Most MERS Cases Undetected, report shows
Interesting, Qatar announced today their fourth case – this article says they have had eight confirmed cases and one Tunisian who visited Qatar and came down with MERS. From the Gulf Times:
Most Mers cases going undetected, study says
Researchers estimate that for each case that has been found, five to 10 may have been missed
- Gulf News Report
- Published: 21:32 November 16, 2013
- Image Credit: Reuters
- The Mers coronavirus typically causes severe respiratory problems.
Dubai: A new analysis of Mers case data suggests a large number of infections are going undetected, with the researchers estimating that for each case that has been found, five to 10 may have been missed.
The scientific paper, from European researchers, further suggests that transmission of the Mers virus is occurring at a rate close to the threshold where it would be considered able to pass from person to person in a sustained manner. In fact, the authors say based on the available evidence they cannot rule out the possibility that person-to-person spread is the main mode of transmission of the virus at this point. The other option, they say, is that the virus is spreading via a combination of animal-to-person and then person-to-person transfer.
“We conclude that a slow growing epidemic is underway, but current epidemiological data do not allow us to determine whether transmission is self-sustaining in man,” they write in the article, published in the journal Lancet Infectious Diseases.
The scientists are from Imperial College London, the University of Edinburgh and the Institut Pasteur in Paris. The work was done with funding from Britain’s Medical Research Council, the Bill and Melinda Gates Foundation and other agencies.
To date there have been roughly 155 confirmed MERS cases and at least 65 of those infections have ended in death. All the cases trace back to infections in a handful of countries on the Arabian Peninsula: Jordan, Saudi Arabia, Qatar, the United Arab Emirates and Oman.
On Wednesday, Kuwait reported its second case Mers coronavirus for a man who just returned from abroad, the health ministry said.
In a statement cited by the official KUNA agency, the ministry said the new case was for a 52-year-old Kuwaiti national who was in a stable condition. Media reports said the patient had just returned from a visit to neighbouring Saudi Arabia.
The announcement came hours after Kuwait reported its first case of the Mers virus for a 47-year-old Kuwaiti man who was in critical condition.
Last weekend, Omani officials widened health checks following the country’s first death blamed on Mers. Officials looked for any sign of the virus in people who came in contact with a dead 68-year-old man.
Neil Ferguson, from Imperial College’s MRC Centre for Outbreak Analysis and Modelling, said that while publicly available data are spotty, calculations based on what is known support the argument that only a small proportion of cases are coming to light.
“At the very least there probably have been double that number of infections,” Ferguson said in an interview.
“But it’s considerably more likely in my view that we’ve had maybe five to 10 times more human infections than that. And symptomatic human infections, I would say.”
He stressed that he and his co-authors are not suggesting that the Mers-affected countries are hiding cases, just that the way they are looking for them is not capturing the full scope of the outbreak.
Experts have previously expressed concern that surveillance systems that look only for Mers among people who seek hospital care will only catch the sickest of cases. And in at least one affected country, Saudi Arabia, the criteria for who gets tested for Mers may be less inclusive still.
Dr. Anthony Mounts, the World Health Organisation’s leading expert on Mers, said the agency has been told Saudi health officials are focusing their testing on people with Mers-like symptoms who are gravely ill.
“I know that their surveillance strategy is focused on intensive care patients,” Mounts said in an interview. “That’s the focus of their surveillance strategy.”
Mounts agrees that many Mers cases are probably being missed. But he noted that some other affected countries are taking a different testing approach. For instance, Qatar has tested over 3,000 specimens over the past six months, looking for Mers in people who seek medical help for influenza-like illness, and all people diagnosed with pneumonia.
“They really are testing a lot of people and they’re not seeing this,” he said.
Eight Qataris have been diagnosed with MERS since the virus hit the global public health radar in September 2012. As well a man from Tunisia who contracted the virus is believed to have been infected on a visit to Qatar.
Because of the scarcity of publicly available data, Ferguson and his colleagues used some different approaches to try to estimate the state of the outbreak. He acknowledged that their calculations are estimates, and said of the analysis “it’s not definitive … but I still think it’s informative at least.”
“I would say we’re doing the best we can with the data available to try and address a couple of key questions,” he said. “We would certainly be in a better position if there was fuller [case] reporting.”
A commentary by Canadian epidemiologists lauded the team for the techniques they used to reach their conclusions. Dr. David Fisman and Ashleigh Tuite, who are with the University of Toronto’s Dalla Lana Faculty of Public Health, also hinted that the often-seen instinct to withhold information during infectious disease outbreaks may be futile in the era of computational biology.
“The ability to draw inferences about diseases from non-traditional data sources will hopefully both provide alternate means of characterising epidemics and diminish the temptation towards non-transparency in traditional public health authorities,” they wrote.
One of the questions Ferguson and his co-authors tried to answer relates to whether the virus is spreading person to person at this point or whether what is being seen are infections from an animal source that is igniting limited spread in people.
To do that, they tried to calculate what is known as the virus’s reproductive number — the number of people, on average, an infected person would pass the virus on to. For a virus to sustain itself in people, each person needs to infect at least one other person, a reproductive number of 1.0 or greater.
They could not come to a definitive conclusion, saying with what is known, either scenario is possible. But they said the evidence suggests the reproductive number is near 1.0.
— with inputs from agencies
If You Lived Here, I’d Know Your Name: Heather Lende
“You have to read this!” said my book friend, “You’re from Alaska! It’s about a woman who lives in some small town and writes obituaries!”
I grinned politely and put the book in my bag. Some books sound more interesting than other books – I’ve always loved adventures and mysteries and murders – add a little drama to the day-to-day-ness of everyday life. A woman who writes obituaries? Hmmm, not so much.
But spending my afternoons tending to my sweet little 3-month-old granddaughter means I often sit, anchored by the soundly sleeping baby who I don’t want to disturb, even by twitching. I have one hand free – and you can only play so much iPhone Sudoku.
An Alaskan friend had also recommended this book, so early this week I picked it up and started reading.
Oh. my. goodness. Yes, Haines is a small town, but oh the drama of writing obituaries. Oh, the things you learn about your neighbors and the surprises you get learning about their earlier lives. I love the way Heather Lende weaves the writing of the town obituaries with the current ongoing dramas in her own life and in the lives of her friends and makes it work.
It’s not unlike where I grew up, although my hometown had a hospital. We also had moose and bear and elk in our back yards, and learned to treat wildlife with respect, and that the best option was to back away slowly. There are the same senseless deaths from auto accidents, fishing boat accidents and unexpected changes in weather. There is the same feeling of wonder, almost every day of your life, knowing how very lucky you are to live in the midst of such awe-inspiring beauty. It’s hard for me to imagine being an unbeliever living in Alaska.
It’s also a great book to read before going to bed. Some of the books I read are too exciting or too disturbing to read before bed; books that infiltrate your dreams with images and situations that give you a restless night. While Lende deals with death and sadness and drama, there is an underlying message of hope in the neighborliness of your neighbors, the security of living in a town where everybody knows everybody else, in the civility even of people who strongly disagree with one another. If You Lived Here, I’d Know Your Name gives you peaceful sleep. She ties it all together with an ending that rips your heart out; you will never forget this book once you read it. After reading, you will feel like you have lived in Haines, Alaska.
The paperback version is available from Amazon.com for $9.73. No, I no longer own stock in Amazon.com.
MERS Found in Saudi Arabian Camel
RIYADH, Saudi Arabia (AP) — The Saudi Health Ministry says it has discovered a deadly virus in a camel in Jiddah province, on the western coast of Saudi Arabia.
The ministry’s statement released Monday is considered an important development in the search for the origin the deadly illness. There have been more than 60 deaths from the virus known as Middle East respiratory syndrome, or MERS, with all but a handful of the fatalities in Saudi Arabia.
The ministry said a sample from the camel was tested near the home of a patient infected with the virus.
An international research team in August found the mysterious virus that is related to SARS in a bat in Saudi Arabia. They suspected it was perhaps another animal that was spreading the virus directly to humans.
Speaking More Than One Language Delays Alzheimer’s
From AOL Everyday Health:
WEDNESDAY, November 6, 2013 — A small but growing body of research is finding that people who are proficient in multiple languages have a lower risk of cognitive decline. In the largest study to date on the relationship between bilingualism and dementia, researchers from Hyderabad, India, and Edinburgh, Scotland, demonstrated that bilingualism may stave off symptoms of Alzheimer’s disease and other types of dementia for several years. Their study was published in the journal Neurology.
The research team in Hyderabad evaluated 648 people who had dementia symptoms for 6 months to 11 years before enrolling in the study; 391 of the subjects were bilingual. The researchers found those who were bilingual developed dementia on average 4.5 years later than people who spoke only one language. On average, bilinguals developed dementia symptoms by age 65.6 compared with age 61.1 in people who spoke only one language.
“Nowadays, a lot of companies are having expensive brain-training programs, but I’d say bilingualism is very cheap,” said Thomas Bak, MD, a lecturer in human cognitive neuroscience at the University of Edinburgh, and second author on the study. “The crucial thing about bilingualism is that it offers what we say is constant brain training. A bilingual person Is forced to switch to different sounds, words, concepts, grammatical structure, and social norms.”
Dr. Bak’s study demonstrated the impact bilingualism has not only on the progression of Alzheimer’s disease, but also on other types of dementia. Though the majority of patients in the group studied (37 percent) had Alzheimer’s-related dementia, 29.2 percent had vascular dementia, a type caused by reduced blood flow in the brain from stroke. Frontotemporal lobe dementia — from atrophy or shrinkage of certain areas of the brain — accounted for 17.9 percent of the diagnoses. Lewy body dementia, the second most common type of progressive dementia and one that is related to Parkinson’s disease, accounted for 8.5 percent, while 7.4 percent of people in the study were diagnosed with mixed dementia.
The researchers found bilingualism had the most dramatic effect on people who were diagnosed with frontotemporal lobe dementia. Knowing multiple languages delayed dementia symptoms by as much as six years in this group. Individuals with vascular dementia had an average of almost four extra years before dementia symptoms set in. However, individuals who knew three or four languages weren’t protected longer from dementia symptoms than those who were only proficient in two languages.
The More Different the Languages, the Better
The World Health Organization estimates 35.6 million people in the world have dementia, with 7.7 million new cases every year. And in India the problem is expected to grow even more dire. In 2009, the World Alzheimer’s Report projected India will have 10 million dementia patients by the year 2020. This was the impetus behind the new research, said Suvarna Alladi,MD, lead author of the study, which was funded by the Indian Department of Science and Technology.
“Dementia has become a major public health problem in India, and research that explores potentially protective mechanisms is of tremendous importance,” said Dr. Alladi. “Since many people in India can fluently speak two or more languages in their daily life, it’s heartening for us to know that something that we take for granted may protect our brains from developing dementia early.”
Teluga is the official state language in Hyderabad. Natives of the city are often also proficient in Hindi and Dakkhini, which more closely shares roots with English than with Teluga. This raises questions about the brain and “linguistic distance,” said Bak.
“You could argue the more different languages are, the better they are for the brain,” Bak said. “However you can also argue that when you speak languages that are so closely related you have to suppress one.”
Scientists have also become interested in whether cognitive abilities can be retained in similar ways if a person doesn’t learn a second language until later on in life, but there are yet no studies on this topic. However, many researchers, including Bak, speculate that a person who learns a second language later on life could glean similar benefits. “There are theories that would say you need the constant practice,” he said. “The fact that I can swim won’t make me healthy. If I actually go swimming it will make me healthier.”
Exercising the Brain
Numerous studies have found one of the best ways to slow cognitive decline is by mindfully engaging in brain-flexing activities, such as playing Suduko and crossword puzzles or reading books. I-Chant Andrea Chiang, MD, a professor who specializes in language psychology at Quest University Canada in Squamish, B.C., sees very little difference between language learning and any other type of brain exercise. “The brain is a muscle and it needs to be worked out like any other muscle,” said Dr. Chiang. “All those mental activities stimulate the brain and build up a cognitive reserve, even though there may be physical decline.”
Chiang has consulted with Ryan McMunn, who runs BRIC Language Systems headquartered in New York City. McMunn said a number of Alzheimer’s patients have sought out BRIC language classes online to help offset the symptoms of the disease, or are learning a second language because Alzheimer’s runs in the family. McMunn, who is American and lived in China after college, said his grandmother had Alzheimer’s disease, but he wasn’t aware of the research on bilingualism and dementia until after he began learning to speak Mandarin, which he now does fluently.
“Honestly I can’t think of a more fun way of trying to postpone these things,” said McMunn. “Learn any language; it’s a fun thing to do and it allows you to communicate with new people. I look at it as very beneficial.”
Not The Day We Expected . . .
And once again, we have to laugh at God’s perfect timing.
I love Thursdays. Thursdays are the only day I have unscheduled. Once a month on a Thursday I have a meeting, but other than that, Thursdays are mine, and I luxuriate in them.
This morning I slept in an hour, then went leisurely through my Lectionary readings and scanned my e-mail. AdventureMan had other plans, but as we talked over our day, decided he wanted to come with me to the commissary. It’s fine with me. We have always had some of our best conversations in the car, and he doesn’t follow me around in the commissary asking questions like “do we really need this?” the kinds of questions that drive wives to homicidal thinking. There are some benches in the commissary, AdventureMan calls them the Old Farts benches, and he picks up his specialty bird seeds and supplies, then settles in to watch for me coming down the last lane.
Four minutes after we left the house, we got a call from our son, tied up on a case, that little Q broke his arm on the playground, could we go pick him up? We were only about five minutes from his school and were there in a flash. AdventureMan/BaBa rode in the ambulance while I drove over to our son’s home to care for the baby while Q’s Mom zipped to meet them at the hospital emergency room.
It took all day. Between the transporting and the paperwork and the x-rays and the setting of the bones (yep, two bones broken), by the time we all met up again, I no longer had any interest in hitting the commissary. I will try again tomorrow, God willing.
Meanwhile, we marvel at how wonderful it is to be here in Pensacola, to be on call for emergencies like this, and that we were just minutes from his school when our son’s call came. We love it that we can be useful in these emergencies, that we are here to help and that we can be helpful. Once again, we thank God for his perfect timing.
Meanwhile, Mom called and gave me no sympathy whatever. She laughed! “Remember your sister broke both her arms before she was six, and you both broke legs skiing!” she chortled. Ouch! I guess little boy Q comes from a family of risk-takers. His dad broke exactly the same arm in the same place jumping to grab on to a high bar once. His son said “I thought I could fly. . . but I can’t.” It’s in the genes. :-}
The Meat You Eat Can Make You Sick
A fascinating – if long – article on how our meat is farmed and the high cost of ‘cheap’ meat:
‘Healthy’ Cows, Sick Consumers: CDC Warns of a High Cost in Cheap Meat
by Bruce Watson Sep 25th 2013 6:00AM
On the surface, it’s hard to question the cost-effectiveness of factory-farmed meat. After all, the math is pretty simple: You start with inexpensive animals, raise them at relatively minimal cost, butcher them in the cheapest way possible, and sell them for low, low prices.
But the math gets a little more complicated when you look at the long-term health impact of all that cheap meat. Of course, there are the obvious things that everyone’s already worried about — issues like cholesterol and high blood pressure and gout and whatnot — but the biggest downside comes from something that you probably haven’t considered: antibiotic-resistant bacteria.
In a recent report, the Centers for Disease Control estimated that 2 million Americans are hit with antibiotic-resistant infections every year — and 23,000 people die from them.
Doctor Feelgood
So what causes all these outbreaks? In part, it’s our overreliance on antibiotics. Every time your doctor prescribes antibiotics to you, the bacteria in your body grow more able to tolerate them. Those antibiotic-resistant germs can then get passed on to other people, leading to the spread of harder-to-kill infections, which leads to more doctor visits, and so on, in a vicious cycle.
So, obviously, the first solution to our antibiotic-resistant bug problem is to stop overprescribing antibiotics. We should, many health experts argue, save the antibiotics for the times when we really need them.
This Little Piggie Had Penicillin …
But our overuse of erythromycin and amoxicillin is just a small part of the problem. Even if you never fill your antibiotic prescriptions — even if your doctor never writes them — chances are that you’re still consuming a huge amount of antibiotics in your food. More specifically, in your meat.
When factory farms look for ways to cut costs, space is one of the first things to go: Factory owners often crowd animals together in cramped pens. But when cows, pigs and chickens live in such cramped conditions, often with open wounds and amid ever-growing piles of feces, the barns become a breeding ground for bacterial infections. One way to cut back on this is to give the animals more space. Another way is to pump them full of antibiotics.
Not surprisingly, most factory farm operations go for the latter. In fact, the meat industry currently uses 80 percent of all antibiotics that are consumed in the US. All those drugs keep the animals relatively disease-free — and help keep meat cheap. But it’s not exactly an impressive price cut for the customer: According to one estimate, the use of antibiotics on farms saves the average meat-eating consumer $5 to $10 a year.
And those minor savings may come at a huge cost. Sloppy slaughtering methods often contaminate meat with antibiotic-resistant bacteria from the animals’ colons and stomachs. And, even if factory-farmed meat makes it to your grocery store without becoming contaminated, there are other ways animal waste enters the food cycle: Water and manure that are left over from factory animals often get used on crops, further spreading antibiotic-resistant bacteria.
So What Can You Do?
As I’ve pointed out in the past, there are a few ways to protect yourself. To begin with, you can ensure that your meat is cooked to an internal temperature of 160 degrees F — both at your home, and in any restaurants that you visit. Unfortunately, while this will kill any bacteria hiding inside your burger, it will also transform it into a well-done hockey puck.
Maybe you should just stick to the brisket.
You can also try looking for organic meat. While a little more expensive, it is produced without antibiotics, which lowers your chance of encountering antibiotic-resistant bacteria. For that matter, you may want to think about using organic vegetables — or, at least, carefully washing your fresh produce.
Another option is to get involved. Last week, I wrote about new USDA procedures would cut inspections on chicken and pork, and would allow Chinese poultry to be sold in American markets. Since these plans also reduce the number of USDA inspectors — among the few barriers between you and food poisoning — they could directly affect your health. If you get a chance, you may want to tell your congressman or senator that you’ve got some problems with this.
Given the huge lobbying efforts behind the USDA’s inspector cuts and opening the U.S. to Chinese chicken imports, chances are that both policy changes will happen. Even if they don’t, however, it never hurts to be safer with your food.
Bruce Watson is DailyFinance’s Savings Editor. You can reach him by e-mail at bruce.watson@teamaol.com, or follow him on Twitter at @bruce1971.
MRSA Link to Pigs
From Nature.com News:
People living near pig farms or agricultural fields fertilized with pig manure are more likely to become infected with methicillin-resistant Staphylococcus aureus (MRSA) bacteria, according to a paper published today in JAMA Internal Medicine1.
Previous research has found that livestock workers are at high risk of carrying MRSA, compared to the general population2. But it has been unclear whether the spreading of MRSA through livestock puts the public at risk of infection.
The study examined the incidence of infections in Pennsylvania, where manure from pig farms is often spread on crop fields to comply with state regulations for manure disposal. Researchers reviewed electronic health-care records from patients who sought care from the Pennsylvania-based Geisinger Health System (which helped to fund the study) in 2005–10.
The team analysed cases of two different types of MRSA — community-associated MRSA (CA-MRSA), which affected 1,539 patients, and health-care-associated MRSA (HA-MRSA), which affected 1,335 patients. (The two categories refer to where patients acquire the infection as well as the bacteria’s genetic lineages, but the distinction has grown fuzzier as more patients bring MRSA in and out of the hospital.)
Then the researchers examined whether infected people lived near pig farms or agricultural land where pig manure was spread. They found that people who had the highest exposure to manure — calculated on the basis of how close they lived to farms, how large the farms were and how much manure was used — were 38% more likely to get CA-MRSA and 30% more likely to get HA-MRSA.
The researchers also analysed 200 skin, blood, and sputum samples isolated from patients in the same health-care system in 2012. The MRSA strains found in those samples are commonly found in humans. Researchers did not find any evidence of bacteria belonging to clonal complex 398 (CC398), a MRSA strain classically associated with livestock and found in farms and farmworkers in many previous studies.
However, there is little information about which MRSA strains are most common on US farms, so the absence of CC398 is not a sign that MRSA is not being transmitted from livestock to humans. “We’ve done studies in Iowa, we haven’t always found CC398. That’s not too shocking,” says Tara Smith, a microbiologist at Kent State University in Ohio, who was not involved in the study.
Many researchers think that widespread use of antibiotics to encourage growth in farm animals fuels the proliferation of MRSA and other drug-resistant bacteria. The latest findings suggest that manure is helping antibiotic resistance to spread, says Joan Casey, an environmental-health scientist at the Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, and a co-author of the study.
“We’ve certainly described a connection we think is plausible,” she says. “We haven’t described every step in the path.”
“It’s a pretty interesting and provocative observation,” says Robert Daum, a paediatrician and the principal investigator of the MRSA Research Center at the University of Chicago in Illinois. He adds that he would like to see similar studies done in different geographic regions, and research to find out whether the MRSA strains carried in pig manure are the same as the MRSA strains found in nearby human infections.
Casey is at work on a follow-up genetics study to identify the most common MRSA strains in the region.
Nature doi:10.1038/nature.2013.13752
References
Casey, J. A., Curriero, F. C., Cosgrove S. E., Nachman, K. E. & Schwartz, B. S. JAMA Intern. Med. http://dx.doi.org/10.1001/jamainternmed/2013.10408 (2013).
Show context
Smith, T. C. et al. PLoS ONE 8, e63704 (2013).
One New MERS Death in Saudi Arabia; One in Qatar
New in from Reuters, via AOL news:
DUBAI, Sept 8 (Reuters) – The MERS coronavirus has killed two more people in the Gulf, one in Saudi Arabia where the strain emerged last year, and one in neighbouring Qatar, health authorities said.
The death of a 74-year-old man in the Medinah region of western Saudi Arabia was the 45th fatality in the kingdom from Middle East Respiratory Syndrome Coronavirus (MERS-CoV) which can cause coughing, fever and pneumonia.
The Saudi Health Ministry also said on Sunday that three women aged between 64 and 75 had contracted the disease.
A 29-year-old Qatari admitted to hospital on Aug. 17 has died, Qatar’s Supreme Council of Health said in a statement dated Sept. 6, adding that another citizen who had contracted the disease while abroad had recovered.
The World Health Organization said last month the number of confirmed infections worldwide in the past year was 102, of whom almost half had died.
In a study into what kind of animal “reservoir” may be fuelling the outbreak, scientists said this month they had found strong evidence it is widespread among dromedary camels in the Middle East.
The virus has been reported in people in Tunisia, France, Germany, Italy, and Britain. (Reporting by Sami Aboudi in Dubai and Amena Bakr in Qatar; Editing by Robin Pomeroy)
The SeaTac Food Court
“Terminal T? Is that new? I don’t remember arriving at Terminal T before!”
Not even two weeks have passed, and we are going through SeaTac again, this time en route to Alaska. As we enter “Terminal T” we discover terminal T is like saying “Shrimp scampi” you are saying the same thing. T is the Terminal, it used to be the only terminal. It’s what used to be the original airport before all the South Terminals and North Terminals and others I don’t even know. Oh yeh, A, B, and C.
But the Main Terminal is a delight. Seattle loves public art, as do I, and arriving in Seattle at the main terminal, you find schools of little brass fish swirling under your footsteps, if you think to look. These little touches delight me.
We are flying out of Seattle to Alaska, and Alaska Airlines flies out of terminals C or N, and as it turns out, our flight flies out of N, or the North Concourse. On our way there, we are wondering if we will find something healthy to pick up for our dinner, when we come to the Food Court.
We’ve eaten here before, breakfast. They have an Anthony’s-in-the-Airport, and my best friend recommended their breakfast egg dishes. I hate oatmeal, but discovered that the oatmeal at Anthony’s is delicious! It must not be good for me; how can oatmeal that is good for me taste so good?
And, as it turns out, Anthony’s has a take-out section! Woo Hooo!
Well, hmmmm, not quite. They don’t have the Ceasar Salad with a piece of grilled salmon or halibut on the top, but isn’t salmon and chips almost as healthy? Although in intend to wait to eat on the plane, the odor of delicious deep fried salmon calls to me, along with a cup of freshly brewed mocha, and I go ahead and eat my dinner in the Seattle airport.
I love it that there are so many options. Anthony’s has a great restaurant, right in the old main terminal, with floor to ceiling glass, it is a glorious situation. There are other eating establishments where you can order and then sit in the same area at tables and chairs – Ivars, some Mexican, some others which are good, it’s just I love the take out from Anthony’s. Normally airport food can be a total drag, unless you go through Memphis and have some BBQ – or Seattle. Seattle does airport food right.
God Laughs; Life’s Craziness
One of my favorite Psalms is Psalm 2, which advises us to humbly submit to the will of Almighty God or suffer the consequences of our own actions. I’ve heard God laughing all week, sometimes at me, sometimes with me.
Psalm 2
1 Why do the nations conspire,
and the peoples plot in vain?
2 The kings of the earth set themselves,
and the rulers take counsel together,
against the Lord and his anointed, saying,
3 ‘Let us burst their bonds asunder,
and cast their cords from us.’
4 He who sits in the heavens laughs;
the Lord has them in derision.
5 Then he will speak to them in his wrath,
and terrify them in his fury, saying,
6 ‘I have set my king on Zion, my holy hill.’
7 I will tell of the decree of the Lord:
He said to me, ‘You are my son;
today I have begotten you.
8 Ask of me, and I will make the nations your heritage,
and the ends of the earth your possession.
9 You shall break them with a rod of iron,
and dash them in pieces like a potter’s vessel.’
10 Now therefore, O kings, be wise;
be warned, O rulers of the earth.
11 Serve the Lord with fear,
with trembling 12kiss his feet,*
or he will be angry, and you will perish in the way;
for his wrath is quickly kindled.
Happy are all who take refuge in him.
I’m a planner. I figure out what I want, and then I figure out how to get it. When we decided we wanted to take a trip to Alaska, we booked – and paid – a year in advance to get the kind of room we wanted. We also planned to buy a new car, and started saving for that, being pay-cash kind of people.
Then, early in the year we discovered we were going to become grandparents to a granddaughter! She would arrive shortly after we get back from our Alaska trip.
This week, God laughed. The doctors told our son and his wife that she needed to go on bedrest, and that this baby will be coming early. All the grandparents have been helping with childcare through the summer, now we just ratcheted it up a notch.
Do you know why God gives children to YOUNG parents? LOL, a three year old has SO much energy! So much curiousity! We have such a good time with him and when at the end of the day, we return him to his parents – we need a nap!
We are also trying to pack and prepare for our trip, get the Qatari Cat prepared for the cat hotel, get the guest suite prepared for the people who will stay while we are gone, and oh yes, finish up the purchase of that new car.
I had thought the first week in August would be a snooze, isn’t it always? Those long, hot humid days hit Pensacola, often one of those violent and emotional thunderstorms that clears the air in the late afternoon, lazy day after lazy day, right?
Not this year. This year was fly to Seattle for my Mom’s 90th birthday celebration, fly back, take care of our grandson for a week, do whatever we can to help out our son and his wife while she is on bed rest, buy and sell two cars, do our normal volunteer work – oh, and we had scheduled two meetings at our house, so we had to be presentable, and have some delicious things available. I could hear God laughing.
In the midst of all this, we are healthy. We have a good roof over our heads. We have the means to get a new car and travel to Seattle for Mom’s birthday. We pre-paid much of the Alaska vacation. Our little grandson is happy, and strong, and articulate, and fun to be around. Our son and his wife are wonderful, loving parents, and hard workers, and are preparing for this sweet new arrival. God laughs, and we thank him for his abundant blessings, and his abundant patience with us thinking we have any control over the months that come. We pray for the safe and healthy arrival of this little granddaughter who may arrive while we are gone, for a safe delivery, and a speedy recovery for her mother, and for strength and courage for her father, our son, who is a valiant man. We welcome your prayers.
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