A rural Iowa doctor's ongoing pandemic experience

Dr. Greg Cohen: “I still see patients who trust me with their diabetes, blood pressure, heart disease, and lives, but believe I am lying to them about COVID.”

I am sad. I am frustrated. I am frustrated. I am hopeful. I am resolute, and I am just so tired.

I have written previously about my feelings and experiences as a rural Iowa family physician during the COVID-19 pandemic.

So where are we now? I still go to work every day and see whoever needs to be seen—sick or otherwise—with whatever PPE is available (that has gotten better).

Earlier this summer we were seeing one or two COVID patients every one or two weeks. Now we see multiple cases every day. We have coronavirus patients continuously in the hospital again.

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The "miracle on the Mississippi": Keokuk and Midwest Academy

Ray Herr reflects on how key players in Keokuk welcomed the Midwest Academy and didn’t spot red flags pointing to likely abuse of troubled teens.

When I was about to enter my senior year of high school, the community was abuzz about a new school opening on the edge of town. Keokuk had suffered a series of economic setbacks throughout the late 1990s that continued into the 2000s and up to the present day.

The town had been hemorrhaging jobs for much of my childhood. Stone Container, originally founded as the Hoerner-Waldorf Box company in 1920, closed its doors in 2000. Metso Minerals soon followed. Smaller stores like Osco Drug and Henke Hardware also closed around this time. Keokuk, which had been a shining example of the opportunity one could find in the industrial heartland of America at the turn of the last century, was in danger of falling into disrepair by the turn of the next century.

I remember the anxiety in the community about job losses. My parents and their friends were all very concerned. So when Ben Trane and Brian Vaifanua facilitated the purchase of the Charleston Place Home, which had formerly served as a senior living facility on the edge of town, the news was widely seen as a sign Keokuk might yet endure.

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Governor, ER doctor on how COVID-19's affecting Iowa hospitals

Some 524 Iowans were hospitalized with COVID-19 as of September 1, according to the latest available figures on Iowa’s official coronavirus website. The first time pandemic hospitalizations reached that level here was in late October 2020. Before this week, the last time Iowa marked seven straight days with more than 500 people being treated for coronavirus in the hospital was in early January.

Governor Kim Reynolds put a positive spin on recent trends during a news conference on September 2. The same morning, Dr. Lance VanGundy, an emergency room physician at UnityPoint’s Marshalltown hospital, posted a weary assessment of the current situation on his Facebook feed.

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A story of hope and the Leopold Center's first leader


Paul W. Johnson passed away in February 2021. His family and Dennis Keeney gave permission to share the text of the forward he wrote for Keeney’s 2015 book The Keeney Place: Life in the Heartland.

In 1862 President Abraham Lincoln signed into law the Morrill Act. It offered states 30,000 acres of land for each of their Senators and Representatives. The land was to be sold and its proceeds used to establish colleges in each state to provide higher education for the “industrial classes.” These institutions became known as “land-grant colleges,” and today every state in the Union has at least one land-grant university. In 1887 the Hatch Act added research, and in 1914 the Smith-Lever Act added an extension component. Today, land-grant universities, with their education, extension, and research components can be credited with one of the most revolutionary changes in the status of humanity that our world has ever witnessed.

What does this have to do with The Keeney Place: A Life in the Heartland? Everything.

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Iowa wildflower Wednesday: Starry campion

I usually visit Mike Delaney’s Dallas County property to check out what’s growing on the prairie he’s been restoring for more than 25 years. But on my last visit, Mike pointed me toward an area in the woods where I could find some lovely wildflowers. I believe this was my first encounter with starry campion (Silene stellata) in bloom.

These distinctive plants thrive in “light shade or partial sun, mesic to dry conditions, and soil containing loam, clay-loam, or a little rocky material,” according to the Illinois Wildflowers website. Favored habitats include “rocky woodlands, wooded slopes, savannas, shaded banks of rivers, meadows near wooded areas, and cemetery prairies.”

I took most of the pictures enclosed below on the wooded slope near Mike’s prairie in late July.

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Four thoughts about Iowa House district 37 early vote totals

Two weeks before voters will elect a new state legislator to represent parts of Ankeny and northern Polk County, Democrats living in Iowa House district 37 had requested more than five times as many absentee ballots as Republicans.

Polk County Elections Office staff told Bleeding Heartland that 2,818 residents of House district 37 had requested an early ballot by 4:00 pm on August 31. Of those, 2,261 were Democrats, 398 were Republicans, and 159 were affiliated with neither party.

The vast majority of absentee ballots sent to voters have not yet been returned. As of August 31, the Polk County auditor’s office had received 375 completed ballots from registered Democrats and 36 from Republicans.

Four caveats:

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Governor, Ankeny mom worked to undermine COVID-19 safety in schools

“I believe that parental control is local control,” Governor Kim Reynolds told WHO-TV’s Dave Price earlier this month. “I think you’re going to see some interesting school board races this year also,” she added with a smirk.

This past weekend, Reynolds recounted how she “strategized” with Ankeny parent Sarah Barthole last year to force Iowa schools to abandon hybrid models, which allowed for social distancing in classrooms.

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Sophomore smugness a real political problem

Bruce Lear discusses some questionable state and local decisions on how to use federal COVID-19 relief dollars. -promoted by Laura Belin

When I was in college, I came down with a bad case of sophomore smugness. In the middle of what I thought was a brilliant rant, my dad reminded me, “There is a reason you have two ears and only one mouth. Consider using them in proportion.” He was right.

As federal COVID-19 relief funds flow to local and state governments, there has been little listening and a whole lot of group-think and group-speak. After all, the only thing harder than cutting a budget for politicians is deciding how to spend one-time, unexpected money poured into their coffers. 

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COVID-19 as backdrop for Iowa House special election tv ads

Early voting has begun in Iowa House district 37, where voters in parts of Ankeny and northern Polk County will choose a new state representative on September 14. Bleeding Heartland previously covered the recent voting history of this suburban area, as well as background on Democrat Andrea Phillips and Republican Mike Bousselot.

Both candidates and many of their supporters (including other Iowa House Democrats and U.S. Senate candidate Abby Finkenauer) have been knocking doors in the district. Direct personal contact has long been considered one of the most effective ways to drive turnout in a state legislative race.

Phillips and Bousselot are also advertising in the Des Moines market on broadcast and cable television. Both introductory ads tap into voters’ feelings about the COVID-19 pandemic and mitigation policies.

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One Iowa government branch follows science on COVID-19

Republican leaders in the Iowa House and Senate declined this year to require face coverings, social distancing, or other COVID-19 mitigation practices in the state capitol. Governor Kim Reynolds and her staff have been spreading misinformation and casting doubt about whether masks reduce coronavirus transmission in schools.

But one branch of state government is following the recommendations of top scientists at the U.S. Centers for Disease Control.

Iowa Supreme Court Chief Justice Susan Christensen signed an order on August 27 stating that “All people entering court-controlled areas must wear a face covering,” even if they have been fully vaccinated for COVID-19.

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Quick hits on issues of the day

Herb Strentz on Afghanistan, what it means to be free, and a counter-intuitive place to look for hope and optimism.

One way to cope with overwhelming issues and events of the day is to hide someplace, until the storms blow over.

But of course, they won’t blow over. And even if we think they will, it’s better to try to understand what is happening and what we might do about it.

To that end, here is some brief food for thought on issues of the day.

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The story of the Safe at School Sit-In

Julie Russell-Steuart is a printmaker and activist who chairs the Iowa Democratic Party’s Disability Caucus. -promoted by Laura Belin

The Urgency

On August 11, a Wednesday morning, four moms of school-aged kids arrived at the Iowa State Capitol to put on an event called the Safe at School Sit-In. Two of them had met the previous day, but this was the first time everyone had met each other in person. The fifth member was anxiously keeping an eye on her Facebook Messenger and waiting for the live feed from the Iowans for Public Education Facebook page.

Twelve days earlier, Erin Dahl and Julie Russell-Steuart, both disability advocates, had discussed wanting to do something about the failure of virtually every state institution to protect vulnerable kids and Iowans in general from COVID-19. The next day, Erin saw a post by Brook Easton on Educators for a Safe Return to School Facebook group, saying how it was incredible no one had organized a protest yet, and tagged Julie.

The post turned up more moms wanting to take action. A group was quickly formed and the first of many Zoom meetings and probably hundreds of Facebook Messages started.

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Our Revolution Iowa endorses Indira Sheumaker for Des Moines City Council

Editor’s note: Ward 1 covers much of the north and west sides of Des Moines. Bleeding Heartland welcomes guest posts endorsing Democratic or progressive candidates for local offices.

With the following official statement, Our Revolution Iowa has endorsed Indira Sheumaker for Des Moines City Council Ward 1, in the November 2 election:

“Indira Sheumaker actively displays the best in community organizing in her commitment to have the Des Moines City Council enact progressive policies put forth by Des Moines groups she has helped lead over the past year,” said Pete D’Alessandro, Organizing Committee Member of OR Iowa.

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Tiara Mays for Johnston school board

Editor’s note: Iowa school board elections are happening on Tuesday, November 2. Bleeding Heartland welcomes guest commentaries advocating for Democratic or progressive candidates running for these nonpartisan offices. Please contact Laura Belin if you are interested in writing.

Tiara L. Mays is running for an at-large seat on the Johnston Community School District Board of Education.

Tiara has lived in the Johnston community for more than six years and is a parent of a student within the district. She is a dedicated central Des Moines area community leader and volunteer who works with youth and collegiate undergraduates both locally and statewide.

Tiara’s key priorities include:

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Iowa's COVID-19 hospitalizations reach October 2020 levels

COVID-19 case counts and hospitalizations continue to accelerate in Iowa, reaching levels not seen for many months. Data published on the state’s official website on August 25 show Iowa reported 7,112 new coronavirus cases over the previous week. The last time the state averaged 1,000 new cases a day was in late January.

Statewide, 498 Iowans are now hospitalized with COVID-19, an increase of 25 percent from the 396 reported on August 18. The last time this many Iowans were hospitalized with coronavirus was in mid-January. The number of patients being treated for the virus in intensive care units (133) is at its highest level since late December 2020. Iowa also reported 89 new daily admissions for COVID-19 on August 25, the highest level since mid-January.

Hospitalizations have risen sharply this summer, quadrupling in the last month alone. Current numbers are ten times higher than the low point for Iowa’s COVID-19 hospitalizations in late June.

The slope of this past month’s increases resembles what happened in Iowa last October, as you can see from graphs published on the RMCC Data page of the state’s website. Total hospitalizations and new daily admissions are now approximately where they were on October 20, 2020.

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More secrecy unwise in universities’ hiring decisions

Randy Evans is executive director of the Iowa Freedom of Information Council. He can be reached at IowaFOICouncil@gmail.com.

Iowa’s three state universities made a U-turn this summer, and they now are headed down the road toward secrecy with some hiring decisions.

The about-face should trouble taxpayers of this state. It also should bother state lawmakers, who have expressed concern in recent years that the universities are out of touch with the people of Iowa.

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Iowa wildflower Wednesday: Horse nettle (Carolina horsenettle)

Today’s featured plant is native to North America and has become widespread in Iowa, but is also on our state’s primary noxious weed list. By some accounts, horse nettle (Solanum carolinense) originated in the southeast U.S. and is “adventive” in much of the Midwest. Others say the plant (sometimes called Carolina horsenettle, bull nettle, or devil’s tomato) is native to the prairie that once covered most of Iowa.

Either way, you wouldn’t want to grow horse nettle deliberately. It can be aggressive, especially “in disturbed sites around developed areas,” according to Illinois Wildflowers. It’s also toxic to most mammals, including humans. So if these plants appear on your property, you may want to dig them up to avoid spread.

I took the pictures enclosed below near woodland edges in Windsor Heights, Clive, and Urbandale between late June and late August.

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Interview: Christina Bohannan on running for Congress in IA-02

State Representative Christina Bohannan confirmed on August 24 that she’s running for Congress in Iowa’s second district. She’s the first declared Democratic candidate for the seat, where Republican U.S. Representative Miller-Meeks was certified the winner in 2020 by six votes out of nearly 400,000 cast.

Last year’s campaign in IA-02 was Iowa’s most expensive U.S. House race, with the candidates spending nearly $6 million and outside groups putting in more than $15.5 million over the cycle. Both parties are expected to target the district next year, and Miller-Meeks’ campaign had more than $1.1 million cash on hand as of June 30.

Speaking by phone a few hours after her campaign became official, Bohannan told Bleeding Heartland, “I’m having way more fun than I think you’re supposed to when you’re running for Congress.” She said she’s enjoyed the conversations she’s had today and is feeling “really good” about her early fundraising.

I had more questions for the new candidate.

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Iowa Veterans Home facing yet another COVID-19 outbreak (updated)

The state-run Iowa Veterans Home in Marshalltown is back on COVID-19 outbreak status after four residents tested positive in recent days.

Clinical Support Director Kimberly Bratland informed relatives and guardians of residents via email on August 20 that a resident with symptoms tested positive and was transferred to a hospital. Subsequent emails reported two residents testing positive on August 22 and one on August 23; their symptoms were mild and they were moved to the home’s COVID unit. All of the affected residents live in the Malloy 2 unit of the facility, which is Iowa’s largest nursing home.

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