Anesthesia Linked to Dementia Risk in Seniors
It may not be dementia. It may be a reaction to a medication in the elderly that LOOKS like dementia.
My father was 87, and doing pretty well for a man 87. He still walked on his own, using a walker when he had to, and very rarely, a wheelchair if we were going a long ways. He went into the hospital for a minor surgery. The tube inserted in his hand for the anesthetic became infected. Dad was acting weird, he was having hallucinations, and my sister rightly identified that Dad had a reaction to the diuretic drug Lasix; when they switched him to an alternative, the raving and hallucinations stopped.
He was transferred to a rehabilitation unit, where for two days, they put him back on Lasix. Poor communication between hospital and the rehab facility, plus standardization of drug regimens – they switched him without telling him, or us. Once again, he went loony tunes, and at the same time, his right hand began to swell until it looked like a lobster claw. He kept saying it hurt, and it was big and red, and the rehab people kept saying it would get better.
Dad was rushed to another hospital, one the rehab clinic worked with, and the doctors told us he had a ‘cascade of problems’ and which were the primary three we wanted them to work with?
Get him off the Lasix, first thing, we all agreed, and find a way to have it annotated on any record that he is never to have Lasix. (It did no good; the next hospitalization, back at the first hospital, they gave him Lasix again, which made him crazy and masked all the other symptoms.)
Long story short, there were a cascade of hospital mistakes – not one hospital, two hospitals and the rehab clinic – where miscommunications, inattentions and shortage of trained personnel resulted in a cascade of issues that led to my father’s death later that year. The other lesson learned is that if you go into a hospital, make sure you have a good support system, someone with you who will bravely ask questions, and remind someone if an inappropriate medication is prescribed. You need a family member with you for protection against inattention, mistakes, miscommunications and personnel shortages.
It’s not like there’s anyone to bring a lawsuit against; they were all doing the best they could, but Dad was old. My bet is that he might have lived another couple years, at the very least, had he not gone in for that first non-essential minor surgery. To me, the moral of the story is if you want to live a long life, stay away from hospitals.
Anesthesia Linked to Increased Dementia Risk in Seniors
Exposure to anesthesia has been linked to a 35 percent increase of dementia in patients over age 65, according to a new study.
By Jeffrey Kopman, Everyday Health Staff Writer
FRIDAY, May 31, 2013 — Caregivers and seniors struggling with the dilemmas of elder care have another risk to weigh against potential rewards — senior patients exposed to general anesthesia face an increased risk of dementia, according to research presented at Euroanaesthesia, the annual congress of the European Society of Anaesthesiology (ESA).
Researchers reviewed the medical information of 9,294 French patients over the age of 65. The patients were interviewed several times over a ten year period to determine their cognitive status.
After two years, 33 percent of participants had been exposed to anesthesia. Most of the exposed patients (19 percent overall) were exposed to general anesthesia — a medically induced coma. The rest were exposed to local/locoregional — any technique to relieve pain in the body — anesthesia.
In total, 632 participants developed dementia eight years after the study began. A majority of these patients, 512, were diagnosed with probable or possible Alzheimer’s disease. The remainder had non-Alzheimer’s dementia.
The gap between dementia related to general anesthesia (22 percent) and non-dementia patients (19 percent) was associated with a 35 percent increased risk of developing dementia. This risk was linked to at least one general anesthesia.
“Elderly patients are at an increased risk for complications following anesthesia and surgery,” said Jeffrey H. Silverstein, MD, MS, and vice chair for research at the Department of Anesthesiology at Mount Sinai in New York City. “[They] are particularly prone to postoperative delirium, which is a loss of orientation and attention. Anesthesiologists have been evaluating higher cognitive functions (for example, memory and executive processing) and found that a substantial number have decreases in one or more of these areas after a surgical procedure.”
Researchers hope this study will lead to more awareness for surgeons.
“Recognition of postoperative cognitive dysfunction (POCD) is essential in the perioperative management of elderly patients,” said study author Dr. Francois Sztark, INSERM and University of Bordeaux, France, in a press release. “A long-term follow-up of these patients should be planned.”
Elderly Care: Risk vs. Reward
Senior citizens and their caregivers might be willing to accept an increased risk of dementia if it means getting necessary anesthesia for an important medical procedure. Dementia is a relatively common occurrence in old age: One in three seniors has Alzheimer’s disease or dementia by the time of their death.
But surgery at old age can also carry more severe, and less common, health risks. In fact, simply surviving surgery can be difficult for elderly patients, especially those over the age of 80.
While the numbers vary depending on procedure, researchers have found that mortality risk tied to elective major surgeries increases with age. The risk more than doubles for patients over 80 compared to patients ages 65 to 69.
But other surgery complications are even more common in seniors.
“The major risk for elderly patients following surgery is pneumonia,” said Dr. Silverstein. “Cardiac complications are next most common.”
However, Dr. Silverstein still feels that if surgery is deemed necessary, patients should not fear the risks.
“In theory, only necessary surgery is done,” he said. “Knowing how [patients] reacted to anesthesia and surgery in the past may give them some idea of their postoperative course.”
Last Updated: 05/31/2013
The Little Blue Pill
I’m not a person who feels a lot of pain. I hardly ever get a headache, rarely get even a paper cut. At one point in my life, when my biliary duct blocked, the doctor gave me pictures and looked at me sternly and said “You could have died, politely waiting out there in the waiting room. When this happens, come in immediately, show the ER people these photos and tell them you need this blockage cleared immediately.”
That one really did hurt, but I’m not much for groaning and writhing in pain, so I didn’t.
Today was a confluence of events. Yesterday, when the air conditioning people were at our house, all day, configuring and installing the new air conditioning system, the terrified and disoriented Qatari Cat spent the day in the large laundry room, with his cat bed and his food and water, and his litter box. It was a long day, and he was alone, and he could hear loud bumps and thuds, and he could smell strange smells, and hear strange voices. Therefore, when let out, he needed to snuggle, closely, to the one he thinks is his mother, i.e. me.
He curled into my arm and purred and cried about his long day and how scared he had been. He was still snuggling, closer and closer, during the night, as I was trying to sleep. He is a good sleeper, doesn’t move around a lot, but when he is snuggled up against me, it is hard to move. Now and then he will snore, or go into kitty-dream state, legs thrumming along and sub-vocal snarling, which can wake me.
Our normal water aerobics instructor was out, and the substitute was wonderful, but we did more repetitions of high kicks, jacks-crunches, and more high kicks; it was a great workout, different from what we are used to.
We really needed to clean our floors after the air conditioning crew, so AdventureMan took all the carpets outside for a good vacuum front and back while I tackled the tile floors throughout the main level of the house. Some of the grime was ground in, this wasn’t one of those quick swish washes but a lot of stoop and scrape, or hands and knees and scrub kind of jobs. While down close, I also noticed the base boards needed a swab, more bending and stooping.
I still had one appointment to go before I could kick back, and while waiting, I noticed my back was a little uncomfortable. By a little uncomfortable, I mean it had my attention, I couldn’t get comfortable. By the time I got home, it had my undivided attention. I know what works for me, back when I had a reaction to a root canal, I discovered Aleve, so I had some on hand.
When I went to take one, I saw this great big capsule. I remembered tiny little blue tablets, sort of ovoid, but I guess I had just grabbed whatever I saw and it happened to be a capsule. Swallowed the capsule.
There is a reason I don’t like taking medicines, and that reason is that because I don’t take a lot of medications, when I do, I can tell. It takes the edge off. I feel slow. I feel a little loopy. I feel tired. And then, by the grace of God, in an hour or so, I feel no pain in my back.
It wasn’t a bad day, just a day with some unexpected conditions. Scrubbing floors is not my favorite thing. In Kuwait and in Doha I had wonderful women who kept my floors sand-free, and sparkling clean. As I clean my floors, I found myself remembering them fondly.
AdventureMan popped his head in the door to tell me how much he likes vacuuming the carpets outdoors, where he can see the intricacies of the patterns. He can see I am grumpy. “I don’t really like cleaning floors!” I grump.
“Let’s hire someone to do it for us!” he responds, and my day suddenly looks a lot brighter. 🙂
Miracle Birth in Kuwait
Found the following on AOL News / What to Expect:
Clinically Dead Woman Is Revived After C-Section Birth

A pregnant woman in her ninth month was admitted to a hospital in Kuwait with an acute blood pressure condition, suffered cardiac arrest, and was pronounced dead. Doctors rushed to deliver her unborn child. The cesarean section was performed without anesthesia since the mother was presumed dead, and a healthy 6.8 lb baby boy was delivered. Then with one last attempt to revive the 36-year-old Filipina woman, doctors were astonished when she started breathing again.
“This is a scientific miracle at all levels,” hospital manager Dr. Hmoud Al-Zobi told theKuwait Times. Three days later the 36-year-old Filipina (or Pinay) woman named Zuraida remains unconscious at Al-Farwaniya Hospital, but doctors say she is in stable condition and are hopeful that she will return to health.
Zuraida’s husband, Verdadero, remains by her side. “When I visited her today, tears were rolling down her eyes. I felt she could hear me, she could feel my presence and was trying her best to communicate. ”
Said Verdadero, “I brought her to the hospital because she experienced blood and the water discharged at that time. Of course, I knew that she was already in pain and it was about time for her to deliver our second child. I was very happy. But my happiness changed to uncertainty when I heard that she was vomiting blood and was in danger and only a miracle could save her. I prayed hard for her to survive.”
Verdadero is a truck driver who is often away for days in Iraq and elsewhere. He feels lucky that he happened to be in Kuwait when his wife was ready to deliver their baby. “At least I was with her when it all happened and I really pray that she will be okay.”
During pregnancy, it is recommended that women and their doctors keep a close eye onblood pressure. There are many reasons for occasional spikes in blood pressure and most are nothing to worry about (in fact, worry only contributes to elevated levels). But chronic high blood pressure during pregnancy is something that should be monitored and treated to ensure that mother and baby are as healthy as can be.
Maldives President Urges Patience in Lashing Sentence of Rape Victim
Little drops of water, little grains of sand, make the mighty ocean and the beauteous land . . .
Little drops of water, in the form of expressions of international outrage against the sentence of 100 lashings for a 15 year old girl, impregnated by her stepfather, who bore his still-born babe, and was ordered punished by the court system for immorality. A call to express outrage by boycotting travel to the Maldives seems to have gotten the attention of the government. It appears they will try to find a way to avoid this grueling punishment . . . thanks to the attention being paid.
From the English edition of Haveeru Online:
President Dr Mohamed Waheed Hassan Manik on Tuesday urged patience from the international community in the case of the 15 year old alleged rape victim who received a flogging after being convicted of adultery in a separate incident.
The conviction had sparked an international outcry and condemnation from rights groups such as Amnesty International. While an online petition condemning the Maldives over the sentencing has received over two million signatures. The petition, started by New York-based campaign group avaaz.org, calls on President Waheed to intervene and has been signed by over two million users.
“We appreciate the international compassion for this young woman and ask for your patience as this case moves through the judicial system,” President Waheed said in a statement.
“Currently the case is being appealed and I have urged the judiciary to resolve this matter as quickly as possible.”
“This case should never have been presented in the courts and we are working to ensure that cases like this are never brought to the courts again.”
In the statement, President Waheed also assured that the young woman remains under the care of the Gender Ministry and is receiving the appropriate physical and psychological counseling at this time.
“As both the President and as a father, I am fully committed to protecting and advancing the rights of women and girls in the Maldives and throughout the world and share your deep concern about this young victim.”
In its attempt to pressure the Maldives government to overturn the sentence, Avaaz had called for tourism to be boycotted.
“Tourism is the big earner for the Maldives elite, including government ministers. Let’s build a million-strong petition to President Waheed this week, then threaten the islands’ reputation through hard-hitting ads in travel magazines and online until he steps in to save her and abolish this outrageous law,” Avaaz said on its website.
In that regard, President noted that the Maldives is a young democracy working to balance religious faith with new democratic values and asked the international community to support as partners as the country works through this challenge.
“A boycott on tourism will only serve as a setback to the economic opportunities and rights we are all striving to uphold for women, girls and the hardworking Maldivian people in general,” Waheed stressed.
The 15 year old girl who gave birth and buried the baby in Shaviyani Atoll Feydhoo had been sentenced to eight months under house arrest and 100 lashes after the Juvenile Court found her guilty of pre marital sex.
Prosecutors have maintained that the 15 year old was charged with adultery over another case which came to light during the investigation of the buried baby.
The baby born last June was found buried in the bath house of the girl’s home. The child delivered out of wedlock was dead at the time of discovery. Charges have been filed against the 15 year old’s mother and step-father over the deliberate murder of the baby.
Round-Up Herbicide Tied to Serious Health Deterioration
Shocking news for everyone with grounds and gardens – we’ve all been using this, not knowing its long term impact on our environment – and on us.
Roundup, An Herbicide, Could Be Linked To Parkinson’s, Cancer And Other Health Issues, Study Shows
The peer-reviewed report, published last week in the scientific journal Entropy, said evidence indicates that residues of “glyphosate,” the chief ingredient in Roundup weed killer, which is sprayed over millions of acres of crops, has been found in food.
Those residues enhance the damaging effects of other food-borne chemical residues and toxins in the environment to disrupt normal body functions and induce disease, according to the report, authored by Stephanie Seneff, a research scientist at the Massachusetts Institute of Technology, and Anthony Samsel, a retired science consultant from Arthur D. Little, Inc. Samsel is a former private environmental government contractor as well as a member of the Union of Concerned Scientists.
“Negative impact on the body is insidious and manifests slowly over time as inflammation damages cellular systems throughout the body,” the study says.
We “have hit upon something very important that needs to be taken seriously and further investigated,” Seneff said.
Environmentalists, consumer groups and plant scientists from several countries have warned that heavy use of glyphosate is causing problems for plants, people and animals.
The EPA is conducting a standard registration review of glyphosate and has set a deadline of 2015 for determining if glyphosate use should be limited. The study is among many comments submitted to the agency.
Monsanto is the developer of both Roundup herbicide and a suite of crops that are genetically altered to withstand being sprayed with the Roundup weed killer.
These biotech crops, including corn, soybeans, canola and sugarbeets, are planted on millions of acres in the United States annually. Farmers like them because they can spray Roundup weed killer directly on the crops to kill weeds in the fields without harming the crops.
Roundup is also popularly used on lawns, gardens and golf courses.
Monsanto and other leading industry experts have said for years that glyphosate is proven safe, and has a less damaging impact on the environment than other commonly used chemicals.
Jerry Steiner, Monsanto’s executive vice president of sustainability, reiterated that in a recent interview when questioned about the study.
“We are very confident in the long track record that glyphosate has. It has been very, very extensively studied,” he said.
Of the more than two dozen top herbicides on the market, glyphosate is the most popular. In 2007, as much as 185 million pounds of glyphosate was used by U.S. farmers, double the amount used six years ago, according to Environmental Protection Agency (EPA) data.
57 Meth Producers Arrested in Escambia County
This boggles my mind – 57 people producing meth in a city with a population of around 50K. These people are driving cars, shopping in grocery stores, all mildly deranged, at best, by the drug they produce. I am delighted they have been arrested and I am appalled to know they were on the streets:
Fifty-seven people allegedly involved in two major meth organizations in Escambia County were arrested this week, federal and state authorities said.
The results of the mass arrests, the result of a seven-month investigation, were announced during a news conference Friday afternoon.
Seventy-six people on various meth-related charges were sought, Sheriff David Morgan said, and more arrests may be made.
Those arrested, many of whom were rounded up by 60 state and federal law enforcement agents that went out Thursday morning, were targeted as part of two major meth cooking and distribution networks located in north Escambia County, sheriff’s narcotics Investigator Kenneth Tolbirt said.
One is called “The Village Group,” is based at Lakeview and Forrest avenues in Cantonment, while “The Ayers Group” is based on Ayers Street in Molino, Tolbirt said.
The organizations had roles ranging from cooks to dealers. Many of those arrested in the past two days work as “smurfs,” and go purchase pseudoephedrine, a medication used to make meth, from drug stores, authorities said.
The bust comes in the wake of 12 people being indicted in federal court on Tuesday for conspiracy to possess and distribute pseudoephedrine.
Morgan refused to say what was confiscated in Thursday’s bust, citing the ongoing need to prosecute the cases.
State Attorney Bill Eddins said he has assigned two assistant state attorneys to oversee the prosecution of the cases.
Bravo to the Escambia County Sherrif’s office for the careful, painstaking work it takes to craft an operation like this and to execute it.
Western Diet Killer:
From the UK Daily Mail Online:
The Western diet really IS a killer: People who eat white bread, butter and red meat are most likely to die young
- Those who ate fried and unhealthy food had doubled risk of early death
- Key culprits include red meat, white bread, butter, cream and sweet foods
- Findings ‘help explain’ why heart disease is still the UK’s biggest killer
PUBLISHED: 13:20 EST, 16 April 2013 | UPDATED: 02:08 EST, 17 April 2013
The typical Western diet, high in fat and sugar, really does lead to an early grave, new research suggests.
A study of more than 5,000 civil servants found those who ate the most fried and sweet food, processed and red meat, white bread and butter and cream doubled their risk of premature death or ill health in old age.
It adds to evidence that ‘Western style food’ is the reason why heart disease claims about 94,000 lives a year in the UK – more than any other illness.
The findings published in The American Journal of Medicine are based on a survey of British adults and suggest adherence to the diet increases the risk of premature death and disability later in life.
People who ate the most fried and sweet food, processed and red meat, white bread, butter and cream doubled their risk of premature death or ill health in old age
Lead researcher, Dr Tasnime Akbaraly, of the National Institute of Health and Medical Research in France, said: ‘The impact of diet on specific age-related diseases has been studied extensively, but few investigations have adopted a more holistic approach to determine the association of diet with overall health at older ages.’
She examined whether diet, assessed in midlife, using dietary patterns and adherence to the Alternative Healthy Eating Index (AHEI), is associated with physical ageing 16 years later.
The AHEI is an index of diet quality, originally designed to provide dietary guidelines with the specific intention to combat major chronic conditions such as heart disease and diabetes.
More…
Dr Akbaraly added: ‘We showed that following specific dietary recommendations such as the one provided by the AHEI may be useful in reducing the risk of unhealthy ageing, while avoidance of the “Western-type foods” might actually improve the possibility of achieving older ages free of chronic diseases.’
The researchers analysed data from the British Whitehall II cohort study and found following the AHEI can double the odds of reversing metabolic syndrome, a range of disorders known to cause heart disease and mortality.
The research adds to evidence that Western style food is the reason why heart disease claims about 94,000 lives a year in the UK – more than any other illness
They followed 3,775 men and 1,575 women from 1985-2009 with a mean age of 51 years.
Using a combination of hospital data, results of screenings conducted every five years, and registry data, investigators identified death rates and chronic diseases among participants.
At the follow up stage, just four per cent had achieved ‘ideal ageing’ – classed as being free of chronic conditions and having high performance in physical, mental and mental agility tests.
About 12 per cent had suffered a non-fatal cardiovascular event such as a stroke or heart attack, while almost three per cent had died from cardiovascular disease.
About three quarters were categorised as going through ‘normal ageing’.
The researchers said participants who hadn’t really stuck to the AHEI increased their risk of death, either from heart disease or another cause.
Those who followed a ‘Western-type diet’ consisting of fried and sweet food, processed food and red meat, refined grains, and high-fat dairy products, lowered their chances for ideal ageing.
Worst Drivers in the World: Traffic Fatalities by Country
Driving in the Middle East is a whole other world, a world of chaos until you realize that the rules are different, no matter what the published rules are. To drive in Qatar, I started at 0430 on a Friday morning, when there was little or no traffic (things have changed) and would drive until traffic began to thicken. Eventually, I knew the city and gained confidence that I could drive without getting killed. In Kuwait, for months, I would only drive to relatively nearby shopping areas, or drive only on back roads carefully plotted on the map during low traffic hours. After a while, you begin to get a sense of things, and the sensation of imminent death lessens.
Adventures in Qatar: a radiator dropping off a truck in front of me, being hit on purpose by a man who didn’t like women driving, being pushed into a round about by a Hummer, being nearly assaulted by two young Qataris who believed we had insulted them by being in the lane where they wanted to be, watching men drive up the wrong side of the ring roads because they were too important to wait in line, later standing and laughing at their crashed cars – Daddy would buy them another. It sounds crazy, but you get used to it.
Kuwait was a whole different ball game, controlled chaos at high speeds. Adventures in Kuwait: the sleeping elderly man driving in the lane next to me who almost hit me, watching drivers drive through red lights as if they were green, sparks off the fenders of SUVs on Highway 30 as people wove quickly in and out of traffic, the dramatic crashed and burned out cars on the sides of the highways, the car impaled on a palm tree – 10 feet above the road. Kuwait was so surreal that I couldn’t even begin to imagine how some of the accidents happened; I learned to be a very prayerful driver.
So out of idle curiosity, today I looked up highest rate of traffic fatalities per country, and found this on Wikipedia. So here’s a surprise . . . Kuwait’s fatalities statistic is roughly equal to that of the United States. Qatar’s is significantly higher, and many countries are even double or triple Kuwaits fatality rate. I’m having trouble wrapping my mind around this.
List of countries Fatalities per 100,000 inhabitants
World 20.8
Afghanistan 39.0
Albania 13.9
Angola 37.7
Argentina 13.7
Armenia 13.9
Australia 5.71
Austria 8.2
Azerbaijan 13.0
Bahamas 14.5
Bahrain 12.1
Bangladesh 12.6
Barbados 12.2
Belarus 10.9
Belgium 10.1
Belize 15.6
Benin 31.2 1
Bhutan 14.4
Bolivia 16.7
Bosnia and Herzegovina 10.9
Botswana 33.8
Brazil 19.9
British Virgin Islands 21.7
Brunei Darussalam 13.8
Bulgaria 8.8
Burkina Faso 31.1
Burundi 23.4
Cambodia 12.1
Cameroon 28.1
Canada 9.2
Cape Verde 25.1
Central African Republic 32.2
Chad 34.3
Chile 13.7
China 5.1
Colombia 11.7
Comoros 30.3
Republic of the Congo 28.8
Cook Islands 45.0
Costa Rica 15.4
Croatia 9.1
Cuba 8.6
Cyprus 10.4
Czech Republic 10.4
Denmark 3.1
Dominican Republic 17.3
Ecuador 11.7
Egypt 42.0
El Salvador 12.6
Eritrea 48.4
Estonia 7.5
Ethiopia 35.0
Fiji 7.0
Finland 6.5
France 5.5
The Gambia 36.6
Georgia 16.8
Germany 4.5
Ghana 9.32
Greece 14.4
Guatemala 14.7
Guinea-Bissau 34.4
Guyana 19.9
Honduras 13.5
Hungary 9.9
Iceland 3.8
India 11.1
Indonesia 16.2
Iran 35.8
Iraq 38.1
Republic of Ireland 3.51
Israel 3.7
Italy 8.7
Jamaica 12.3
Japan 3.85
Jordan 34.2
Kazakhstan 30.6
Kenya 34.4
Kiribati 7.4
Republic of Korea 11.3
Kuwait 16.9
Kyrgyzstan 22.8
Laos 18.3
Latvia 8.7
Lebanon 28.5
Lesotho 26.7
Liberia 32.9
Libya 40.5
Lithuania 14.8
Luxembourg 9.0
Madagascar 33.7
Malawi 26.0
Malaysia 24.1
Maldives 18.3
Mali 32.1
Malta 3.4
Marshall Islands 7.4
Mauritania 35.5
Mauritius 11.1
Mexico 20.7
Federated States of Micronesia 14.4
Mongolia 14.5
Montenegro 14.6
Morocco 28.3
Mozambique 7.0
Myanmar 23.4
Namibia 28.6
Nauru 9.9
Nepal 15.1
Netherlands 3.9
New Zealand 8.6
Nicaragua 14.2
Niger 37.7
Nigeria 32.3
Norway 5.4
Oman 21.3
Pakistan 25.3
Palau 14.8
Palestinian territories 5.6
Panama 12.7
Papua New Guinea 14.2
Paraguay 19.7
Peru 21.5
Philippines 20.0
Poland 10.7
Portugal 7.9
Puerto Rico 12.8
Qatar 23.7
Republic of Macedonia 6.9
Republic of Moldova 15.1
Romania 9.4
Russia 19.5
Rwanda 31.6
Saint Lucia 17.6
Saint Vincent and the Grenadines 6.6
Samoa 12.8
San Marino 0
Sao Tome and Principe 33.0
Saudi Arabia 29.0
Senegal 32.5
Serbia 9.8
Seychelles 18.5
Sierra Leone 28.3
Singapore 4.8
Slovakia 7.1
Slovenia 10.4
Solomon Islands 16.9
South Africa 33.2
Spain 6.9
Sri Lanka 13.5
Sudan 34.7
Suriname 15.8
Swaziland 26.3
Sweden 2.9
Switzerland 4.7
Syrian Arab Republic 32.9
Tajikistan 14.1
Thailand 19.6
Timor-Leste 16.1
Togo 28.1
Tonga 7.0
Trinidad and Tobago 15.5
Tunisia 34.5
Turkey 13.4
Turkmenistan 18.6
Tuvalu 9.5
Uganda 24.7
Ukraine 11.2
United Arab Emirates 37.1
United Kingdom 3.59
United Republic of Tanzania 34.3
United States of America 12.3
Uruguay 12.8
Uzbekistan 9.7
Vanuatu 18.6
Venezuela 21.8
Vietnam 16.1
Yemen 29.3
Zambia 25.6
Zimbabwe 27.5
Like all statistics, I think some are honest, and some need to be taken with a grain of salt. I found reading through them fascinating. You can get more information, accidents per thousand cars, total accidents, etc.
The Baboon Coughed
We’ve had three sets of houseguests in a very short time span, and today is our first day of ‘normal.’ We saw our friends off at 0430 (we used to call it oh-dark-hundred) and I couldn’t get back to sleep, so by the grace of God (and I mean that literally) I got up and walked.
I know I need to walk. I’ve always walked. I used to run, but I suffered for it – the knees – and decided I didn’t want to pay that price. But when my sister was here, we decided to take a walk and I said “don’t worry, I walk fast” and she said “I don’t, I am so slow now, my body has to warm up.” Confidently I started – and starting is uphill from my house. Very shortly, I discovered my fast was her slow, and I was HUFFING and puffing, and so embarrassed because I guess it’s been a while since I did this walk . . . but we did it. It felt good. And I was happy for a nice cool morning so I could do it again.
I ran into a neighbor, ignored that she was in her nightgown, we both pretended she was as fully dressed as I, had a brief conversation and she went inside with her newspaper and I carried on. About halfway through my walk, as I puffed along, I heard it.
The baboon coughed.
I could even smell a faint drift of wood burning fire. I could hear the doves. But it was only very briefly, very intangential, and I quickly realized it must have been a dog barking distantly; I could still hear him. For one brief moment I was back in Zambia, and while I love the magic of Zambia, I would not be out for a mile long hike early in the morning while the lions prowl for a last meal before they settle down for their day-long snooze.
We are off this morning to a grand plant sale across the bay in Milton. Symphony tonight. Back to “normal” for Pensacola.









