more grief and loss

Well, that’s the way it is.

The picture is from Lake Matinenda in Ontario.

broken three

I drop the fragment of rock with the seam a second time. Now I have three pieces. I stop there. When I climb back up the bank, I have an oxygen tank, a camera and rocks. It involves quite a bit of swearing and stopping to rest while I try to get enough oxygen.

Hopefully I will get better. I don’t know when or even if. My friend B says he wants to know what the pneumonia was, that triggered this round of pseudoautoimmune misery. I shrug. “We know some things it isn’t.” I say. “It isn’t covid-19, it isn’t influenza A or B, it isn’t respiratory syncytial virus, it probably is not strep A though I still haven’t had the second blood test. It isn’t pneumococcal pneumonia. It could have been mycoplasma pneumonia or pertussis or a very long list of viruses. Doctors are practical scientists, at least, I am. If the patient is getting better, don’t chase an answer that won’t add anything. I caught something, probably in the clinics where people kept taking off their masks when they were ‘alone’ in the room. They didn’t realize that they were breathing out viruses or bacteria that could take me out.” We aren’t exactly sure if the combined penicillin and clindamycin, high dose, helped or not. I think it did, but stress makes this worse too and it was a very very stressful time. Mean people, you know, and mean family. I just don’t understand what they are thinking.

I really think that post covid-19, we should wear a mask if we go out in public when we are sick. Because you don’t know which people are the vulnerable ones. I normally have lots of energy and I don’t think people would guess that I have had chronic fatigue and that I am terribly vulnerable to infection. In the clinic I owned, after I was sick in 2014, I asked any patient who was sniffling or coughing to wear a mask. “I get pneumonia easily,” I would explain. They had the right to refuse and then I would not see them. After I closed my clinic and went to work as a temp doc, I could not protect myself. I asked the nurses to ask people to PLEASE keep their masks on, but people are people. They didn’t. I had a bit of a PTSD reaction every time I walked into a patient room and they had masks off. I wanted to run out of the room screaming but I was more restrained and just said, “Please, please, PLEASE put your mask back on, other people have been in the room.” I didn’t add “And you might kill me.” because I only had 20 minutes for the visit…..

The pieces of rock are beautiful, aren’t they?

Here is a great song. Got it from this blog: https://reflectionsofanuntidymind.blog/2021/05/07/icky/

This is all for the Ragtag Daily Prompt: workshop. I like working with rocks. I have to decide what work to do next, since it’s no longer safe for me to do family medicine. It SUCKS. I really miss my peeps.

I have to get well first. If I do, what next?

Vaccine Adverse Event Reporting System (VAERS)

Anyone can report to the VAERS system.

Doctors may be a bit nervous about reporting covid-19 reactions. Doesn’t matter. You can report on your own.

That being said, I don’t recommend reporting if you feel like crap for a couple of days after the second shot. If it is severe, you need an ambulance or it goes on for more than say, five days, report.

The first shot is about 80% effective. So, 4 out of 5 people are protected, and 1 in 5 doesn’t take. After the second shot, about 95% are protected. That means 1:20 is not.

So if you responded to the first shot, you will have an antibody response to the second shot. I ran a fever of 102 for an hours and cancelled my day of work and the next day. You could have fever, chills, muscle aches, joint aches, whatever. Take a hot bath or sauna or hot tube, because you can sweat the antibodies out.

I would report reactions that last more than two days or are severe. You can fill the form out yourself online and send it to the CDC.

For the folks refusing the vaccine: Hello. Are you going to have covid-19 parties to infect each other? If you do and you get covid-19, I can tell you that I am glad I am not your doctor. Also I don’t want you in my house. I don’t want to be around you at the Farmer’s Market either. And I think that once everyone has had the opportunity to get the vaccine, if you refuse and get covid, you might have to pay your own doctor and hospital bill. Yeah, that is what I think. And if it bankrupts you: well, you had the opportunity to get the vaccine. Why should insurance have to pay? Or you might die. Death rate for world is holding at 2 out of 100. In the US it’s “only” 1.78 out of 100. That is a fungkload. It’s a lot of people. Choose not to get your vaccine and you could be one of them. I just found out this week that a friend from medical school died in November: age 59. Do not tell me it’s all 80 year old “who would have died anyway”. Each of us will die anyway and I don’t want to die of covid-19.

I took the photograph in medical school: it’s my fellow doctor who was found to have covid-19 after he died suddenly, age 59.

Aces again

I am singing: “You are coming up ACES!”

Ok, but, hopefully not. Because I am talking about ACE scores, Adverse Childhood Experiences. See the CDC website, this is all based on a ginormous Kaiser study in the 1990s.

Here: About the CDC-Kaiser ACE Study |Violence Prevention|Injury Center|CDC

Yep. A very very interesting topic for a rural family practice physician.

For the Ragtag Daily Prompt: ACE.

Container dream

I dream I am at a concert in a park. Or some very big event. With my significant other. It is a beautiful day, the sun is shining, the grass is green, there are rolling hills and trees. People are arriving.

There is a gasp of horror. There is a large box, like the hold of a ship. We hurry to look in: there are three open containers down inside, tops removed. They are full of children. Smuggled? Immigrants? The containers are surrounded by water. My significant other and I drop our things and climb down the long hold ladder into the water, which is cold, filthy, and comes up to my thighs. I’ve kicked off my sandals. We are wading to the containers. An ICE agent in a black uniform, bullet proof vest, belt with tools and guns, and riot helmet, blocks me and says, “You have to be wearing shoes to help.” He is handing out plastic stretchers. He can’t see my feet. Yes, I know it’s dangerous and my feet could get cut, but this is probably sewage and dangerous even with shoes. We should really be in hazmat gear but the kids could be dying. I just look at him, silent, and he hands me a stretcher.

Enough people have come forward, into the water, that all the kids have been placed in one of the containers. None of them are dead. They are being lifted out one by one, to ambulances. Now the hold is surrounded by rubberneckers. I climb out and find my purse and camera and shoes. I am grateful no opportunist has stolen them. The ICE agents are telling people to back off and give them room to work. The news crews are there and a Washington State politician says, “This is Washington State, we will take care of these children, we will not see them separated and incarcerated, I will see that they are returned to their parents.” Good luck, I think, but at least there are tons of witnesses and cameras and news crews.

I need to find somewhere to scrub my legs down with soap and to find my significant other. It’s getting more crowded.

I wake up.

And what I notice is that the water did not stink and was not full of lumps of floating excrement. As I wake I hope that I won’t catch something horrible and die….usually my dreams have full sound, color and smells too. I wonder where the children were from, and why, and whether they had some sort of sanitation….

freedom

For the Ragtag Daily Prompt #76: freedom.

Immigrant children separated from parents and placed in “camps”. This is concentration camp, jail. They have not been returned to their parents: https://www.npr.org/2018/06/19/621065383/what-we-know-family-separation-and-zero-tolerance-at-the-border. This is a horror committed by my country. Return the children to their parents.

The deer were in the empty lot across the street from my clinic yesterday. Both fawns went to check in with their parent when I got out of the car with my camera. Imagine the terror of a small child whose parents have been taken away.