Tag Archives: medical science

Monday Musings: About That New Normal…

Don’t look now, but there is a new Omicron variant — the so-called “Stealth Omicron” — moving across Europe, and it is likely already here in the U.S. It is more contagious than the original Omicron, which is a little scary, given how transmissible the first iteration has proven.

The thing is, this is likely our future. One variant after another, each carrying its own unique attributes and, thus, dangers. As many have said already, Covid is not going away. Rather, it is likely to circulate through the population continually for years, even decades to come, ebbing and flowing much like influenza.

Which means we need to learn to live with it.

I am not, and have never been, a Covid denier. I am vaxxed and boosted, and when the next booster is available, I will get it. I have been diligent about masking, and continue to wear a mask when I shop or go into most public spaces. Put another way, from the beginning of this pandemic, I have followed the science. I’ll continue to do so. And I will continue to urge others (perhaps you, gentle reader) to get vaccinated. Vaccinations remain our single best hope in combatting the pandemic. Vaccines protect individuals and so they also protect communities. If you’re not yet vaccinated, please consider getting the shots.

But having said that, I also have to add this: I am weary of this pandemic, and I find those moments when I am able to take off a mask in public — when being served food or drink in a restaurant, for instance — incredibly liberating. I miss conventions and look forward to attending several this year, including DragonCon, which could be, I know, a super-spreader event waiting to happen. I would love to get to the point where I feel comfortable attending movies, concerts, and sporting events. I enjoy those things. I want them back in my life. I am tired of dealing with supply chain issues and higher prices, both of which are a direct consequence of this worldwide health crisis.

During our older daughter’s fight against cancer, she has at times been immunocompromised. I am deeply sensitive to the needs and fears of those who are at greater risk from the virus. I am also sensitive to the concerns of those who have suffered professionally and financially from the economic impacts of social distancing and shut-downs. Just as Covid itself has shown an uncanny and disturbing capacity for attacking organs and systems throughout the human body, so the pandemic has impacted nearly every aspect of our society and economy. It is, on all levels, pervasive and insidious.

And, once again, it’s not going away.

So how do we live with it, as a people, as a community, as a world? As I said, the best weapon we have is the vaccine. But we also need to recognize that some people simply will not give up on whatever notions or ideologies prevent them from getting vaccinated. There will always be a portion of the population that chooses vulnerability over protection, and that therefore facilitates the spread of future variants. The efficacy of masking is somewhat less clear than that of vaccination, and many vaccine skeptics are even more skeptical of wearing masks. Herd immunity will remain beyond our reach for the foreseeable future.

The same has been true of the flu for decades. And to be clear, I make the comparison reluctantly. Despite the claims of the uninformed, Covid is NOT just a glorified flu. It is NOT just an overhyped cold. Influenza kills between 12,000 and 52,000 Americans annually. The common cold kills far, far fewer. Covid, in its first two years, killed over 900,000 Americans. But flu shots work pretty well for those who get them. Covid vaccines, from what I understand, are actually more targeted and thus more successful.

Covid infection ratesAnd so those who trust the Covid science will remain safer than those who don’t. Those who keep up with vaccinations and boosters will get sick less often and less severely. They will die in far smaller numbers and spend far less time in the hospital. The numbers are dramatic and indisputable. Sadly, but predictably, living with Covid means accepting an ever widening gap in the rates of infection and in case outcomes between those who ignore the advice of medical professionals and those who follow it. It means accepting that some social and economic disruptions will be unavoidable. One-third of the people in this country are unwilling to protect themselves and their families. There are bound to be consequences for this.

In recent months, there have been more and more articles and reports about “compassion fatigue.” Medical professionals are having a harder time expressing sympathy for those unfortunate individuals among the unvaccinated who are getting severely ill. Many, like myself, who make the effort to follow the science, are losing patience with those who don’t. Because their choices are hurting the economy, delaying the return to “normal,” and putting all of us at risk. I suppose it’s fair to say that this post is a symptom of my own compassion fatigue. It’s not that I don’t care that the unvaccinated are getting sick, that so many are being hospitalized, that too many are dying. It’s not that I don’t recognize the tragedy. But I can’t help feeling the outcomes are self-imposed.

I know that’s harsh, but it’s how I feel. We are fighting to find our footing in a world forever changed by this pandemic, and every person who defies the realities presented to us by medical professionals makes this task just a bit harder. We, as a society and a nation, are ready to move on. We are eager to have our lives back. And we are denied the ability to do so by the decisions of a stubborn — and, I would add, misinformed — minority. It is one more growing chasm in a country already riven with such divisions. Sadly, though, that too is part of our new normal.

Wishing you a healthful week.

Monday Musings: What Memories of My Mom Have To Do With COVID

My mother’s birthday is this coming Friday, February 5. I’ve written about her before in this space. I’ve marked past birthdays with Facebook posts and the like. But somehow this year, with her birthday approaching, I find myself thinking of her even more than usual.

She would be turning 99 this year, but we lost her long ago — back in the mid-nineties, when my older daughter was just an infant, and my younger daughter was, to resort to cliché, not even a glimmer in our eyes. I won’t bore you with the sorts of general memories I’ve shared in the past — her love of travel and books, her slightly goofy sense of humor, and her passion for progressive causes and social justice.

My thoughts have gone in a somewhat different direction. I wonder what she would be thinking about the pandemic, and the state of our world. I know she would have been devastated by the earliest days of COVID, almost a year gone now, when her beloved New York City was virtually closed, its hospitals strained beyond capacity, its cultural treasures shuttered. I know she would have had nothing but contempt for those who refused to wear masks and failed to acknowledge the seriousness of the disease.

But I wonder what she would think now. The world is entering a new phase with the pandemic, and I’m not sure what to make of it myself. On the one hand, this is a time of tempered hope. The numbers are terrible, but not quite as bad as they were a few weeks ago. We have vaccines from several drug companies. The protocols vary, but the promise they offer — of limited but effective immunity — allows the optimists among us to envision a time when fear of COVID might fade a bit. Since the pandemic began, health officials have warned against comparing this strain of the Coronavirus to the flu. But if the vaccines work, if immunity can be introduced to broad swaths of the population, COVID might become something we can think as we do influenza: as an illness to be feared, but managed.

On the other hand, our hopes in this regard have to reckon with several troubling truths. First, COVID isn’t going anywhere. Regardless of where it came from, it will probably be around pretty much forever. And the comparison to the flu carries a darker implication. It will continue to mutate, just as the flu does. Already new strains have reached our shores from London, from Brazil, from South Africa. No doubt more are coming. Even now, these new mutations are exposing weaknesses and vulnerabilities in the vaccines. Just as flu shots are somewhat hit-or-miss in their effectiveness, future COVID immunizations are likely to be as well. And COVID is far deadlier than the flu; vaccination failures will have tragic consequences.

What does all of this have to do with my mother? A good question, one I’m still trying to wrap my head around.

Part of it might be this: She used to talk to me about the feared diseases of her childhood. As I say, she was born nearly a century ago, in 1922. When she was a child, penicillin didn’t exist. She was in her thirties, the mother of two small children, when the polio vaccine was developed. I remember once, when I was a kid, a friend of mine got Scarlet Fever, and Mom’s first reaction was to tell me how serious it could be. She almost had to remind herself that by then treatments had become fairly routine. I later learned that she had known children who died of it.

The truth was, my childhood, and that of my siblings, had been made far less perilous by the medical advances of the mid-Twentieth Century. Looking back, I believe that era will be looked upon as a historical aberration. Yes, medical advances continue. But we live in a world that is far more interconnected than it was in the 1960s, ‘70s, and ‘80s. The safety conferred by those advances must now race with accelerated exposures and mutations.

I don’t mean to make this a doom and gloom post. I do think that, by and large, the COVID vaccines will work. Our world will find its way, haltingly, to a new normal that returns to us some of the societal freedoms we’re all missing, while also remaining conscious of the novel threats we face. I’m sad to say that I believe my mother would be less optimistic. She would find all of this frightening, and I wouldn’t blame her. These are scary times. We are fortunate to now have in place an Administration that takes the danger seriously, that relies on science and health experts, and that has no political stake in denial.

That, though, only gets us so far. We need to remain vigilant. We need to watch out not only for ourselves, but also for one another. And that means masking, distancing, getting vaccinated when we are eligible.

Stay safe, friends. Take care of those you love. Take care of those you don’t even know. That’s how we overcome even the most pessimistic of scenarios.