Tag: covid 19

for the archives

A few weeks ago, a poet-and-church friend who is a faithful reader of Top of JC’s Mind asked if I would like to get in touch with a friend of hers who is involved with a local historical society. Their historical society is joining with others in New York State to assemble an archive related to the pandemic. My friend thought that my posts about being in the vaccine trial might be appropriate for the archive.

It turned out that the archiving project was interested in my vaccine trials posts and any others that dealt with living in the time of COVID. I had sent the vaccine posts first. Then, I worked my way through my blog archive, copying the links to other pandemic related posts.

I knew that I wrote about the impact of COVID-19 quite a lot, but I was surprised at how long the list of posts was – fifty-six posts, from late February through September 11, in addition to the handful of vaccine ones. I joked with the archivist about it being either “an embarrassment of riches or just an embarrassment!” Since then, any time I write about our pandemic experiences I send her the link.

I had asked her how they were preserving the archive. She said that, while they do keep links on their computer, they are printing the materials for posterity. Archival technologies tend to come and go but paper lasts for a very long time.

It’s humbling to think that, decades from now, some future historian might stumble across some of my posts and be able to glean some insights about what it has been like dealing with these fraught times in our communities in upstate New York. First person contemporaneous accounts are highly sought sources for historians and documentarians and I would be honored if my posts are able to assist someone with their research some-year in the future.

scatter-brained

I’ve been wanting to write a post for several days, but have felt too scattered to do it.

I’m still feeling too scattered, but am determined to do it now regardless, ignoring the fact that I have unread email messages going back to Sunday, although I think I’ve caught all the important ones, and a long to-do list of other tasks.

Our national drama and the pandemic continue to demand an outsize share of my thoughts. The president’s behavior and rhetoric are increasingly bizarre, possibly as a result of the high-dose steroids he is taking for COVID. There are over two dozen known cases among White House and campaign personnel and cases and quarantine of the Joint Chiefs of Staff, our highest ranking military officers. The president is planning to resume public campaigning, even though he is most likely still infectious. The medical information that has been released publicly is at best incomplete and at worst misleading.

Yesterday, arrests were made as a result of a plot to kidnap and possibly kill Michigan governor Gretchen Whitmer. I’m grateful that the governor and her family are safe but appalled that a self-styled right-wing militia was planning such a horrible attack. Gov. Whitmer, like many other governors around the country, has enacted executive orders to address the pandemic. She has been vilified by protesters, some of whom were armed, Republican legislators, and the president. She has been publicly threatened with violence and been subjected to sexist slurs. Still, it was shocking to learn that there was a serious plot to kidnap her and “try her for treason” before the November election. Instead of expressing support for her yesterday after the news broke, the president tweeted criticism of her and her policies, along with mischaracterizations of her and other Democrats.

In local COVID news, there has been an uptick in cases here in Broome County and we are officially on yellow alert, which sets lower limits on gatherings and increased testing for schools. Our county executive had already asked residents to stay at home as much as possible, so there isn’t much additional impact on daily life, but the official recognition by New York State has reminded me to be even more cautious with outings.

I am also getting increasingly anxious about our upcoming trip to the UK to visit daughter E and her family. The UK has also had an increasing number of COVID cases recently and has tightened restrictions. B, T and I are going for the month of November because we will need to quarantine for the first two weeks. Then, we will have two weeks to visit, although it’s unclear if we will be able to all congregate at their home as gatherings of more than six are prohibited. We are also hoping to celebrate JG’s baptism, but aren’t sure how many will be allowed to attend. After we return home to New York, we will need to quarantine for two weeks, bringing us to mid-December. The airline has already changed our flights once and I’m hoping that no additional travel restrictions go into effect this month.

Part of what is stressing me out is trying to plan and prepare for six weeks of travel and quarantine. Besides B, T, and me, I need to have plans in place for Paco and for the house, where my sisters and brother-in-law in various constellations will be holding down the fort in our absence. This is turning into a major re-jiggering and re-stocking effort indoors, while a long-awaited landscaping project has been going on outdoors.

Meanwhile, in my continuing quest to catch up with personal preventive health measures, I had a COVID test this morning in advance of a colonoscopy next week. Because of some pre-existing conditions, my prep is a bit more complicated than for most people, so I’m hoping I can get through it with a minimum of repercussions. Maybe I’ll write a post next week while I’m waiting for the remnants of the sedation and medications to wear off. That could be, um, interesting?

On the poetry front, I got another chapbook rejection. It was a debut chapbook competition that had drawn over 200 entries, a detail I’m including as it gives people an idea of the odds, and this contest was relatively small. On the unexpectedly happy news side, I received notification of acceptance to an anthology called Lullabies and Confessions: Poetic Explorations of Parenting Across the Lifespan from University Professors Press. I had submitted to the anthology over four years ago and had assumed my poem had been rejected although I hadn’t gotten an email about it, but the project had instead been delayed and my poem will be included. Publication is expected in print and ebook early next year.

I’m still feeling scattered, as though there is something else I’m supposed to be saying, but I want to get this out. Stay safe and be well!

DT and COVID

As I’m sure the whole world knows, the president of the United States is hospitalized with COVID-19. It’s been a bit difficult to get the straight facts on his condition, but it is increasingly looking like his case is on the more severe side.

He does have multiple risk factors, including his age, gender, and weight. He is being treated aggressively by his medical team, including with an experimental antibody treatment and with remdesivir. These are both given early in the course of the disease to help the body fend off the virus.

Today, though, it was revealed that the president is being given the steroid dexamethasone, which is usually given only to more severe cases later in the disease course, when there are significant lung complications and/or the need for a ventilator.

The medical team is even talking about the possibility of discharging him back to the White House, which does have its own sophisticated medical unit, tomorrow.

This doesn’t seem to add up. If his condition warrants dexamethasone, it would seem best to keep him in the hospital for close observation.

Another concern is that days seven through ten of COVID often see an exacerbation of symptoms. The president is only on day four. It seems it would be much safer to keep him in the hospital. It’s not as though he is cramped for space or lacking amenities in the presidential suite at Walter Reed; besides medical care, it also has its own secure conference room and kitchen/dining space.

I also wish that the president would temporarily sign over powers to Vice-president Pence in accordance with Article 25 of the Constitution. We know that the president has suffered with a high fever and times when his blood oxygen level has dropped below normal. COVID is nothing if not unpredictable. Foreign powers could take a provocative action, surmising that the president would not be well enough to respond appropriately. I think it would be safer for the country to have the vice-president, as long as he remains well, exercise the presidential powers until the president is fully recovered. Pence can always confer with president when his symptoms are well-controlled, but he would have the power to respond on his own if the president were to be unwell when a crisis arose.

The president and First Lady’s illness with COVID would be problematic enough, but a number of senators and other government and campaign staff and advisors have also been infected or exposed. Because the incubation period can extend to fourteen days, there are many people who should be in quarantine to make sure they don’t expose others while pre-symptomatic or asymptomatic. Somehow, despite the seriousness of the situation, Sen. Mitch McConnell plans to push ahead with the confirmation hearing of Amy Coney Barrett to the Supreme Court. He considers that worth the risk, while he won’t put the latest House-passed coronavirus relief package up for a vote.

Voters, pay attention to how candidates on your ballot are handling this health and governmental crisis. Are they prioritizing your and the country’s health and well-being or their own power?

Ocean and Snowman

This evening, while watching television, I happened to see the last part of the movie Moana followed by the beginning of Frozen.

When daughter E and granddaughter ABC lived with us before E’s spousal visa came through for their big move to London, ABC, at two, was just starting to be entranced with watching (parts of) movies. These were two of her favorites, which she called “Ocean” and “Snowman”.

Both movies celebrate love of family, intergenerationally in Moana and between sisters in Frozen. Seeing them tonight reminds me of how desperately I miss seeing E and ABC and how much I want to meet new granddaughter JG.

When E and ABC left for London almost a year ago, we had assumed that we would be able to visit several times a year. My spouse B, younger daughter T, and I did visit in December. (There are posts about the trip that you can find in the archive in late January into March. It took a long time to get the posts together.) We had hoped to visit again in the spring and then in the summer when the baby was due to arrive, but COVID intervened, so we haven’t seen them yet in 2020, other than on screen.

Most days, I can manage the distance, but, tonight, I could hear the echoes of ABC asking for Ocean or singing about building a snowman and I’m sad.

We do have a visit planned in November, beginning with two weeks in quarantine to be followed by two weeks for visiting under whatever the current UK restrictions are for group size. We are hoping that JG’s baptism will be able to take place while we are there.

Plans are in place, but I’m nervous that travel protocols might change and keep us from seeing them. Meanwhile, we are hoping that people in the US and the UK will be careful about following pandemic control measures so that virus rates stay down and our visit can go forward.

And, people in other countries, I hope you will stay safe, too.

200,000

The number of known COVID-19 deaths in the United States is over 200,000.

It’s hard for me to grasp the total, knowing that each of these was someone’s child, parent, sibling, co-worker, neighbor, friend.

A few days ago when I was working on this post, I needed to look up the population of Broome County, New York, where I live.

It’s about 190,000.

I am imagining the city of Binghamton empty, the University and all the other schools without students and staff, all the towns and villages without people, just the wild creatures and birds alive.

It’s sobering.

In reality, Broome County has lost 85 residents to COVID, each person a loss to their family and community. Somehow, though, my thought experiment in concentrating the loss to our country as the obliteration of our entire county has given me a sense of scale and of grief that the statistics alone did not elicit.

What does 200,000 deaths mean to you?

unmasked

Last week, I needed to bring one of our vehicles to a dealership for a recall. The one we usually use wasn’t certified to work on the electrical/battery system of our hybrid, so we made the appointment at another dealer in a neighboring county. We live near the county line, so it’s just a couple of towns to our west.

Tioga County is a rural county; Broome, where I live is a mix of rural, urban, and suburban, although Binghamton is a small city by most standards with a population of about 46,000. Broome County’s population is about 190,000 in 716 square miles; Tioga’s is 48,000 in 523 square miles.

Your geography trivia for the day!

So, I arrive at the service department of the dealership, wearing my mask. There is a sign on the door that face coverings are optional for customers but required for staff, which seemed a bit odd as New York State rules are to wear a mask whenever people are closer than six feet (2 meters). I was surprised to walk up to the service desk to find that there was no plexiglass barrier to protect the employee and he was not wearing a mask.

I tried to maintain distance as best I could. I checked in, walked past unmasked customers in line, and sat in the waiting area with unmasked customers while unmasked employees walked through several times. When the repair was complete, the employee doing checkout hastily put on a mask after the window that separated her desk from the hallway was opened.

The experience left me feeling not endangered, because I was masked and maintained social distance most of the time, but disrespected. While the business knew that its employees should be masked when in proximity to another employee or a customer, they were not complying.

As the designated shopper in our house, I’m used to visiting businesses which have implemented careful measures to keep their employees and customers as safe as possible. The result has been that our infection rate in the state has remained very low as we methodically re-open businesses and services. If I am ever in a similar situation that I have to use this car dealership, I’ll make arrangements to drop the car off the evening before so that I only need to go inside to do the final paperwork when it’s ready.

I hope that there won’t be any outbreaks from the disregard that I witnessed at the car dealership, which, presumably, was considered acceptable to others in that community. For me, it seemed a small taste of what I hear on the news from other states, that folks don’t believe that masks and distancing help prevent COVID infections or that masks infringe on their liberties or that COVID doesn’t exist, all of which contribute to the appalling rates of illness and death in the United States.

At least I know that no one there will have contracted COVID from me.

vaccine trial – injection 2

This week, B, T, and I are receiving our second injections of the Pfizer/BioNTech experimental COVID vaccine or placebo, three weeks after the first round. There is COVID testing and general health screening but no blood draw, which will wait for the next visit to see the antibody response. Throughout the two years of the trial, we will continue with a weekly diary of possible COVID symptoms, although we would contact the trial staff immediately if we suspected we had COVID. We each have an emergency test kit at home to collect samples if we are directed to do so by study personnel.

The possible date of vaccine approval in the United States has become a hot topic. The president has intimated that a vaccine could become available before Election Day, November third. Local health departments around the country are supposed to have plans in place for distribution by November first.

However, that timeline doesn’t jibe with the amount of time needed for preliminary Phase III trial results. Yesterday, Pfizer, BioNTech, and seven other drug companies involved in COVID vaccine development signed a joint pledge to uphold their rigorous testing measure and not request authorization without the requisite data showing safety and efficacy.

I’m pleased that they made this commitment to the public. When vaccines do become available, it is vital that billions of people around the world receive them so that we can end the pandemic. If only a small fraction of the world’s population receive it, the pandemic will not end because there will still be a large pool of potential victims for the virus. Some of those victims will be people who were vaccinated, as no vaccine is 100% effective. The vaccine should lessen the severity in those people who do contract it, as we see with current flu vaccines. It’s important to remember, though, that part of the way vaccines work is by creating herd immunity so that a pathogen can’t create an outbreak. Vaccines offer a safer, less lethal path to herd immunity than just allowing vast swaths of the population to be infected.

I suppose it’s possible that a vaccine might receive emergency use authorization this fall so that it could be used by front-line medical workers and extremely vulnerable individuals before long-term safety and efficacy could be established, but widespread vaccination isn’t possible until next year, at the earliest.

The wisdom of moving forward scientifically and methodically was illustrated this week by AstraZeneca, which put their COVID vaccine trial on hold in order to investigate a possible adverse reaction. It may be that the reaction had another cause, but, until that can be determined, they don’t want to risk the health of their participants. Rushing the swine flu vaccine out to the public in 1976 caused enough serious complications that it had to be suspended after ten weeks; no one wants to repeat that experience with COVID.

Meanwhile, our family will keep doing our small part in advancing the science in hopes that COVID-19 can be brought under control, saving as many people as possible from illness, disability, and death.

Surreal-er

I don’t think surrealer is an accepted English word, but it’s all that comes to mind right now.

When I was away for a week, I didn’t follow news as closely as I usually do, but after a few days back at home, it seems that the levels of contradiction and absurdity and fear-mongering and conspiracy-theorizing have reached new highs in the United States.

Serious journalists have to try to try to explain QAnon. The Republican convention played up fear of anarchy and violence as being part of “Joe Biden’s America” – despite the fact that Donald Trump has been president for over three and a half years – while neglecting to confront the very real fear of the spread of coronavirus. The official case count in the US is now over six million and the actual case number is probably much higher. That’s terrifying.

If the consequences weren’t so disturbing, I’d laugh. Instead, I’m stuck with the bewilderment of surreal-er.

I realize that people who are in a media bubble or conspiracy mindset are not generally inclined to factcheck, but I implore people to seek out credible sources of information. Go to Joe Biden’s campaign website for his positions on issues and his public statements. Go to the Johns Hopkins website for US and world COVID statistics. I was hoping to provide a link for Donald Trump’s plans for a second term, but his official website doesn’t have an issues and plans page; I haven’t heard him give a clear answer about plans in interviews, either. It’s a major problem, especially with so many challenges facing the country right now and so little effective action from the administration.

What will next month bring?

And the month after?

When will life not seem surreal?

COVID vaccine trial update

Last week, B, T, and I each had our initial visit for the Pfizer/BioNTech vaccine trial for COVID-19. There was a lengthy informed consent document, medical history and physical exam, COVID test, blood draw, and injection with either the trial vaccine or placebo. Two of us had some mild side effects and one of us did not, so we are surmising that one of us received the placebo, but the study is triple-blind (participant, care provider, investigator) so we don’t know for sure if that is the case.

The Pfizer/BioNTech vaccine is a messenger RNA vaccine; this type of vaccine has not previously been approved for widespread use. It works by enclosing a strip of messenger RNA in a lipid shell. When it gets into cells, it manufactures the spike protein that the SARS-CoV-2 has on its exterior, so that the body recognizes it and makes antibodies and T-cells to combat it.

The phase I data looks promising, so I hope that this vaccine will be found effective. RNA vaccines are able to be manufactured quickly, which will be a plus if they are approved for use. I am hoping that a number of vaccines will be able to complete Phase III trials and earn approval, so that we can get as many people around the world vaccinated as quickly as possible. It’s the only way to gain herd immunity without a horrifying level of illness and loss.

The Pfizer/BioNTech trial is expected to finish its primary collection of data needed for approval in mid-April 2021, although the trial will continue to follow participants through November 2022 to see how well antibodies and T-cells persist.

Science takes time and the COVID vaccine is being developed at a blindingly fast rate in terms of past vaccine development. Remember that we are still looking at months before approval, not weeks. Even when one or more vaccines are approved, people will need to keep up with distancing, masks, sanitizing, etc. to keep the disease at bay while vaccination production and distribution campaigns occur.

Please, everyone, do your part to keep yourself, your family, and your neighbors as safe as possible, while vaccines and effective treatments are developed. I’ll post more information about our trial as time goes on.

SoCS: check-up

One of the many things that got deferred in 2019 while we were dealing with the final months of my mom’s life and the first months without her was going to the doctor for a check-up. I wasn’t being totally health-delinquent as I had other reasons to visit the doctor’s office, but I didn’t have the standard wellness exam that someone my age would usually have every year.

Next month, I am going to have a check-up, though, preceded by lab work so we can go over the results at my appointment. I may also need to have a bone density scan. I have crossed over into a diagnosis of osteopenia, which isn’t surprising. At 59, I don’t expect to have the same bone density as a woman in her twenties. I’m hoping that I can avoid taking Fosamax or some other bone-builder medication, at least for now. I prefer to save that until I actually develop osteoporosis, if I ever do. One can only take those types of medications for a limited amount of time and I don’t want to use up my quota too soon.

I also know that I should be thinking about getting a new shingles vaccine. I have had a bout of shingles and have had the older vaccine, but the new one is supposed to be much, much more effective. I will probably need to wait longer to get it, though, because, in the next few weeks, B, T, and I are all scheduled to participate in a coronavirus vaccine trial. The trial is supposed to last for two years, but I’m sure there will be a window for me to get the shingles vaccine at a time when it won’t interfere with the trial.

I’m sure I’ll be posting about the trial when it begins.

2019-2020 SoCS Badge by Shelley

Linda’s prompt for Stream of Consciousness Saturday this week is “check/cheque/Czech.” Join us! Find out more here: https://lindaghill.com/2020/07/24/the-friday-reminder-and-prompt-for-socs-july-25-2020/