Half the people I know are sniffling, hacking, sneezing; and the other half are getting over it. Is it colds? the flu? sinusitis? For the last two weeks, I’ve had something wicked that’s had unfortunate and not entirely related sequelae (I use that word, “sequelae” every chance I get), and when I told the nurse I thought it was flu, she said if it was, I’d be the first one in the state and since I’m not first in anything, bad or good, it must not have been the flu. No matter. I think I’m clawing my way back to normal. This first ran January 21, 2015.
Q: Oh, you’re a doctor! Oh good! I need a doctor. I had the flu shot but I’ve got the flu anyway. I feel like roadkill looks.
A: You do know, don’t you, that since this year’s flu shot is only 23% effective, you had an 89% chance of getting the flu.
Q: Is that math quite right? Never mind, regardless of math, I’ve definitely got the flu and I’d put my faith in the flu shot and I’ve been betrayed. So why, when I got the flu shot, did I still get the flu?
A: First you have to understand that flu counts as flu only if you show up at a doctor’s office, an emergency room, or a morgue. Otherwise, you’re on your own and who knows what you’ve got.
Q: I’ve got the flu. Would you please just answer my question. Why did I get the flu? Continue reading

This post originally appeared Dec. 17, 2017
This is a picture of a rift in our world. It was taken June 21 at Hawaii’s Kilauea volcano, in a rip called Fissure 8. What a remarkably utilitarian name for a tear in the planet.

It’s embarrassing enough that it took me 12 years to go to Channel Islands National Park, especially since I see the islands almost every day. Last month, I got on board the dive boat that would take us to the place they call the Galapagos of North America. At last! The captain said something about Dramamine, but I didn’t really pay attention.