first Pfizer vaccine dose!

Yesterday, I officially shed my membership in the placebo group of the Pfizer/BioNTech coronavirus vaccine Phase III trial and became part of the vaccine group.

Yay!

There was a blood draw first, so they can check to see if I already have antibodies, which is unlikely given my personal history, and can compare it to my bloodwork from earlier in the trial after my placebo shots. There was also a COVID test to see if I have an active infection, which is also unlikely because I have no symptoms and community spread is quite low in our area at the moment.

While I was waiting for thirty minutes for the vaccine to come up to room temperature and for thirty minutes after injection to make sure I didn’t have an adverse reaction, I was able to get some family business done. With spouse B and daughter T’s consent, I was able to pick up their vaccine cards, showing the dates back in August when they received their immunizations. Although we had long suspected that they had received the vaccine and I had received the placebo, we are happy to have the confirmation – and the documentation to prove it. As a higher proportion of the population gets vaccinated, we may need to be able to prove our vaccination status for accessing public transportation, employment, visiting privileges with Paco in his senior community, etc.

The Biden administration is working to get more Pfizer and Moderna vaccine doses out to the states for distribution and the United States may soon have a third vaccine receive emergency use authorization. If approved, the Johnson & Johnson vaccine would be a big help in getting more people vaccinated in more locations around the world more quickly. It is administered as a single dose and can be stored at regular refrigerator temperatures, making it much easier to distribute than the current mRNA vaccines which need very cold storage and two doses. The J&J vaccine will be much easier to get to rural folks and places that don’t have good access to public transportation and medical centers.

The more vaccine available and the more people vaccinated, the sooner we have hope to end the pandemic. This needs to happen everywhere around the world, though, for the pandemic to end. There have to be so few people that are susceptible to the virus that it can’t find enough hosts to continue spreading in the community. Until that point is reached, people will still need to be careful about masking, distancing, and hygiene.

We also need to be vigilant about virus variants and the length of time immunity lasts after infection or immunization. That’s why I’m proud to be able to play my small part in the fight by participating in the Pfizer trial. The data from this latest batch of former placebo group members will show if the vaccine remains effective against the new variants in circulation and add to the statistics of how long immunity lasts as we will be followed for at least another eighteen to twenty-four months.

Today, I have a sore arm and a bit of a headache, both expected side effects from a first dose. It’s a very small price to pay for the beginning of personal protection and the advance of science to help the world understand and defeat COVID-19.

SoCS: surprise poem

I carved out a bit of writing time today – a rarity in the whirlwind that has been my life lately.

I went to Linda’s blog to read the Stream of Consciousness Saturday prompt which is:

Your prompt for #JusJoJan and Stream of Consciousness Saturday is: “the beginning, the end.” Write about the beginning of something and the end of  something. Bonus points if your first sentence contains “the end” and your last sentence contains “the beginning.” <– Read that again. Have fun!

I admit that I couldn’t wrap my head around beginnings and endings as I am mired in a seemingly endless middle with lots of twists and turns and no real clarity of if/when there will be a conclusion, so I set the whole enterprise aside and decided to do some housekeeping in my overcrowded Google Chrome window. One of the first tabs I went to was one for The Ekphrastic Review, which has a new monthly column on ekphrasis, which is the practice of basing one work of art on another, most often used in the context of writing poetry based on visual art pieces.

While I was there, I figured I should check out the current Ekphrastic Writing Challenge. It is a painting called The Two Sisters by Théodore Chassériau. Given that I have sisters – and two daughters and two granddaughters – the painting inspired a poem in response, so that has become my beginning (middle) and end for this post.

Well, perhaps not quite the end yet. The poem does have an end, of course, but the real ending will be when I submit it to the challenge. I want to let it set a bit and will probably share it with daughter T. I don’t have another meeting of my critique group before the entry is due, so I’ll have to trust sending it without professional critique and revision.

Still, it was nice to have a poem appear on a day that I hadn’t expected it – and to have a blog post appear when I didn’t think I would have one of those either.

But no bonus points for me this time around…

*****
Join us for Linda’s Just Jot It January and/or Stream of Consciousness Saturday! Find out more here: https://lindaghill.com/2021/01/29/the-friday-reminder-for-socs-jusjojan-2021-daily-prompt-jan-30th/

what today calls for

There are some days when you just need to make a spice cake.

Wait. That is probably not true. Let me re-phrase.

Today, I needed to make a spice cake.

This afternoon, while driving home from a trip to deliver a medication to the nurses at Paco’s assisted living unit and stopping to have a document notarized stating that my power of attorney for him is in effect, after a morning spent with him at a new specialist, I was seized with a desire to eat spice cake.

It’s not one of those things you can easily buy at the supermarket or bakery, so I pulled out my Betty Crocker cookbook when I got home and set to work.

Why spice cake? It is an old-time favorite that fills the kitchen with a wonderful aroma as it bakes. When B and I were married in the early ’80s, I chose a spice cake with buttercream icing as our wedding cake, a daring choice in the age of white wedding cakes with sugary white icing. I still love the taste of cinnamon, nutmeg, and clove and find them comforting.

Spice cake stands on its own. It doesn’t need to be layered and frosted. A simple, square pan suffices.

A bonus bit of nostalgia was also involved today.

One of the things I brought home from cleaning out the kitchen in Paco’s apartment in independent living was a set of RevereWare metal bowls that Nana had used when we were growing up and kept all these years. While I had my own set from when B and I first set up house, my mother’s were heavier and the largest bowl of the three was larger than my own set.

It was this largest bowl that I used today to mix my spice cake.

It’s in the oven now.

I have several dozen other things I should be doing right now, but I am instead writing this post, thinking about my parents and home and the passage of time and what is important and the meaning of making spice cake for my family.

And breathing in the scent of cinnamon, nutmeg, and clove.

the meaning of January

Linda’s Just Jot It January is designed that anything one jots down can be transformed into a #JusJoJan post of the day.

Fortunately for all of you, I haven’t been taking this literally.

Otherwise, my January would be filled with texts, emails, and long lists of questions and reminders as I have tried to navigate the complexities of dealing with the care of my father, known here as Paco, in the time of COVID.

As the new year began, Paco was nearing the end of a stay in the rehab/skilled nursing unit in the health care center of his senior community, following five days in the hospital in mid-December. We were trying to finalize his move into the assisted living unit, which also triggered the need to close out his independent living apartment as soon as practicable. There were also issues with his medical and personal care to deal with – and, due to COVID restrictions, it all had to be done by phone or email or picking up and dropping off documents and forms and signed permissions, with only occasional in-person contact, none of which could be with Paco.

It’s been, in turns, confusing and frustrating and harried and bureaucratic – and perpetually exhausting.

It’s also been very difficult to write about.

So, here I am, trying once again to sum up the situation and convey it in words, unsure that I am capable of doing so.

A few days before Paco move to assisted living, we noticed that he was struggling with some everyday kinds of things like using the telephone. I expected that an infection he had had had returned and managed to convince the medical team to test for it. It turned out that I was correct but the test results didn’t come back until Paco had already moved to his new place in assisted. He was started on a new medication, but the combination of the infection, medications, being in a new environment, having to do another 14-day COVID quarantine because he had moved to a new unit within the health care building, and not being able to see family or have them help him set up his new place has made an already daunting situation extremely difficult.

I am doing the best that I can to care for him, but it is not good enough and I can’t manage to fix everything in a timely way. I’ve made some progress but the pace has been slow. While I am not by nature an impatient person, after so many weeks of this, I am frustrated and immeasurably sad.

The comfort I have is that Paco is seemingly unaware of all the complexities of the situation. He doesn’t usually remember the things he used to do before this latest illness, so he isn’t really missing them. While his memory is impaired at this point, he has not had the personality changes that affected other members of his family when they developed dementia, so he is generally in a good mood, although his fatigue level does sometimes put a damper on things.

So, here we are, starting another week. There are more lists of things to do, people to call, tasks to accomplish. One big thing that is (nearly) completed is the closing out of Paco’s old apartment. I turned the keys in last week, but the person I needed to interface with wasn’t there, so I’m not entirely sure we’re finished with the process.

Sometimes, people choose a word or phrase for the new year. Perhaps, for me, this will be the year of “not entirely sure.”

Like last year, 2021 may be a year of uncertainty.

Unmasked!

As my more frequent readers may recall, spouse B, daughter T, and I are all participants in the Pfizer/BioNTech coronavirus vaccine trial. The vaccine received emergency use authorization in the United States in December 2020. Pfizer is now unmasking people in the placebo group and offering to make them part of the vaccine group for further study as they plan to follow participants for two years to gather data on long-term efficacy.

Earlier this week, I received a call saying that I was in the placebo group, which B, T, and I had long suspected as they both had side effects after our injections but I did not. I will receive my first injection with the real vaccine in early February, timed to coincide with the end of the waiting period after the shingles vaccine I had this month. I am grateful for the opportunity to receive the vaccine and to contribute to the data which will help keep more people from suffering the worst consequences of COVID and eventually end the pandemic.

While we will still need to mask and distance, I’m hoping that, as I and others around me are vaccinated, I will be able to return to some places that I have not been able to visit. I may, at least occasionally, make a reservation to attend mass on the weekend, something that I always did pre-pandemic but have not done since March 2020. I may visit with friends indoors, which would be nice given that outdoor visits are tricky in the winter. Eventually, we may be able to travel again, although I’m afraid a trip to London will not be possible for some months.

The other piece of good vaccine news from our family is that my 95-year-old father, known here as Paco, has received his second shot of the Pfizer vaccine. In a couple of weeks, he should reach his maximum level of protection. This is particularly important because he is in an assisted living unit, which is considered a higher risk living situation. Presently, visiting is very restricted. T was able to visit him in person for half an hour today in a socially distanced visiting room; earlier this week, I was able to do a window visit, where we could see each other through a window while we spoke by phone. I am hoping that, as residents and staff all receive their vaccinations and as more members of families receive theirs, the state will relax visiting restrictions to allow masked visits into residents’ apartments. We haven’t been able to see Paco’s new place yet and would love to be able to help organize things for him.

In our little corner of upstate New York, we are chipping away at the pandemic, doing what we can to bring it under control. We know, though, that things in the country as a whole will be difficult throughout the winter. We have passed 414,000 deaths in the US with the expectation that we will reach half a million deaths in February. It’s staggering.

I’m hopeful that the Biden administration’s leadership and plans will help us get through this winter with the least amount of damage possible, although we have been warned that things will get worse before they get better. I hope each person will do what they can to help in the effort.

Christmas tree 2020/21

It’s January 12th and our Christmas tree is still up.

We are lucky that fresh-cut Canaan firs are so resilient. It is not shedding needles and is still exuding a lovely scent.

It is still adorned with our usual assortment of ornaments – glass, ceramic, wood, metal, cloth – many of which were gifts or handed down to us or collected on our travels. There are LED light strands, which are great because they don’t use much energy, don’t get hot, and don’t dry out the needles. The angel I made with the help of a friend years ago is perched on top.

Ordinarily, we decorate our tree in mid-December and take it down at Epiphany. This year, we put it up in early December. It was the first time in several years that I actually wanted to decorate the tree, after several stressful years, although I admit that my energy to do so flagged mid-way through, sapped by memories of loss.

Still, it was nice to have it all decorated and glowing near the living room window.

And then, an avalanche of things happened.

Everyone knows about the horrific toll of the coronavirus around the world and particularly in the United States. The single day death toll topped 4,000 deaths for the first time on January 7th. More virulent strains are spreading. The vaccine rollout is too little, too late to tamp the spread for the winter, although it is offering some hope.

Everyone also knows about the precarious and dangerous political situation in the United States. The breach of the US Capitol by insurrectionist followers of DT and the destruction, violence, injury, and death they caused, coupled with the craven complicity/opportunism of dozens of Republican members of Congress, have thrown us into the most dangerous situation of my lifetime. I think the best course would be for both DT and Pence to resign, giving Nancy Pelosi the powers and protection of the presidency for a few days to try to stabilize the government before the January 20th inauguration. I know this is another exercise of my penchant for political fantasy, but I think it is perhaps the least dangerous of the possible paths, given that both Pence’s and Pelosi’s lives were threatened by the mob on January 6th.

While both of those situations are sapping my brainpower and motivation, the biggest factor in not taking down the tree is that I am spending a lot of time in trying to get my father settled into his new unit in assisted living without being able to physically go into the building to tend to things due to COVID restrictions, while dealing with cleaning out his apartment in independent living and handling all the nuts and blots of changing contact information with all the businesses, doctors, insurance, financial institutions, etc. [I have also been dealing with the aftereffects of my second shingles vaccine, which, while not as severe as after the first, are still bothersome.]

I was so proud of what I accomplished yesterday and had hoped to get more done today. Instead, I’ve had to spend most of the day so far on the couch. I can’t even wrap my head around making the string of phone calls waiting for me.

Tomorrow, I’ll need to get back at it, especially with the apartment packing and such. B, T, and I are hoping to have everything cleared out by the end of the long weekend for MLK Day.

The tree?

Maybe we’ll get to it over the weekend, too.

*****
Join us for Linda’s Just Jot It January! Find out more here: https://lindaghill.com/2021/01/12/jusjojan-prompt-the-12th-sing/

January first

I’m generally not a big celebrator of New Year’s Eve/Day, looking at it as just the next day rather than a new start. This year does feel a bit different, as I am grateful to have made it through the tumult of 2020 and have hopes for 2021 for improvements in the governance in the US and for vaccine distribution and better public health policy to finally start to tamp down the pandemic by spring.

Still, personal circumstances make it seem less like a new start and more a continuation of existing issues. My dad, known here as Paco, is expecting to move from the rehab unit of his senior community into the assisted living unit next week. I am busy with paperwork and packing to facilitate the move. It’s awkward because, with COVID restrictions in place, family is not allowed into the health care building where the assisted unit is, so we can prepare and pack but can’t help with the actual moving, unpacking, and arranging.

Ordinarily, I would be gearing up for Linda’s Just Jot It January and planning to post every day for the month. I cannot wrap my head around posting every day this January with so much going on, including the fact that I should get my second dose of shingles vaccine this month. The first dose made me sick for a week, so I expect a similar experience with the second dose. I’m not looking forward to that, but I’ve had shingles before and am anxious to do everything I can to avert a repeat occurrence. When I do post in January, I will link to #JusJoJan, but I am giving myself permission to post sporadically rather than consistently.

I am somewhat uncharacteristically struggling with words, both spoken and written. I think I am overwhelmed enough and exhausted enough that my brain can’t settle down to easily arrange my thoughts into cogent language. It’s not good for my blogging or poetry and it’s disconcerting for conversation, especially when I have to have so many phone calls and conversations to get things arranged for Paco’s care. I’m managing, but nowhere near the level I want to be.

I’m asking, once again, for your patience as I slog through this.

I should close now and make myself copy dates and commitments into my 2021 calendar. It’s a dreaded task every year and 2021 is no different in that regard.

another day

So, as I write this, it is December 25th which we celebrate as Christmas, but 2020 is very different.

I haven’t been able to post much this month, in large part because we have been dealing with some health difficulties with my father, known here as Paco. He spent five days in the hospital and, earlier this week, was admitted to the skilled nursing and rehabilitation unit in the senior community where he lives.

Because of COVID restrictions, no visitors are allowed but we have been in touch by phone. Before he went to rehab, we did have a family early-Christmas celebration, but we sent a couple of small gifts to his room so he would have something to open today.

We hope to videochat with daughter E and family in London UK this afternoon, which will be evening there. They have already posted photos of granddaughters ABC and JG in their holiday attire. Last night, we were able to watch the Christmas Eve mass from their church. While it is sad that we were not able to see them at all in 2020, technology does help.

Spouse B, daughter T, and I are spending the day at home with scaled-back gift exchange and lots of our family favorite foods, fresh-baked date nut and cranberry breads for breakfast and lasagna from Nana’s recipe with homemade braided herb bread for dinner and apple-blackberry and an outrageously good brown-sugar and maple pecan pie for dessert. B enjoys cooking and baking special meals, so he is taking the lead with all this while I act assitant. It’s nice to have familiar things in such a topsy-turvy year.

Unfortunately, the huge snowstorm we had last week that dropped forty inches (one meter) of snow on us has set us up for flood warnings today. We got about three inches (8 cm) of rain yesterday and overnight, which, coupled with at least another couple of inches from snowmelt, has led to flooding. The Susquehanna is expected to crest tonight at major flood stage level in our town. While our home should be okay, we are concerned for our neighbors who live closer to the river.

I know for many Christians around the world, this Christmas is very different than the usual celebrations, but the underlying message of peace and good will to all is still there to bring comfort to us in these troubled times. I share wishes for peace and good will, for good health and love with all of you; whatever your personal faith or philosophy might be, these gifts are universal.

progress for Pfizer

Today is an important day for the Pfizer/BioNTech coronavirus vaccine.

In the United Kingdom, the first doses are being given, predominantly to those over the age of eighty. The recipients will need a second dose in three weeks.

In the United States, the Food and Drug Administration has published a 53-page review of the Pfizer/BioNTech data and confirmed the findings of safety and 95% efficacy. This clears the way for a public hearing on Thursday and possible emergency use authorization within days. Distribution will start within 24 hours of approval.

It is good that so much of the data is now public because you can see that the vaccine is safe and effective across different age, racial, and comorbidity groups. There is also evidence that some protection develops from the first of the two doses, although the highest level of protection begins about a week after the second dose.

As a Pfizer trial participant, I expect to hear back from the researchers shortly after the approval goes through. Pfizer plans to offer the vaccine to people in the placebo group in order to continue their long-term study on efficacy and safety. Among our family in the study, we expect that we have two who have already received two doses of the vaccine and one who is in the placebo group.

I can assure you that the suspected placebo person is anxious to join the vaccine group as soon as possible!

SoCS: cards

Over the past few days, I have started to work on my Christmas card list.

Well, Christmas, Hanukkah, solstice, Kwanzaa, New Year’s, or whatever anyone is celebrating list…

Sending greetings this time of year is one of my highest priorities of the season, so I am determined to get things in the mail to my list. There are a number of people that I am only in touch with at this time of year – and a number that I haven’t seen in person in decades – and some that I haven’t heard from in decades, but it is important to me to send something to them.

These past few years haven’t been exemplary for me, though. There were years that I sent letters only instead of cards because I couldn’t bring myself to the extra work of choosing and signing cards. I’ve accepted help from family members with addressing and sending. Last year was probably the most difficult. I couldn’t bear the thought of following up “Merry Christmas! Happy New Year!” with “Not sure if you heard the news that my mother died.” I wrote a letter to my friends in November and left B and T with the task of sending cards to the rest of our list.

But this year, I’m trying to get back to something closer to what I used to do, choosing cards, signing and hand addressing envelopes, adding Christmas seals, stamps, and return address labels, enclosing a letter and photo when appropriate.

So far, I have about half the cards written and envelopes prepared, but none of the enclosures yet.

I did do a step that I have skipped for several years, going through last year’s cards received and marking them in the appropriate box on my list, which is written in a special holiday card list booklet. (Actually, this list has also become my de facto address book. I used to keep a separate address book but haven’t updated it in years.) This has been poignant because many of the notes on the cards include condolences for my mom and often reminiscences on the loss of people’s own mothers.

I haven’t quite figured out what to write about 2020. How to sum up a year that has been marked by such universal fear, loss, grief, and sadness, but that has also seen such blessings in our lives, such as the fact that B’s job is able to carry on from home and the safe arrival and thriving of granddaughter JG, even though we can’t travel to London to meet her.

I’ll work on it.

Later.

After I’ve gotten the rest of the list finished with cards chosen, signed, addressed, with envelopes open and waiting.

*****
Linda’s prompt for Stream of Consciousness Saturday this week is “list.” Join us! Find out more here: https://lindaghill.com/2020/12/04/the-friday-reminder-and-prompt-for-socs-dec-5-2020/

2019-2020 SoCS Badge by Shelley!