rants

We can’t stay locked down forever…

Yesterday, I read an opinion piece on CNN by a man named Ed Adler. It was about COVID-19. Adler is over 60 years old, and he’s upset because people are speaking and writing of “culling” the weak and vulnerable and opening up the world for the good of everyone else. In his piece on CNN, Adler wrote:

…we will not be back to normal for a long, long time. Others will venture out. My son (26) and daughter (22) will surely risk the threat of infection and try to resume some normalcy. But for older folks and those with pre-existing conditions, our isolation must be ongoing. We will be the last to resume activity and continue our lives.

And while we wait, we can hear the echoes of those who care little about our vulnerability. One example: As the virus swept across the US, a city official in Antioch, California, said Covid-19 should be allowed to run its course, even if elderly and homeless people die. Ken Turnage, chairman of the city’s planning commission, posted on Facebook that the country needed to adopt a “Herd Mentality” that “allows the sick, the old, the injured to meet its natural course in nature.”

Mr. Adler writes that Turnage later deleted the Facebook post, but refused to resign or retract his comments. He was later removed from his role as chairman of Antioch’s city planning commission when city council members voted unanimously to strip him of his “powers”.

Adler points out that not everyone expresses themselves in the way Turnage did, but many people still have the attitude that elderly and immunocompromised people are expendable and should sacrifice themselves for the sake of others during this pandemic. As one of those who is at a higher risk of dying from a COVID-19 infection, Adler appeals to people to be considerate toward folks like him. He laments that the world is permanently changed and he will never again be able to enjoy the New York City that he loves. He adds:

In a society that has always honored and been oddly enamored of youth and the young, it is not surprising that older folks are deemed disposable by some. But I’m in my 60s and I’m still vibrant. I enjoy working with clients to help them achieve their goals. I’d like to be around to see my kids’ marriages and continue to help mentor their careers. I want to hold grandchildren and play with Walter, my grand-dog.

As I read Mr. Adler’s piece, I felt pangs of sympathy for him. But then I noticed this, posted near his byline:

Editor’s Note: Ed Adler is a partner in a global strategic communications firm. He spent 36 years at Time Warner, many of them as head of the company’s corporate communications. The opinions expressed here are his own.

So Mr. Adler has had a long, productive career at Time Warner, and I’m assuming, has enjoyed a mostly “normal” pre-pandemic life. He’s had children, and given that he wishes to help mentor them in their careers, they are still on good terms with him. He’s not ready to die. He wants to hold his future grandchildren and play with his “grand-dog”. That’s all totally understandable. But what about the young people of today who haven’t had the chance to do any of the things that Mr. Adler has done? What about the new high school graduates who are wondering if they’ll ever be able to find work or attend college in the fall? What about the new college graduates who are struggling with unprecedented unemployment rates? What about their lives?

This sketch from The Oatmeal recently came up in my Facebook memories. I had to laugh, since even though 2016 seemed like a shitty year, 2020 is proving to be much shittier for a lot of people…

How about the children who are halfway through their school years and are now scared to go outside because of what they’ve heard about COVID-19? Young people growing up right now have been robbed of some very significant milestones that Mr. Adler probably got to enjoy when he was their ages. They aren’t the first youngsters who have missed out on prom or traditional graduation ceremonies. Certainly older generations have struggled with finding employment fresh out of high school or college, too. But those situations are usually caused by something like a recession or going to war. They aren’t typically caused by a global pandemic from which there is no practical escape.

How about the people who are forced to shelter at home with partners who abuse them? Should those people stay locked down so that people over 60 can live longer? What about the people who struggle with depression and anxiety and can’t get the help they need due to being asked to stay home? How about the people who will get sick and die of something other than COVID-19 because they don’t want to risk going to the hospital? What about the young families struggling to support themselves, or people on the verge of adulthood waiting for their independent lives to begin?

I truly empathize with Mr. Adler’s concerns. I think it’s awful to hear people speak of “culling” the weak. It’s a very cruel and selfish viewpoint, and it doesn’t help when the idea of pushing herd immunity and “culling the weak” is conveyed in the callous way Ken Turnage expressed it. But we can’t stay locked down forever. Life has to go on at some point. The last three months have been devastating on many levels to a lot of people. Moreover, everyone does have to die. That’s a simple part of living that we must all face. We all hope our deaths will be as “pleasant” as possible, but many people end up suffering before they die. There will no doubt be deaths caused by COVID-19 that weren’t caused by the illness, but because of other issues exacerbated by the virus and the way it’s affected living. I think consideration is a two way street.

Personally, I haven’t had any trouble isolating from people. I don’t mind staying home. Bill and I get along great, and he makes enough money to support us comfortably. But I realize that we’re extraordinarily lucky. There were times earlier in our lives that this pandemic would have destroyed us, not because of illness, but because of everything else caused by the lockdown. I remember being young and trying to launch my life. It was very hard for me then, and I didn’t have to worry about simply going outside without a mask. In those days, I made my living dealing with the public. How would I have managed with my very modest income suddenly cut off due to a pandemic?

For about 25 years, my parents ran their own business out of our home. My mom taught knitting, needlepoint, and cross stitch, and sold the supplies. She also played the organ at different churches. My dad sold art and framed pictures, but also collected retirement pay from his years as an Air Force officer. I can’t even imagine what they would have done had the pandemic struck when they were making their living as small businesspeople. As it stands now, my mom collects monthly payments for our former home from Deborah, the woman who took over the business. She worked for my dad for years. When it came time for my parents to move into an assisted living complex, my mom worked out a way for Deborah to buy the business and the house. I have no idea if the business will survive… or how it will survive. I’m just glad it’s not my problem. My mom worries, too. In fact, she even loaned Deborah her $1200 stimulus payment and told her to pay it back whenever she could. She wants Deborah’s business to survive, because she doesn’t want to repossess the house, and neither do my sisters and I.

I think about the people who depended on us paying them, too. As a teenager, I used to have a horse, and we boarded him at the barn where I took riding lessons. What would have happened to him if my parents couldn’t pay for his board? What about all of the other kids taking lessons? Horses are expensive, so if they can be employed with riding lessons, it’s a good way to keep them in good homes. What about “mom and pop” landlords who have to keep paying mortgage, but aren’t collecting rent because no one is working? How about people who cut hair for a living and now can’t make any money? And what of all the people who make their money in the travel industry? I could probably sit here for hours thinking of ways people’s lives could be ruined if society doesn’t reopen soon.

So… while I don’t agree with people talking about “culling the weak” and I can empathize with Mr. Adler’s concerns about the elderly facing the world again due to COVID-19, I also think that it’s not feasible to keep everything locked down for months on end. Besides being disastrous to the economy, it’s simply not a healthy way to live. COVID-19 is a horrible illness for those who get severe infections, but it’s not the only way to die. People can die because they’ve given up on living. Hopes and dreams can die, crushing spirits. I worry about people getting sick from a virus, but I also worry about those who will drink themselves to death, overdose on drugs, lose hope and kill themselves, or get beaten to death by an abusive partner or parent. I worry about those who will lose their homes and businesses and plunge into despair. I worry about people who will decide it’s not worthwhile to live in lockdown.

Dolly Parton offers lyrics of kindness and hope.

I’ll be honest. I’ve noticed some scary things about myself lately. I’ve pretty much lost the desire to go out. I used to love traveling. I miss it somewhat now. Life has been pretty boring. But I don’t feel like going out, now. I don’t want to deal with the hassle. I’m probably not the only one. That’s not healthy, either. There has to be more to life than just breathing. There has to be some level of acceptable risk. Three months is a long time for most people to give up “normal”. As much as I cringe when I hear about someone suggesting “culling the weak”, I also think that Mr. Adler might want to consider what younger people are missing out on… experiences that he was lucky enough to have and enjoy because he didn’t come of age in a pandemic. A lot of people may never get to enjoy working many years for one employer. Some people won’t ever get to have children or grandchildren. And some people will die, not of COVID-19, but of something related to this altered existence we have from living with the virus. They deserve some consideration and empathy, too.

Incidentally, Europe is pretty much opening up today… just in time for this weekend, which is when I will celebrate my 48th birthday. Bill says he’s planning to take me somewhere. Maybe it will rekindle my love for life outside of the house. Or maybe I’ll get sick and die. But sitting here in the house for months on end is not a good way to live. It’s time to take a chance. Besides, I have a feeling that if I don’t, Bill will eventually drag me out by the hair. He’s ready to get back to living life.

Standard
healthcare

The flu is not just a more severe cold…

Picture it. Christmas day 2013. I lived near San Antonio, Texas with Bill, Zane, and Arran. Bill’s mom, who also lived near San Antonio, came to our house to help us celebrate the holiday, then went to Houston visit her sister and brother-in-law.

That year, people living in Texas were being assaulted by the H1N1 virus, popularly known as “swine flu”. Several people in Texas, including at least one teenager, died that year of the flu. Bill still had about six months on active duty, so he got a flu shot. I did not get one, because I live like a recluse. We went out to lunch on the Riverwalk with Bill’s high school friend, his wife, and a few other people, one of whom was visibly sick. By that evening, I was sick, too. I don’t know if I had swine flu or some other strain, but given that over 90% of the flu cases in Texas that year were, in fact, caused by H1N1, I am assuming that’s what I had. It was HELL.

The flu is not an illness I get very often, because I seem to have been blessed with a pretty strong immune system and I really don’t spend a lot of time in close contact with other people. But I do remember very vividly how being sick with the flu felt in 2013. First, I suddenly felt like I had been hit by a truck. My muscles ached. My bones creaked. I was exhausted. Then, I developed a hacking cough and a high fever. Next came the vomiting and diarrhea. I spent a solid week in bed, shivering under the covers; the worst day was midway through, when every single swine flu symptom seemed to strike at once. It took me a few weeks to completely get over the flu, which caused persistent fatigue and a lingering hacking cough so severe that I would regularly vomit.

I was blogging in 2013. I see from posts on my original blog, Bill got sick first. He was only sick for a couple of days and was basically functional. I, on the other laid, was laid out for at least a week. By that, I mean I couldn’t stand to be out of bed for longer than a few minutes at a time. It was most definitely NOT a cold. I have had a lot of colds, but none made me as sick as that flu did. Fortunately, all it did was make me miserable for a few weeks. I did not get so seriously ill that I needed to be in the hospital or developed a complication like pneumonia. Some people are not that lucky.

This was actually a doctored version of the meme that’s been going around… This particular version had the punchline that the lesson is not to hang around with your grandparents.

Recently, there’s been a meme that has been floating around Facebook depicting a young, healthy man who skipped the flu shot. He got sick and survived, but his grandmother did not. The meme’s point is that when you get a flu shot, it’s not just for you. Your body fights a dead or inactive version of the virus, which raises your body’s defenses so if an active virus invades your body, it will be ready to fight it off. Then you help develop herd immunity, which makes spreading diseases to immuno-compromised people less likely. Herd immunity is a real thing. It’s very important, since not everyone can get vaccines. Vaccinations are best given to healthy people who have fully functioning immune systems. Very young babies, people with certain health conditions, people who are allergic to components of the vaccines, and some elderly people cannot be safely vaccinated. So healthy people who are vaccinated help protect those vulnerable people from getting seriously ill.

Last night, I ran across a follow up status update about why flu shots are important. The person who wrote the update is a nurse. She’s seen her share of people who have died from the flu and its complications. She explains why, when you get vaccinated against the flu, you’re actually showing concern and compassion for your fellow man. Naturally, I could not resist reading the comments, some of which were shockingly ignorant and snarky. One person wrote this:

I am 100% pro-vaccine. Myself, my husband and our son is 100% up-to-date on every shot that’s available. However. I do not agree with the fear tactic used to convince people to get the flu shot. The flu is just a harsh version of the common cold. Both viruses change constantly. Too consistently for me to trust the vaccine they just made brand new that year. Just because it’s “improved” doesn’t mean the virus won’t change its chemical composition in a few weeks and that vaccine you just took is no longer helpful to you. I’m not gambling on my 5 year old getting stabbed every single year with a vaccine that isn’t highly proven to work. There’s about a 50/50 chance of you still getting the flu after you’ve received the vaccine for it. I might be more willing to go get it if there was evident PROOF of it actually working, just like all other vaccines. But until then, it’s a hard no in this household.

The person who wrote this shares a Facebook account with her husband. Her profile shows that she’s studied to be a licensed practical nurse, although I have not seen evidence that she has finished her studies. She has also worked at McDonald’s, in nursing homes, and at a livestock yard. When people took her to task about her comments regarding the flu, she repeatedly came back to argue, even accusing some commenters of being “mad” that she has the “right” information that she claims she got from physicians. She followed up with a couple of laughing emojis and posted this:

…y’all are really mad because I simply stated that the “vaccine” they provide every year isn’t a guarantee against the flu because it changes as quickly as the common cold and that’s why there’s no vaccination for it. The flu shot is literally a scientific guess as to which the flu virus is that year which is why it isn’t effective half the time. Mad because I used science instead of the fear tactic y’all try to push. Lol

And this:

Obviously you guys only read the part where I said “it’s a harsh version” and the whole 10 of you got your panties in a bunch over it. Good gravyyyy. Lol go get the shot if you think it actually works, but I’m not going to give in the fear tactic of the rare cases of it being deadly. Over 3 million people get the flu every single year, if getting the flu shot actually did anything then the 6 licensed doctors I have spoken too would have said it works not that “it could help prevent you from getting sick”. Vitamins also help prevent you from getting sick. If it was a true vaccine, we would have eradicated it already. But it’s not, because just like the common cold, it mutates too quickly for us to be able to stop it.

And this:

I’ve already had the flu then my antibodies are just as prepared to fight off the mutated version of the flu as you guys are that rush to go get the “new and improved” version every year. It’s pointless to go get the shot when it doesn’t do diddly squat after a few months. Yeah patients of heart disease are also less likely to have a heart attack/stroke if they exercise regularly and eat proper, quit smoking etc etc. I’ve read more articles about severe side effects from the shot than the pros of it. I was also considered “high risk” for pneumonia after I had my c-section for my son. You can catch pneumonia without having the flu. Those two are grouped together on the top 10 list providing no facts/ science to back up the statement that the pneumonia people have died from is directly in correlation to them having the flu. If getting the flu shot actually made any bit of a difference, shouldn’t the licenses doctors I speak to have said something when I asked “how important is it”? I did my research on my own and still went to numerous doctors asking why and if I NEED to get it. Nobody ever gave me actual statistics to back up the claims that you guys are spouting about. The only thing they have ever said is “it can help prevent getting the flu” Mmmmmmm now correct me if I’m wrong- buuuuut licensed doctors tell you which vaccines are adamant that you get and which ones aren’t. Example- flu shot, chicken pox aren’t adamant because it’s not a big deal. Polio, measles, mumps very adamant about getting because they are a big deal. Go ahead and try to correct 6+ licensed doctors with your MayoClinic degree

Chicken pox is not a big deal? Tell that to anyone who has had a really bad case of shingles. I had a mild case of shingles in 1999, when I was 26 years old. It was miserable, and I didn’t even come close to the nerve pain some people get. I was also fortunate enough to make a complete recovery. Not everyone is that lucky. You get shingles (herpes zoster) after having had the chicken pox. The varicella virus lies dormant in your nerves, waiting for your immune system to be compromised. I got shingles after having had facial cellulitis. Believe me, the cellulitis was enough without the “bonus” of shingles, too. I would have LOVED to have been vaccinated against the chicken pox and spared that experience.

I know the flu vaccine is controversial. To be honest, I have never had one myself. It’s not necessarily because I’m unwilling. I live like a hermit and am rarely around other people except Bill, who does get flu shots. But if I were regularly around more people, I would willingly get a flu shot. I am a believer in the science behind flu vaccines, even though I know that they only protect against certain strains of the virus, which are constantly evolving. I do understand the arguments against getting flu shots, and this post is not me trying to tell anyone to get one. I don’t get them myself, and I don’t like hypocrisy. So get one, or don’t; it should be entirely up to you. What I want to address is the idea that influenza is basically like a more severe cold. It’s not. They are different illnesses, and it’s a fact– flu can and does kill people!

Before I became a bored, overeducated housewife, I studied public health, and had a job as a technical writer for the Bureau of Epidemiology at South Carolina’s Department of Health and Environmental Control. Prior to that job, I worked in Maternal and Child Health, as well as healthcare policy at the same agency. I earned a master’s degree in public health, which is not the same as a medical or nursing degree, but it does expose one to real information about public health issues. The flu is most definitely a public health issue (and on a related note, I really miss working in public health). It was my job to research and write about public health issues and translate data into information accessible to laypeople. So… while it’s been awhile since I was last in the field, I’m not ignorant about the importance of vaccines. The science behind vaccines has been around for hundreds of years and immunizations have saved countless lives.

My first public health boss lost a set of grandparents to influenza. They both got “Spanish flu”, which was a deadly pandemic caused by the H1N1 virus. The Spanish flu struck in 1918 and the epidemic continued until 1920. It infected roughly 500 million people in countries around the globe; between 50 million and 100 million of those who got the virus died. “Spanish flu” was named such because due to World War I, neutral Spain was one of the few countries where reporters were free to report on the spread of the disease, thus giving people the false idea that Spain was especially hard hit by the flu virus. Reporters in other countries were not allowed to report on the spread of the disease because the powers that be were concerned about keeping up morale among soldiers. Consequently, people didn’t realize how dangerous the flu was worldwide– not just in Spain. It spread like wildfire, and sickened and killed a whole lot of people. So much for the evil media, huh?

While most flu usually kills the very young, the very old, or the already very sick, the Spanish flu of the World War I era also killed young, healthy people, making it seem like an especially vicious virus. Years later, researchers determined that the Spanish flu was actually no worse than most other influenza strains. More people died because of the wartime conditions of the day. People were crowded in medical camps, suffering from malnutrition, enduring wartime stresses, and practicing poor hygiene.

Even today, the flu can kill. I remember in 2013, there was news about young people getting the flu and dying of complications from it. Last year, about 80,000 people died of influenza. While statistically speaking, that may not seem like a lot of people when you consider how many people got sick, that’s probably little consolation to those who have lost a loved one to the disease. And even if you don’t die from the flu, it WILL make you miserable for at least a week. There is a difference between the flu and a cold. They have different symptoms. If you feel sick and don’t know what you have, I recommend checking out a reputable public health Web site that will give you a clue as to what impending flu feels like and what is more likely just a cold. Barring that, you could also visit your doctor, although if you don’t actually have the flu, you could be risking exposing yourself by hanging around people who do have it. Remember– medical settings are full of sick people and cold and flu viruses are super easy to share.

This screenshot is from the Centers for Disease Control, which is considered a reputable Web site among most public health agencies. You can find a similar chart on other, reputable Web sites.

It is true that you can get a flu shot and still get sick from influenza. And it is true that you are more likely to die in a car crash than the flu. However, not everyone has the same risks when it comes to getting sick with the flu. If you are around people who are very young, very old, or have compromised immune systems, getting a flu shot is a very kind and considerate thing to do. It helps protect them from getting sick and dying from an illness that most healthy people can fight off more easily. At the very least, please wash your hands frequently and try to stay home if you’re sick. That’s one of the very best ways to protect yourself and others from the spread of communicable diseases. And please, for the love of God, don’t take healthcare advice from a former McDonald’s worker who hasn’t yet finished her LPN degree. Listen to people who know the difference between the flu and the common cold. As for the McDonald’s/livestock yard/nursing home worker, I’m thinking Darwinism might work its magic on her.

So ends todays public service announcement.

Standard