Showing posts with label COVID-19. Show all posts
Showing posts with label COVID-19. Show all posts

19 July 2020

Florida… Oh No, Not Again!


Florida postcard
Florida’s bizarre politicians overshadow our usual weird news. But let’s take a stab at the strange.

Gator Cater

West Palm Beach, Florida.  No, I am NOT the guy who reads and sings to calm alligators not receiving their share of tourists. Everyone knows I can’t sing.

Marathon, Florida.  I also deny knowledge of the iguana that wrestled a guy and his bicycle to the ground. A spokesman for the bicycle said…

Tampa, Florida.  Nor do I have anything to do with neighbors preventing access to a landlocked bird sanctuary. (I have sympathy in this case. Orange County politicians turned over a county road to a private cattle company, preventing property owners access to their land.)

Head Honcho

St. Petersburg, Florida.  A jogger found a human head on a grassy knoll. Police confirm it is not that of Governor DeSantis, who is known for having lost his mind but not his head. Yet.

Softball Questioning

Jacksonville, Florida.  A hard-hitting woman batted eyelashes at her police detective boyfriend, who gave her a pass during a murder investigation. They made it beyond third base but not quite home when they were called out.

The Mother of All Gifts

Clearwater, Florida.  We missed reporting on Mother’s Day that a spitting, angry Pinellas County wife beat her husband for remembering and giving her flowers. Uh wait. I’m guessing she didn’t want flowers.

Clearwater, Florida.  Another woman attacked her man with a candy cane. And a brick. And a pen. Somehow after a brick and a yard-size candy cane, a pen doesn’t seem all that much.

Micanopy, Florida.  So her boyfriend, see, well, she was on her phone, actually, and her boyfriend, just sorta, kinda, tripped on air and fell on a knife, twisted it in maybe, and writhed and stabbed himself umpteen times or not and raccoons attacked… No flowers for her Mother’s Day.

Sanford, Florida.  Lest ye think it only women who’ve gone corona-mad, there’s the crazed man who stabbed a roommate then turned on police, screaming something about Satan and worms and… You see? Some normal Florida things still happen.

Deltona, Florida.  We mustn’t forget another man who attacked a roommate who’d kindly made him breakfast. Oh wait. The breakfast chef woke him at 5am. That’s like the middle of the night. Last time someone woke me at 5am, police found me sharpening my teeth.

coronavirus
Another Reason to Close the Bars

Indialantic, Florida.  She just spread the love or a message or coronavirus. Just because she kissed strangers without a mask, was that any reason to stop a sunny welcome?

Try as I might, I can’t seem to get away from COVID-19 stories.

Taking the Cure


Bradenton, Florida.  The Genesis II Church of Health and Healing continued selling their Miracle COVID Cure after a judge ordered them to stop selling industrial bleach for human consumption. This is the same chemical their leader wrote about to President Trump who subsequently claimed this wonderful detox would knock out the coronavirus in one minute. Side effects include heartburn, death…

Fort Myers, Florida.  That guy in Costco, you know, the dude who felt threatened by a 60-some year old lady who asked him to wear a mask… from Florida, of course. He’s a star insurance salesman; you’d think he’d want everyone to masque up.

Holly Hill, Florida.  The Costco guy wasn’t as nasty as the woman who spit into Walmart’s fruit and vegetable bins ruining $350 or so of foods. Because of the corona hoax, of course.

Homestead, Florida.  A couple wanted soooo bad to visit the Florida Keys, but those stupid Keys officials didn’t want to spread that hoaxy COVID and like all illegally tyrant-like keep non-residents out, which is soooo Naziish. Anyway, this freedom-loving couple took a teenager prisoner and forced her to drive through the checkpoint. They struck such a blow for freedom, not the terrified girl’s, of course, but theirs. Except they’re locked up.

Cadillac atop cars
Hernando, Florida.  Local drivers might not be as bad as Boston’s, but how do you drive backwards and park atop other cars? And we don’t even get snow?

Reedy Creek Control District, Florida.  One guy decided to self-quarantine in Walt Disney World. He shacked up on Discovery Island, Disney’s former zoo of sorts before Animal Kingdom.

Gainesville, Florida.  If you live in Florida and someone removes your testicles, you might be a politician. Or an adopted kitten. Who knew a stuffed dragon might not protect you?

Full Blown Politics

Tallahassee, Florida.  At the same time the White House blames poor coronavirus response on the media for too much coronavirus reporting, Florida’s governor blasts the media for too little reporting. Indeed, Governor DeSantis says the press reported nothing about COVID-19 until April, so he assumed all was okay. Which is weird, because like a kidnap hostage, I can hold up copies of the Orlando Sentinel and Miami Herald dated back in January. Doesn’t he know the Keys have been off limits to visitors since 22 March?

Grim Reaper on Florida beach
© Tampa Bay Times and Shorty Awards
Florida is famous for costumed characters and since February, the Grim Reaper has patrolled Florida’s beaches warning visitors about the virus. In March, that Grim Reaper, revealed as Daniel Uhfelder, Esq, sued the Governor’s office to require face masks. So apparently our Governor doesn’t check the news, he also pays no attention to lawsuits.

Earlier this month when I wrote about Florida landing the sad position of NÂș 1 and setting new pandemic records every day, I hadn’t expected the Sunshine State to continue setting new records. As one observer put it, if Florida was a separate nation, it would rank among the worst countries on the planet for infections.

Governor DeSantis calls that ‘a blip’. Because, you know, the Black Plague was ‘a bump’ and reporters ‘a bleep’. Such ingrates! Florida has done soooo much to keep the numbers down. Like firing our heroine, Rebekah Jones, the state’s database administrator who revealed Florida’s government was grossly under-reporting cases. And sheriff offices complain that as infection hotspots soared, the state cut off critical information to police agencies including addresses of known outbreaks. And the state ordered medical examiners not to release autopsy data. Because no info, no problems.

Milledgeville, Georgia.  Above our border, Georgia’s Brian “Screw ’em” Kemp is posing a challenge to Florida’s Ron ‘Who Me?’ DeSantis for dumbest governor, but I’m afraid Georgia will have to settle for Miss Uncongeniality. Kemp is suing cities that require masks in public. Because no masks, no problems.

Oh God, the clowns! We’re all gonna die! But keep shaking your head and laughing.

10 May 2020

COVID19 in America versus Canada


Anger is the biggest difference between America and Canada’s response to the coronavirus pandemic.

Many people have been discussing the difference between the response to the coronavirus pandemic by the United States and Canada. “When you look at per capita cases and deaths across the course of the entire outbreak, the comparison looks even worse: the United States has over two times as many confirmed coronavirus cases as Canada and roughly twice as many deaths.”

The factors impacting coronavirus infections and deaths in the two countries are complicated and will, I’m certain, be analyzed for years.

What I find impossibly sad is the level of anger in the United States that is not directed at this virus - because we should all be furious at this virus - but at each other.

While both countries are grappling with how to open up the country and help the economy recover, the stories in the two countries couldn’t be more different. As they say, a picture is worth a thousand words. 



In America: 



In Canada:



One obvious difference is that in Canada, we are not allowed to openly carry guns. However, aside from the guns, the differences are crucial and it is in the level of anger and intimidation in the United States.

In Ontario, my home province, the Premier responded to the protests by saying: “Ontario Premier Doug Ford says he’s furious at the “bunch of yahoos” who decided to flout physical distancing measures and emergency laws to protest outside Queen’s Park Saturday afternoon, calling them “irresponsible, reckless and selfish.”

For those who don’t speak Canadian, this is a very, very angry statement by a Canadian Premier. Also - he suggested consequences: “He said he hoped Toronto police would ticket them.
Not keeping at least two metres apart from someone not in your own household currently carries a fine of $880 in Toronto.”

In the end however: “A spokesperson for the Toronto police said no arrests were made and no tickets were issued following the protest, saying the crowd was compliant and exercised good social distancing.”

In other words, fairly polite and compliant protesters. 

It is more than not carrying guns. 

The politeness of Canadians has long been a joke among Americans. Although generalizations are never universally true, there may be something to this. However, there is one picture that explains a great deal:



In the United States, people are out of work and losing their healthcare and the financial assistance given appears to be piecemeal -both federal and state assistance- and many appear to be falling through the cracks.

In Canada, our universal healthcare system means that everyone remains covered for healthcare regardless of their employment status.

The federal government has delivered a strong set of financial protections for employees, self-employed, seniors and students. For example, if you are self-employed and have lost your job, you receive $2,000 per month for 4 months. These financial safety nets during COVID19, allow people to put food on the table. The provinces have all stepped up with other financial supports for citizens. 

In short: it is far easier to be less angry about the financial impacts of COVID in Canada than in the United States. 


There is more though. In Canada, there has been coordination between all levels of government in another area: information.

Our press conferences have been focused on Medical Officers of Health (federal and provincial) giving updates on infections, looking at models and doing the crucial work of informing the public about the new knowledge of this virus. This serves to increase scientific literacy in general. For example, prior to this pandemic, some Canadians did not understand that a virus cannot live outside of a cell for long and that is the reason for physical distancing.

The news in the United States has covered the politics of this pandemic and the disagreements between levels of government and within government. This type of coverage in Canada would be rather short - because there is general agreement about the need for physical distancing and to stay at home to defeat this virus.

So the difference in the two countries could not be more striking. In the United States the coronavirus has been a magnet for political anger. In Canada there is some of that certainly, as evidenced by the protests, but they have been small because, largely, our politicians are not fuelling them.

A virus has no politics, knows no party affiliation. It simply infects and kills. The wartime analogy has been used to describe the fight against this virus but this appears to be a strange war in the US, where there is little agreement if the enemy is dangerous, how to fight it or whether to bother fighting at all.

So, while Americans are dying, they appear to be very angry with each other. I wish they would get angrier at the virus.

12 April 2020

Surviving COVID19


COVID19 is a dangerous adversary and everyone is discussing how stressful they are finding living in the age of COVID19.


There have been many excellent recommendations on how to reduce stress. Many of these recommendations have focused on stress reduction strategies like exercise.

Given my area is mental health, I would like to add to the conversations on stress by presenting a different lens.

First, let’s talk about what stress is and is not, because to tackle something one must always know what one is getting into the ring with. 

In 1936, biologist Hans Selye described a common physiological response in rats subjected to harmful factors and he named this the stress response. “The main features of the syndrome were suppression of the immune system, ulceration of the lining of the stomach and small intestine, and activation of the two … stress-response systems.”

Over the last 80 years, there has been extensive documentation of the widespread damage of stress on our body and brain.

So stress doesn’t just feel bad - it is really bad for you. Reducing stress can save your life and a sense of control is the one way cortisol and other factors provoked by stress can be reduced and the health impacts minimized.

What is crucial is that stress is not just bad things happening to you – it is bad things happening with a sense of having no control over these things.


You might be thinking: if control is crucial to managing stress, how on earth can you control a global outbreak of a virus? How can we control not only the illnesses and deaths but also the economic consequences on such a large scale. Control? It seems like a rather ludicrous word in the face of all this.

All true points. Thank you for making them.

My answer is to introduce some people whom I have known that belong to “The Greatest Generation”- those who lived through World War II. They earned their name because of their tenacity and 'can do' attitude. They did not enter the war with these attitudes but, rather, they were forged by the hardships they faced.

My father-in-law, Bill, and his twin brother were pilots in World War II. Bill’s brother died when his plane went down in Europe and he was never able to speak of him again – it was as if the grief of his loss had torn out his heart. Bill went on to get an engineering degree, marry, have children and live a life of laughter and love.

My mother-in-law, Verna, stayed home and helped in many ways the war effort. She told me stories of how they would try to get butter to make her beloved pastries, how they would save things so they could send packages to those who were fighting along with letters. The volume of letters diminished over time because many of the young men she grew up with died.


Neither of them had any ability to stop the war or save those they loved. Both were irreparably broken by the losses they sustained. Both walked into life after the war with a strong stride. They survived the war by small acts and large ones that were all acts of resistance. Bill was a man who embraced competence – taking care of his family and being the one who got things done – and Verna was loving, taking everyone under her wing. Perhaps those characteristics were their tribute to those they lost and a way to ensure that they would keep those around them safe.

Let me introduce you to Lili. She was Jewish and was sent away from her parents as a small child into hiding. She lost her parents and everyone in her family. I learned later that she had anxiety and many difficulties all her life in response to this, but what I remember about her was that she was one of the kindest people I have ever known. If the world robs you of so much through cruelty, kindness is the ultimate act of defiance.

None of them had control over global events that ended up at their door. What they did was to take control during and after in small and large ways. Ultimately, their characters are a testament to how they became known as the greatest generation, because it was not what they endured but how they endured it that defined them.

Back to COVID19. We have no control over when we will have a vaccine and this nightmare will end. However, the reality is that we have never had control over large global events and this is no different. What we do have control over is our small corner of this planet and that is where we fight. 

Much has been discussed about the courage and tenacity of my colleagues during COVID19. When I speak with them, they talk about doing what they have always done; medicine with the patient in front of them. They read voraciously about this virus, they consult others for more information, they organize their homes to have decontamination zones to keep their family safe and do many other things to manage their corner of the planet.

Many of my non-medical friends are reading and watching the news to educate themselves, they are designing new ways to get groceries safely and clean them down. They are reaching out to friends and family to inform them, check up on them and laugh with them.

When we talk about the new normal – it is the ability of each of us to have small and large acts of defiance and resistance to keep those we love safe.

We will not recover without scars. We can only hope to minimize the number we lose and comfort those who have lost people. There will be anguish: times when we wake up in the middle of the night drenched in fear. When we emerge from this - we can do so with a character forged by how we responded to COVID and how we controlled our corner of the world.

08 March 2020

Coronavirus COVID-19: The Heroes and the Culprits


Dr Mary Fernando
Mary Fernando, MD
Every time a patient goes to a doctor with a new illness, the story of chasing down the diagnosis is like a mystery novel with one difference: everyone works hard to make the story short with as little excitement as possible.

In medicine, no one wants a long, twisted plot line and the best stories are the boring ones where the culprit is found quickly.

This desire for a short, boring story line has done what nothing else has been able to: it has united the world because citizens of every country want the story of the new coronavirus, #COVID-19, to end before they get a starring role in the tale of a new epidemic.



On December 30, 2019, Dr Li, a 34-year-old ophthalmologist in Wuhan, posted on Weibo that he had seen 7 cases of a SARS-like virus and warned fellow doctors to wear protective clothing to avoid infection. This sensible and medically appropriate suggestion resulted in Dr Li being summoned to the Public Security Bureau four days later and he was made to sign a letter confirming he had made false statements. Before his death from Coronavirus on Feb 7, 2020, Dr. Li explained why he warned people initially despite the fact that he knew he might be punished for it: “I think a healthy society should not only have one kind of voice.”


Like the Chinese government who tried to put a lid on information about COVID-19, we have had many others who have tried to do the same for political and financial reasons. There’s nothing wrong with trying to protect businesses, however, there is a great deal wrong with stifling information. The only thing that protects people and saves lives is the truth: if certain activities or places are unsafe, people should know this.

Through the evolution of this disease, there have been many kinds of voices speaking out and, just like in any mystery novel, each new crises reveals a great deal about the character of those involved.

There are some people who want everyone to stay calm – as if one smidgeon of worry will muck up their world. They came out in force at the beginning of this epidemic grabbing every straw they could to dampen down concern. I’m a huge fan of calmness but not when it is coupled with misinformation such as: this is only spread by animals, only spread by people who are symptomatic, the virus doesn’t live on surfaces for days and it is no more lethal than the flu.

Not one of those statements is true and people cannot protect themselves if they don’t know the truth. 


While some grasp at anything to calm people down, others have done the opposite and developed theories to fan all sorts of flames and even to start fires on their own. One theory floated around that this new virus was developed in a lab to destabilize the world. Right on the heels of this is another, very malignant theory that this is a virus that largely infects people of Chinese origin and that they are responsible for the spread of this. This has resulted in racist attacks on people around the globe.

There is another set of characters that have been emerging and speaking loudly: those who take a great deal of reassurance if they know things and even more reassurance if they know everything. Now this person who knows everything is a purely fictional character who has never existed but this doesn’t stop some people from emulating them. If this person who believes they have all the information has a large pulpit, they can spread information that is inaccurate and possibly dangerous.


Who is the biggest, baddest, scariest culprit in the saga of #COVID-19?
 Misinformation, spread by people whose need for calm, chaos or personal brilliance blinds them to the new facts emerging about this virus daily.

Some of those new facts are reassuring, some are worrisome and not one of us knows them all because it is an evolving story. For example, there has been some evidence that gastrointestinal symptoms such as nausea and diarrhea may precede respiratory symptoms during infection with this new coronavirus– this is crucial information that could lead people to seek medical attention earlier and therefore limit spread of the disease. Since we know that people without symptoms can spread the disease – unlike with SARS – we can’t assume we haven’t been exposed because no one around us was ill. 


Just like in any mystery novel, we should remain suspicious of all the characters - any one of them could spread misinformation – often not from malice but because their character compels them to engage in certain behaviours that increase misinformation. Bottom line – the only thing that will keep you and those you care about safe is information on how to avoid getting infected with coronavirus.

The heroes of this story? The first hero was Dr. Li  because he had a simple mission: to inform those around him with whatever information he had to keep them safe.

Inspired by the heroes in this coronavirus story, I recently told my children who were traveling with me that – given the fact that this disease can be spread by people who have no symptoms and the virus can live on surfaces for days – they could stay safer if they assume their hands are infected and not touch their face and food without disinfecting them first. This simple set of instructions was the best way I could summarize this disease to the people I care about the most in this world. I also keep telling them that we are in the midst of learning about this disease so I’ll keep them updated. My children must have confidence in me because they grin every time I say this.

As of the 7th of March, 2020, the World Health Organization reported that the number of confirmed cases of COVID19 has surpassed 100K. The doubling time of this disease appears to be around 7 days but the numbers, just like this disease, are fast moving. A peek at that study along with with data used gives an idea of why we need to take a deep breath and keep learning.