, with virtuous fresh blueberries – so much temptation, but my blood sugar is well within normal and I want to keep it there.

After breakfast I introduced AdventureMan to a new thrill – the spa pool at the front of the ship. It is just below the Horizons Lounge, and we had noticed that if you enter the pool by the stairs, you are visible to the people in the lounge. It doesn’t bother AdventureMan, but I figured out how to enter from the side, so as to remain unseen. The spa is very warm to hot, and can be made to bubble, so we had a wonderful twenty minutes in the hot tub in the fresh air, then we headed back to our room.


This early morning trip to the spa, having it all to ourselves, became another guilty pleasure. So lovely, so indulgent.
This quiet sea day, I napped a lot. I meant to read. I meant to update this journal. I napped. I don’t even feel guilty, it felt so good.
Our cabin as all shades of grayish green, sea colors. The walls look almost gray, but there are streaks of green in the wall paper. The upholstered headboard is a very pale shade of sea-green. The furniture and pillows a little bit darker shade of green, and the two pashmina throws to keep us warm are almost an exact match to the furniture. It’s all very soothing.
There is a little “couch,” really more of a love-seat, where I can fall asleep very easily.
Space is smartly allocated so that there is plenty of closet space, with doors that open so you can see everything, and enough hangers. (Enough hangers! I didn’t have to ask for more!) There are enough drawers to stow things in neatly. The bathroom has two upper-side cupboards, and two lower cupboards with shelves, too. There is more cupboard space in the bathroom than we need; we can keep everything in cupboards, out of sight. (This is a first.)
The ship is very silent. We don’t hear the motors, or the anchors dropping or lifting. We feel little sways and jerks now and then. At one point the weather changed briefly, we had rain. At night the ship swayed enough to cause some to have problems with balance, but it wasn’t much. We can feel the boat rock side to side, just a little, now and then. It is like being a baby again, held against your Mama as she walks about, feeling safe and secure. I napped a lot.
Dinner this night at sea was an Italian Market special, and we ate once again in the casual restaurant but dressed up a little. As it was a little cold and windy, we ate inside instead of at our usual table on the back terrace. It was one of my favorite meals – grilled Italian vegetables (mostly eggplant and peppers) and a big bowl of an Italian kind of Bouillabaisse, a fish stew, and it was wonderful.
In the restaurant, I could overhear a conversation I longed to join, two tables away, about Amor Towles and A Gentleman in Moscow. I tried to see who the people were, an assortment of six, but I am not sure I would recognize them again. Another woman, seated nearby, was very blonde with a bright red pashmina wrapped around her shoulders – I’ve always envied that drama, and know it isn’t really my style.
Even though I napped a lot during the day, I slept well this night for the first time since Barcelona.
We slept fairly well through the night, awakening around five but getting back to sleep again for another day at sea. Nice breakfast on the Terrace (my virtuous oatmeal, this time with fresh raspberries), followed by another early visit to the spa, where at that early hour, we have it all to ourselves. We were out in time to get ready for the Veteran’s Day/ Remembrance Day Ceremony at 9:15 in the Nautica Lounge. It was simple, short and sweet.
We were back at the Nautica Lounge just a short while later for another enrichment lecture on the Knights Hospitaler and Knights Templar, which helps put everything in context for our upcoming trip to Acre while we stop in Haifa.
We nap and read through the quiet afternoon as we pass south of Crete and Greece, never seeing a speck of land. Tonight is dinner at Toscana, the ship’s specialty Italian restaurant; we have dinner reservations at seven. We know a waiter who works there, Buti, and he has been waiting for us to come see him.
The problem, for us, is that by late afternoon we are already closing down. We’ve always been this way, but when we were younger, we really didn’t know it. We dress, I wear the one little black dress I have brought for special evenings, with a red scarf, my own toast to a little drama. When we get to Toscana, there is a line, the restaurant isn’t open yet so we go into the library. Shortly, the Jewish Shabbat began, and we left to give them privacy, got in the line, and very shortly got in and asked to be seated in Buti’s section.
Buti treated us like gold. We felt so special. When I ordered, he insisted I add a small dish of pasta, angel hair aglio oglio, and when he brought it, it was perfect. He also brought a small bowl of sambol oelek sauce, which I know from Kuwait and Qatar, spicy hot peppers in a little vinegar, absolutely divine. I also had Veal Marsala, and AdventureMan had a Caprese Salad and Linguini Cioppiono. Altogether, it was a lovely meal. All around us people were laughing and talking, a single man at the next table was reading Saul Bellow, and as nice as it all was, it was slowly elegant and we got restless. We skipped dessert, which is a really good thing, because my blood sugar was 123 the next day, which gave me a good wake-up call.
I loved the sambol oelek, and I loved the angel hair pasta. It’s hard for me to be gracious after five at night. When we got home, we were exhausted. Everyone is so kind, wanting to make us feel so special, and I just feel tired and happy to be back in my room getting ready for bed.
Good For You! And Good For Me!
I’m mostly getting my news in written form these days, and oh, this news from an Apple compilation features an article from the New York Post that recommends all my favorite foods, even ((take a breath)) chocolate!
LIVING
By The Sun | October 7, 2021 | 2:32pm
Popular herb could help prevent Alzheimer’s, study finds
Looking after your health can help prevent lots of diseases and issues later in life.
Taking care to eat the right things and keep active can lay the groundwork for a healthier future.
While there is no magic pill or superfood that will entirely stop a possible disease in it’s tracks, there are some items that will help to slash your risk.
Alzheimer’s is a devastating disease that affects the patient and their loved ones – and studies have found a few foods that can boost your brain health and help try to prevent developing it.
What is Alzheimer’s disease?
In 2020, as many as 5.8 million Americans were living with Alzheimer’s disease, according to the CDC.
A hallmark of the disease is the build-up of amyloid beta proteins in the brain, which causes plaques.
The plaques then result in the loss of connections between nerve cells in the brain – and ultimately the death of those cells and a loss of brain tissue.
Those with Alzheimer’s also have a shortage of key chemicals in the brain, which help transmit messages.
A lack of these chemicals means the brain is unable to process certain messages how it would have previously.
While there is currently no cure for the disease, some treatments can help boost these chemical messages, and ward of some of the symptoms.
What is the popular herb that could cut your risk?
A study found that a naturally occurring compound, fenchol, could have a protective effect against Alzheimer’s disease.
Researchers from the University of South Florida Health (USF Health) made this discovery.
They found out of 15 compounds studied, fenchol was the most effective at binding to and activating cell-signaling molecule free fatty acid receptor 2 (FFAR2).
The more signaling there is, the more a protein linked to the development is reduced.
This in turn lowers rates of neuron death and lessens the number of senescent neuronal cells, often dubbed “zombie” cells, and frequently found in Alzheimer’s patient’s brains.
Fenchol can be found in basil, which can be incorporated into plenty of dishes to up your intake of the compound.
Principal investigator Hariom Yadav, PhD, professor of neurosurgery and brain repair at the USF Health Morsani College of Medicine, said: “Fenchol actually affects the two related mechanisms of senescence and proteolysis.
“It reduces the formation of half-dead zombie neuronal cells and also increases the degradation of (nonfunctioning) Aβ, so that amyloid protein is cleared from the brain much faster.”
Fenchol is also found in fennel, lime and nutmeg.
Other foods that can boost your brain health:
Chocolate can be a great brain food. This is because cacao – the raw, pure version of cocoa – is high in flavonols.
These plant substances are thought to have a powerful antioxidant effect, including for the brain, and have even been researched for their potential to protect against Alzheimer’s disease.
Oily fish such as salmon are high in an omega-3 fatty acid called DHA.
DHA is found in high levels in the grey matter of our brain – proof that we need lots of it for healthy brain function. Studies have suggested that having plentiful supplies of DHA supports learning and memory, as well as IQ.
Research suggests that eating blueberries may be particularly beneficial for our brain too, especially supporting brain health into old age.
This effect is thought to be primarily due to blueberries’ content of polyphenols, which may help to protect against oxidative stress and inflammation that can contribute to brain deterioration.
Eggs are a fantastic food for many reasons – not least for your brain.
The yolks are rich in choline, a vitamin-like substance that’s needed for the myelin sheath that surrounds nerve fibers, including in the brain.
















