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The Ides of Corona March

Shakespeare’s Julius Caesar play is a tragedy in genre. In the second scene of act i, a soothsayer (person who foresees the future) warns the Roman Emperor with these words, “Beware the Ides of March,” repeated once before the soothsayer leaves the stage. We the audience know in hindsight, that the “Ides” refer to the middle of March, the 15th, the date when Caesar will be stabbed to death in an assassination. Here I sit and compose this blog on the 15th of March 2020. Our world is in the midst of an horrific pandemic of the COVID-19 (Corona) virus. On my long run out in the country north of our home this morning, I thought a lot about this/our viral situation, its meaning, our responses, and mostly our responsibilities both personal and social. My blog’s created purpose was/is about reflecting on meanings in my life, undressing and walking around my own perspectives and experiences in life. I don’t see myself as a social activist. However, I do view myself as someone who takes health and well being of/for myself and others very seriously. Today, on the world’s ides of Corona March, I want to reflect on what I see happening with respect to this terrible, terrible corona virus. If I offend in some of my views and/or come across as preaching, it is not my intention. If my words affect even one person to become what my wife calls a health crusader during this pandemic, then I will rejoice.

We live in an antibiotic culture. When sick, we want relief, instantly; we (over)rely on medicine to inoculate us, magically somehow, into health. An exaggeration? Perhaps. Isn’t most allopathic (western) medicine about ill-health; certainly health care is ill-health care. Health in North America, until very recently, was left to PE teachers to instill in students, woefully and inadequately trained as those teachers were. We take health ‘advice’ from magazines or well-meaning media journalists and/or charlatans who make unsubstantiated claims for magic products to ‘give’ us health, reduce our weight, have the same benefit as physical activity or a balanced, nutritious, regular diet (the latter equals what we eat, not a reducing diet).

When sick, we want medicine to fix us and fix us now. I remember one of my academic colleagues, a business school professor, now deceased, who used to say in jest, “if you get a cold, nurture it so that it devolves into pneumonia – they can treat that.” Of course he was referring to the resistance of a cold virus compared to pneumonia being a bacterial infection treatable by antibiotics. Sadly, we over-rely on and over-prescribe antibiotics and, in turn, bacteria are ‘learning’ and adapting and becoming more resistant to antibiotics.  Thus, there is a grain of truth to my colleague’s antibiotic quip with respect to our reliance on medicine to get us back to ‘health,’ whatever that is? Personally, I’ve always liked the Ottawa Charters definition and the health implications of health promotion as “the process of enabling people to increase control over, and to improve, their health.” Health in that definition is viewed as a resource for living everyday life, not as the goal of life. It also places a premium on ‘enabling’ people – individually, socially, and resourcefully to take ongoing responsibility for the health.

What if, as MD/psychiatrist Daniel J. Siegel says (in his book, The Mindful Therapist):

Health in many ways can be seen as bathing in a wide open pool of possibility.

Unhealth, in his view is all the rigid and chaotic ways we become unable to be present with this broad freedom. I like the bathing analogy; we have huge freedoms here in Canada. We are at choice about almost all aspects of our health and well being ~ how and how well we eat, exercise, care for our emotional/spiritual/mental health etc etc. And sometimes, that freedom is taken from us as it is now with the corona virus with social restrictions and potential, looming lock-downs. Chaos and rigidity have reared themselves with reactions like the current well-known hoarding of toilet paper in anticipation that over the next few weeks, it will somehow be our greatest shortage. Cartoons have emerged and are held up to us to see ourselves as in this 4 horsemen of the apocalypse image:

Traditionally, the 4 riders are war, famine, pestilence, and death. How interesting that the 4th horseman, death carries toilet paper. And so we see people in our cities going way overboard in over-stocking supplies, not in moderation but in mega proportions. One couple in Vancouver, BC, a week ago, anticipating the need for disinfectant precautions, went to a variety of Costco stores and bought up all the Lysol disinfectant wipes they could find and then re-sold them on Amazon for 4 times the normal price. It has become difficult to get protective face masks as masses of people turn to their purchase and use to try to block the virus; turns out, the best thing about such face masks is not just the viral filtration but they also keep us from touching our mouths and noses as frequently as we are accustomed. As the epicentre of the virus shifted from China to Europe and very likely soon to move to the United States, the New Yorker magazine’s front cover satirized, sadly, President Donald Trump’s reaction with this cover:

The art work was done by Brian Stauffer and entitled, “Under Control,” spoofing Trump’s under-reaction to the virus threat a week ago. Humour, I predict, will grow as our viral situation escalates and that humour is important in dealing with this frightful pandemic. Already pundits are quipping that babies born 10 months from now will be labelled  the ‘coronial’ generation.

And I wonder how many of us look at the above Trump cartoon without seeing ourselves mirrored back to us? What blinders to our situation do we wear? In what ways to we ignore the obvious at our personal and collective peril? There is no cure, no needle, no antibiotic, no quick-fix to this deadly virus. The only way to control it – until a vaccine is created – from all evidence is to manage it; the only way to manage is to social distance ourselves. What does that mean? A few days ago, André Picard wrote a piece in the Toronto Globe and Mail, “Shut it Down: It’s time for Canada to get serious about social distancing” the article link is here . In the piece, the author advises us to manage the corona virus spread by limiting our social interactions and when we do have 2-person social interactions, to maintaining at least 2 metres physical distance between us. Fittingly, at the end, Picard quotes Canadian hockey legend, Wayne Gretzky’s advice, “skate to where the puck is going, not where it has been.” The virus is here, in our towns and cities and we need to move our reactions toward managing our health. Picard advised closing schools, mass gatherings like sports in arenas/stadia. And we are heeding his advice more and more. In our evolving lingo of managing the virus, we have become attentive to the concept of “flattening the curve” …

As Picard noted in his article, it is critical that we take measures like social distancing, avoiding large crowds. And to those steps we and/or some countries have adopted quarantining, school/educational institution closings, closing restaurants, shutting down other institutions, businesses, and services. These are very tough decisions with huge financial and service implications. And, we must do them – all of these measures are social-physical distancing at the population level.

For me, from all the evidence presented to us, any meeting between two people, is, in reality, a mass gathering. Why? The chain of people with whom each of those two people has been in contact comes with the meeting of those two people. Which one of them travelled recently, to where, with whom were they in contact? Who did they touch; who touched them? What can and should each of us do to social distance ourselves and heed warnings like this Canadian woman now quarantined in Barcelona, Spain. Carmen Lee speaks to her situation on lock-down in that city (with heartfelt thanks to my niece for finding it and posting it). It’s long and well worth reading and taking to heart:

Hello all, I am writing to you from my fourth day in coronavirus quarantine, here in Barcelona, Spain. This is a message to everyone- family, friends, former colleagues, peers and teammates back home (or wherever you are in the world). Please take this virus seriously. I want to share with you what is happening here now, what the consequences are of a delayed response. I hope this will help you to understand that all jokes and toilet paper memes aside, your action needs to be taken now.

A week ago here in Spain, we only talked about coronavirus. We already had some cases, but it just didn’t seem that bad. We saw the suffering in Italy and said “That won’t happen here.” Changes were not made. People still went out on the weekend, went to the gym, went to work, to school, etc. Preventing the spread of the virus was not a priority. Fast forward just 1 WEEK: Spain is now in a state of emergency. The virus is here and it is tearing through this country. I have coronavirus. My friends have coronavirus. Parents of children have coronavirus. Teachers, students, business people, researchers, politicians, bus drivers, etc. have coronavirus. In a matter of days, the number of confirmed cases spiked from just a few hundred to well into the thousands. Hospitals and medical clinics are completely and entirely exhausted, operating at over-capacity, with quickly depleting resources and staff. Hundreds of doctors, nurses and other medical personnel have caught the virus and have been issued to quarantine. Those who remain are working 24/7, non stop. It is not just the elderly or the immunocompromised who are checking in for treatment- people of ALL ages are needing medical care. With each passing day, the death toll rises and the situation grows more severe.

In just 1 WEEK the coronavirus has caused Spain to crumble and it appears the worst has yet to come. Now having one of the fastest rates of COVID-19 contagion in the entire world, the Spanish Prime Minister stated that the number of cases could top 10,000 by early next week- almost double the current level. Just yesterday, cases rose by 1,500. If the pressure on the health care system is already unbearable, then what could possibly happen in the following days? We could ask our dear friends in Italy, as they are about a week ahead of us, with thousands of infected people trying to get into hospitals with only a few spaces left. With doctors and nurses having to CHOOSE who to save and who to let die because there are not enough medical professionals, supplies or space left to treat the growing number of patients. The Spanish government can see we are following in Italy’s footsteps and the pressure is on, to make up for a lack of action taken in the beginning.

All schools and universities have shut down. Public events and sports games have been cancelled. Roads have been blocked, entire regions of the country are under lockdown and towns and villages have been quarantined. Businesses, cafes, restaurants, gyms, bars/cubs and shopping centres have all closed, with the exception of the supermarkets selling food and pharmacies. Police roam the streets to ensure people stay inside. The rest of the world can see the risk now too- 62 countries have suspended flights from Spain.

To think, if preventative action could have been taken just 1 week before, if the mindsets of people could have shifted 1 week earlier, we could be living a very different reality right now.

To all the people back home in Canada or wherever you may be, please understand that this virus will change things very quickly. Once it becomes an issue, it is very hard to control. Being proactive and taking precautions now is absolutely necessary; every day counts! Be diligent with your health practices and be responsible with your decision making to be out in public!!! Going to the bar, the mall, the movies, the gym, etc. is truly just not worth it right now!!! Save it for a week that isn’t potentially life threatening to you or the humans around you. Push for work weeks at home and online classes!! Nothing is worth the risk. Social distancing is CRITICAL. And if you are sitting there feeling like you don’t have to be cautious because you are young/healthy, PLEASE remember that we as human beings have a responsibility to look out for one another. You being careless could lead to the loss of someone’s grandmother or grandfather, someone’s parent, someone’s coworker, or someone’s friend. That is what is happening here and it’s a lot more difficult to stop now that it’s started.

I hope you take something away from this going forward. Stay home and be cautious. Start today if you haven’t already. You will make a difference!!! Please stay safe everyone.

Carmen Lee is no soothsayer as was the case in Shakespeare’s Julius Caesar and the soothsayer’s warning to him ~ Caesar had no choice, his fate was out of his control. On the contrary, Lee’s is the voice and experience of reason and at the Ides of March 2020, well worth heeding. And so, we have arrived at the place where we can adopt an ostrich posture, keep our heads buried, or we can heed the best social distancing advice I have seen:

If the f-word offends, then it does – better offend-ed than dead. This is the best movement, the very best way to manage the pandemic crisis and not repeat the Barcelona experience or be in denial as was (is?) President Trump.

I am a retired professor and privileged to be retired and confident I worked hard to enjoy my retirement. Some might see the StaytheFuckHome as easy for me or for those of us lucky enough to be able to work from and stay at home. The financial repercussions for me are very real as I watch my retirement investments dwindle by thousands of dollars each day. Clearly, many, many of us will be financially impacted in devastating ways. And still, the only valid way for each of us and all of us managing the pandemic is to socially distance and protect ourselves and others. In some ways, on a much larger scale, we can compare this to the ways in which we have come to learn about and believe in practicing safe sex – this is practicing safe humanity on a global scale. Does it mean not living our lives? Does it mean social isolation? No, it means managing our lives in a sensible and difficult manner, becoming accustomed to an extremely important new normal. We have all manner of methods and means to stay connected. Social media formats, often perceived as anti-social media by me because they are virtual platforms for social contact rather than live interaction, can play a huge role during this pandemic, keeping us connected, informed, socially distant, and safe.
 
Somewhere in a posting I just saw, the comparison was made to what our parents/grandparents/great grandparents were asked to do in going to war:
 
 
 
We, the poster caption states, are being asked to sit in our homes, not literally, but to stay home, wash our hands regularly, go out only when we need to do so, wear masks responsibly for the sake of everyone, and use common sense from a fully informed perspective – our ‘war’ is with the COVID-19 virus and that deadly virus will ‘March’ on every day. Our medical system cannot ‘fix’ this and it cannot handle the volume of patients that will absolutely need care if we don’t socially distance and take every precaution we can. The responsibility for our well-being and health is each individual’s responsibility. As I update this blog 4 days later, I urge readers to look at what is being reported from Bergamo, Italy – Wall Street Journal article. We can learn from Bergamo and get very determined to contain this virus. Not to decide is to decide. The health-pool is contaminated and wide open possibility is restricted for very, very good reasons. And yet we can make decisions and act to flatten this viral curve. Sadly, but with full commitment, I tumble home to staying at home and so, so wish everyone is able to do the same to the best of your ability. My hat is off in profound gratitude to front-line medical personnel who deal daily with the realities of those infected with the corona virus – those infected and those treating them do not have the privilege of choice to social distance and take the precautions as most of us have.