Monthly Archives: March 2020

Stay at Home, and if You Cannot Some Practical Advice on Personal Protection from Coronavirus

Friends of Padre Steve’s World,

In our Commonwealth of Virginia, Governor Ralph Northam issued an executive order which under penalty of law dictated that all Virginians stay at home with limited exceptions until June 10th 2020. In doing so he joined the ranks of State Governors in 30 other states and the District of Columbia  to implement Stay at Home orders. Nineteen States have not issued them or allowed counties or cities do a patchwork of individual orders. Earlier in the month Northam had already shut down all but non-essential businesses and issued an order that limited any venue to a maximum venue of 10 patrons who had to observe a six foot social distance.

This came on the day that Virginia experienced its greatest increase in new cases since the disease hit with its first two infections on 28 February. Now there are 1,020 cases, and 25 deaths in the state. 993 of the cases are active which means that there have only been two people who recovered. Thus our death rate in Virginia is 92%. This will probably level out as the mild cases recover, but the disease is expanding at a relentless place here, as it is around the globe.

So what do any of us do to keep ourselves and others safe? Remember an infected person can remain asymptotic for up to 14 days, with the virus replicating by the millions by itself by attaching its particularly effective RNA receptors to the cells in our upper respiratory systems, or of you happen to get a good enough whiff, your lungs. In the latter case you will probably get a very bad pneumonia, and need ICU care and be put on a ventilator. In the the former case, which is the most common, you might experience mild symptoms that you recover from even as you spread the virus to others;  unless you practiced uncommon social distancing and washed your hands like you are supposed to do.

So I’m not going to pontificate. This shit is damned serious and everyone should be at the minimum taking CDC and WHO guidance seriously, as well as endure the pain of the momentary social isolation imposed by states and municipalities in order to save lives, maybe yours, your family members, friends, or co-workers.

My personal recommendation is that we all obey the legal, or voluntary actions to protect ourselves and others, but take it up a notch. Although WHO and the CDC initially said that it was not necessary to wear face masks, or gloves, many epidemiologists and virologists are suggesting otherwise. I wouldn’t be surprised if every national and international health agency begin to do what I suggest now, things that my wife and I are both doing. We don’t leave home without them.

First, if you have to go out for any reason, get some kind of protective face mask. The N-95 is the gold standard, but if you cannot get that, surgical masks or even scarves. The N-95 both ensures protection from the virus, as well as spreading it. The other options provide some protection to you or others, if you keep the six foot social distancing rule. That being said, there are a number of easily available designs suggested by doctors and nurses that provide protection that is reasonably close to the N-95. In fact they provide them on the internet who are willing to help make them for medical providers until N-95s and other personal protective equipment is available in the quantities required.

Likewise one should wear disposable vinyl gloves. If you cannot find them in a pharmacy you can get them online. It might take a week or two to get them, but get them. If you cannot get them get some rubber gloves, the kind that you use for dish washing or cleaning, but you will have to disinfect them after every use, and please make sure to make sure that when disinfecting them, disinfect your hands. Additionally make sure that you have disinfectant wipes at home, work, and in your vehicle. The Virus can live on solid surfaces for days, things like gas pumps, grocery shelves, tables, desks, car door handles, steering wheels, and shifters, not to mention door handles and hardware. To use an old Navy term, this is a no shitter.

However, as painful and inconvenient these measures are they are the only way to level the infection and death curve, prevent the collapse of our medical system, and make sure that we are ready for the next round in what many epidemiologists and virologists consider to be an 18-24 month battle.

By the way, here are the latest casualty reports from the novel Coronavirus War: 

Worldwide there are 786,536 cases, 37,861 deaths, and 165,660 recoveries. That is a 19% death rate, while 583,495 active cases. In the United States, which now leads the world in infections, but not yet deaths there are 164,266 cases, 3,170 deaths and 5,507 recoveries, a 37% death rate, with 155,589 active cases. Remember, on 8 March there were just 516 cases and just 21 deaths in the United States.

My advice is to take this is to do the right thing. Don’t believe conspiracy theories or in miracle cures. The first are simply lies, the second, deadly delusions promoted by charlatans who only want your money and couldn’t give a damn if you live or die.

Those are cold hard facts. Disbelieve them at the risk of your life and the lives of those you love, care about, or don’t even know.

Until tomorrow,

Peace,

Padre Steve+

 

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Filed under Coronavirus, Diseases Epidemics and Pandemics, News and current events

Very, Very, Very Dreadful: COVID-19 and Our Future


At Kroger Today 
Friends of Padre Steve’s World,

Albert Marrin wrote in his book Very, Very, Very, Dreadful: The Influenza Pandemic of 1918: 

“No other disease, no war, no natural disaster, no famine comes close to the great pandemic. In the space of eighteen months in 1918–1919, about 500 million people, one-third of the human race at the time, came down with influenza. The exact total of lives lost will never be known. An early estimate, made in 1920, claimed 21.5 million died worldwide. Since then, researchers have been continually raising the number as they find new information. Today, the best estimate of flu deaths in 1918–1919 is between 50 million and 100 million worldwide, and probably closer to the latter figure.”

The current novel Coronavirus pandemic may not kill as many people as the Great Influenza pandemic did, but the numbers that it will kill will be catastrophic, not only in the number of lives lost, but in the unrest it causes in so many nations will lead to civil wars, usurpation of powers by authoritarian regimes of various ideologies, and subsequent wars that it helps spawn in the coming years. And frankly, after 75 years of relatively small wars, which admittedly have and tragically killed millions of people, the global order has remained relatively stable, until now.

The instability in the global markets, rising unemployment, shortages of so many items that we have come to rely upon, is just the beginning, and the virus has just begun. If it follows the course of the 1918-1919 pandemic, which most scientists believe that it will this is just the first phase. The second will be a slight lessening of infections and deaths in the summer followed by an explosion of it in the fall and winter, and the third wave will be far deadlier than today’s. It may even mutate into a far deadlier strain, as of now we know of two strains of it, and who knows how many there will be in the fall and winter? I cannot say, but I would put money on at least two or three, which even if we can produce a vaccine for the current ones, in record time, the mutations may be immune to it.

We were completely unprepared for this despite knowing that we were due for a pandemic. While industry can produce record numbers of ventilators and PPE, in a relatively short period of time, even which may not be deployed soon enough for this first phase of the pandemic; they cannot produce qualified ICU doctors, nurses and technicians that fast.

Even when we get the beds and ventilators, as well as additional rooms, we will have to staff them with doctors and nurses without or with minimal ICU experience, most gained during their medical or surgical residencies, or rotations through them during nursing school. It takes a special breed of physician or nurse to work in critical care, just as it does to be a cancer specialist, Emergency Medicine Doctor or nurse, or name the medical field. The fact is that you cannot make such specialists in a limited amount of time, and thanks to our managed care, for profit, system we don’t produce enough of them anyway. They are much more valuable than the equipment they have to use.

If the hospitals of the First World are being overwhelmed, just imagine what will happen when the virus begins to explode in the Third World, where a lack of basic medical care is standard, and critical care physicians and nurses are at the university and government run medical centers in major cities, most often the national capitals. The virus will spread through the major cities with a vengeance, and then to the hinterlands. Millions will die, simply because they live in countries too poor, and often politically unstable to deal with it.

As of tonight the numbers continue to explode. As of this moment there are 722,916 cases of the COVID-19 Virus worldwide, and 33,976 deaths. This is up from 532,362 cases of COVID-19 and 24,090 deaths Friday.  Today 536,454 of the cases are still active. Of the closed cases 151,756 have recovered and 33,976 have died for a 18% death rate, up from 16% less than 48 hours ago. That is a increase in infections of 190,553 cases and an increase of 9,886 deaths in just 48 hours. Say what you want, but the numbers don’t lie.

The same is true in the United States the numbers are not encouraging because we are so far behind the testing and preparation stage. As of now there 142,178 cases, and 2,484 deaths, and 4,559 recoveries a death rate among the closed cases of But at this same time on 27 March there were 85,984 total reported infections with 1,300 deaths and 1868 recoveries. Currently 135,135 of these cases are active. The mortality rate among the closed cases is 35%. Sadly we are nowhere close to the peak, which despite efforts to mitigate the spread in some states, others are refusing to make take any precautions, including those bordering some of the hot spots where the virus is now exploding.

Thankfully, despite his many lies, obfuscations, and refusal to take responsibility for anything, while blaming state governments and even health care providers for the growth of the virus, has at least admitted that many more lives may be lost and expanded his restrictions on gatherings to at least April 30th. I expect that he will have to push it further back.

But Americans, especially his supporters hate this, and are likely in states they control will ease restrictions as early as next week.

However, it is late and I have to get ready to go to bed so I can get to work in the morning.

Until tomorrow,

Peace,

Padre Steve+

 

 

 

 

 

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Filed under Coronavirus, economics and financial policy, ethics, healthcare, History, leadership, natural disasters, News and current events, Political Commentary

Coronavirus and the Unthinkable: The Coming Need for Combat Mass Casually Triage

Friends of Padre Steve’s World,

We live in a vastly different world than we lived in just a few weeks ago. The President persists in repeating the mantra that nobody saw the novel Coronavirus coming, when in fact there were such creditable reports coming from China that even the Texas based H.E.B. Grocery chain began to prepare for it in January. The interesting fact is that we’re simply paying attention to unclassified, publicly available reports about it, and not the classified information being provided to the President by U.S. Intelligence agencies in January and February; information the President either paid no attention to or willingly ignored. Thus, unlike the people of H.E.B., the Federal government made no preparations for the coming pandemic. No wonder he persists in saying that no one saw it coming, it lets him off the hook, a victim of his own willful ignorance.

Because of this civilian hospitals are without enough room, ICU beds, isolation rooms, effective medications, respiratory ventilators, and Personal Protective Equipment, all known by the acronym PPE. Part of this is because we run a profit based medical system. ICUs are very expensive to maintain, if a hospital maintains a large surge capacity, it loses money.

They are not your general purpose hospital rooms; the really well equipped ones have  individual rooms, often equipped with negative pressure so infections cannot get into the rest of the ICU from being infected when the door is opened. they have to be staffed by highly trained physicians: Since most people in ICUs are dependent on some form of respiratory support, the Attending Physicians are usually Pulmonologists, or to put it simply, doctors who deal with the complexities of the human respiratory system. Depending on the patient they work with Cardiologists who deal with the heart, Neuro-surgeons, and Neurologists, who deal with the Brain and Central Nervous System; Cardio-thoracic surgeons, Gastroenterologists, Cancer Specialists, Rheumatologists, Renal Specialists, Trauma Surgeons, Burn Specialists, ENTs, Entomologists, Virologists, Radiologists, and host of other speciality disciplines. The nurses are not your ordinary nurses. They are RNs with certifications in critical care, cardiology. Neurology, and like the doctors a host of other disciplines, many have Masters and Doctorates, and nurses generally are assigned to work with one or two patients, where on a general medical or surgical ward that ratio might be one for every seven or eight patients. Then there are the respiratory therapist who run and maintain the ventilators and other breathing machines, the X-Ray techs, the phlebotomists, the lab techs, as well as LPNs, Nurse’s Aides, and Medical techs, and unit clerks who do the unglamorous work in the ICU. In really well equipped Medical Centers there are portable X-Rays, CT scanners, and Dialysis machines in the ICU. This doesn’t count the highly complex ICU beds, Cardiac monitors, IV pumps, and so much else to make them work. Let’s not mention the Chaplains, Social Workers and others who work with the patients, families, and treatment team in caring for each patient. I have spent a number of years as an ICU chaplain in major medical centers that are also teaching hospitals. I have seen my fair share of suffering and death, as well as the heroics of ICU staff members.

In normal times there are just enough ICU units and beds to treat those that require them, as well as all the equipment and personnel to keep them going. But many smaller hospitals lack this capacity, they are dependent on major medical centers, and local specialists and practices to supply what they need. The fact is that this pandemic has revealed just how unprepared we were for it.

This places doctors in a terrible conundrum. These physicians, nurses, and techs are devoted to saving lives, and most of the time the work heroically to saves the lives of men and women with multiple morbidity factors, or what some of us called “medical disaster areas,” because they were so sick that even heroics could not keep them alive. Statistically most Americans will spend a month or more of their final year alive in an ICU, when palliative care would be more human. ICUs are incredible, but too many people, influenced by television medical dramas believe that they are miracle centers, when they are not. As modern Americans we have forgotten the lessons of our ancestors, we no longer value life enough to make our dying loved ones comfortable, surround them with love, remember their lives, and let them to tell their stories and say goodbye. Instead we try to keep people alive without considering the pain and suffering that the treatments of their maladies cause  them, We have institutionalized death, and made very caring strangers responsible for the deaths of our loved ones, in sterile, mechanical, and unfamiliar places. I have seen too many of these deaths and remember so many of them. That my friends is just in normal times. These are not normal times.

Since we failed to prepare for it in the eight or so weeks that we had a chance to prepare for it, the novel Coronavirus, or COVID-19, has infected over 600,000 people worldwide and killed over 30,000, is now straining even the most prepared healthcare systems to the brink. Despite the quality of our care, our government, medical systems, businesses, and population were completely unprepared for this, except for those like H.E.B. and me who began to follow it early.

This pandemic is in the process of making providers have to upend normal triage. In normal times we treat the sickest and most likely to die first, those serious but not in a life and death battle second, and those healthiest and likely to survive their injuries or infections last. I remember on one horrible night back in 1994 at Parkland Memorial Hospital in Dallas, our ICUs we’re slammed and I was the on call chaplain for the entire 900 bed hospital. All six trauma bays were full, with people suffering gunshot wounds, burns, and injuries from motor vehicle crashes. The same was tru in our Medical ER where all three critical rooms were occupied, with two in the process of full code from contaminated crack cocaine overdoses. As I made my rounds in the ER, preparing myself to be with doctors as they got ready to tell family members that their loved ones were dead, a young man, on an overflow bed, being monitored every 20-30 minutes, with a flesh wound cause by a small caliber weapon in his thigh pulled me aside. He pleaded with me. “You’re the Chaplain, I’ve been shot, get me treated!” I told the young man, “I’ll be glad to do so if you want me to tell the doctors that are trying to keep people from dying that you need to be seen before the man with the gunshot wound in the head that just died, or the woman with massive crush injuries from a car crash who is trying to die, or the man with 70% of his body burned Who is unlikely to live, or any of the others we are trying to keep from dying, for you? You are stable and being monitored, you’ll get treated and walk out of here by tomorrow. So who do you choose?”  The young man was stunned by my bluntness. He then stammered out, “someone just died and others might?” I nodded my head and said, ”what do you want me to tell the doctors?” My words must have struck a nerve and revealed that he still had a conscience. He replied, “No sir, help them and pray for me, I’m sorry.” I said, “getting shot isn’t normal,  and it is scary, but I will pray for you and these doctors will take care of you.” He simply thanked me and grasped my hand. I said a brief prayer for him and moved on in a night that would have me deal with eight deaths, and doing my best to care for the dead, their loved ones, and our staff.

In the Coronavirus era, the young man might be treated first and the dying placed on an overflow bed in the ER. This is not about choosing what life matters more, but the hard fact that no matter how hard we try we cannot save the lives of some people regardless of how many resources we employ.

I learned these hard facts as a Medical Service Corps Officer in Germany at the height of the Cold War. In a NBC (Nuclear, Biological, Chemical) mass casualty event, or even an overwhelming conventional mass casualty event the triage of casualties is upended. In normal times we try to treat the most seriously injured or ill first. But in an environment where the ill or injured are infected by a biological agent that we cannot treat, or a chemical agent that will kill them anyway, or enough radiation exposure to kill them, or we are completely overwhelmed with casualties, we provide palliative care to the dying or most likely to die while minimizing their pain and suffering. instead we concentrate on saving the lives of those who have the best chance of living. As long as we have the resources and personnel we aggressively try to save the lives of people infected by Coronavirus, but if we don’t we need to issue “do not resuscitate“ or DNR orders in order to protect medical providers and to ensure that we save the maximum number of people regardless of their status in society.

In a combat environment, which I hate to say we are now in, a soldier with an otherwise treatable wound who has been exposed to a biological or chemical agent, is given palliative care. Likewise, you cannot run a full code on a person infected with Coronavirus because you risk infecting the treatment team, and other patients in the adjoining beds. That may sound heartless, but it is the most humane course of action. At the rate of expansion of COVID 19, more and more doctors and hospitals will be forced to make this choice.  Chaplains and nurses can care for the dying, so long as they use appropriate personal protective equipment in order to not become infected and pose a risk to others. No one likes this, but if resources and personnel cannot handle the numbers of those infected, then such measures are necessary, and I do not say this lightly. I have been through two pandemics, and combat. I value all life, but there are times when care has to be rationed. That is something I know from history, as well as my education and training. Every life might be sacred, but you cannot save everyone, and whether we like it or not, everybody dies.

That is what we are rapidly approaching now. In the past two days the number of deaths from novel Coronavirus-19 have doubled from 1,000 to 2,000. Since 8 March we have gone from 516 confirmed cases and 21 deaths to 123,750 infections and 2,227 deaths. That my friends is in 20 days. The rate of infection is increasing exponentially as the nation, led by a President who will not lead or take responsibility for his actions and that of his administration, desperately tries to contain it. The state governors who speak out asking for help for their citizens are demonized by the President and his cult like followers.  This isn’t about politics, it is about life and preserving it.

Mark my words, with a week hospitals in many major urban centers, and the understaffed, underfunded, hospitals throughout America’s Red State heartland will be having to make these terrible decisions about who lives and who dies. Sadly, the trail of guilt can be traced not just to Trump and his administration, but to leaders in both political parties, who refused to speak the truth when it was most needed.

I refuse to be one of them. I will speak truth to those in power as long as I can and provide my pastoral care to those who most need it, and I will not reject anyone, Christians, other believers, or those who struggle with belief or reject the entire concept of a Supreme Being. For me all that matters is that they are flesh and blood human beings in need of empathy and care, regardless of their beliefs.

So, that being said, I wish you peace, health, and the blessing of not having to make such decisions, unless you have to speak for a loved one who cannot speak for themselves.

We are in a war against an unseen enemy as well as others who want to destroy us. More often than not the President sides with those who want to destroy all of us regardless of party, race, religion, or ideology. Like it or not we are now dealing with a combat situation and  everything we knew before is  obsolete.

I have been preaching this for years, but because I deal with combat induced PTSD and other issues I have been sidelined by the Navy Chaplain Corps. But I won’t stop preaching to truth to power and caring for everyone in my care. Twenty-four years ago when I was ordained as a Priest in my former church, the Archdeacon made a prophecy that like Saint Stephen I would accept martyrdom joyfully.

Mind you, I am not one to take such utterances literally, and want to live as long and and happily as I can. Nor do I seek martyrdom be abuse I believe that God, whoever he or she may be is not a fan of such actions. That being said,  I want everyone I know to live through this and produce antibodies in their blood cells that will help others live. Likewise I will speak as long as I live against political, business, financial, military, or religious leaders who would use this crisis to consolidate and expand their powers at the expense of all over us, regardless of our race, ethnicity, religion, political or ideological beliefs may be.

But I am tired, so until tomorrow, please be careful out there.

Peace,

Padre Steve+

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Filed under Coronavirus, culture, Diseases Epidemics and Pandemics, ER's and Trauma, ethics, faith, History, laws and legislation, leadership, Military, News and current events, Political Commentary

I’m Still Standing: My 60th Birthday in the Midst of a Deadly Pandemic

Friends of Padre Steve’s World,

Today I celebrated my 60th birthday. Unlike past birthdays which we celebrated out with friends, tonight was different. You cannot go out to dinner. You can go to restaurants to pick up take out orders, but you cannot dine in. Likewise you cannot go to the movies, sporting events, or concerts.

So what we did was have take out from the place we have kind of found a home, it’s the West Beach Tavern on Cleveland Street in Virginia Beach. It’s basically a dive bar, but their food is great, beer selection pretty good, and the staff is wonderful. Likewise they have the best BBQ we have had since we lived in Texas, and my God, their cook, Mark, is amazing. He has one of the most amazing tasting Ruben sandwiches that I have ever had. The corned beef is marinated for at least twelve hours. Likewise, if it’s not on the menu he will find a way to make it, he is so creative, and all their food is made on premises from scratch.

The time together was nice, but Judy was tired. She has spent the last week and a half designing and making protective face masks, modeled after a standard surgical mask, but with a impermeable polypropylene layer between the cloth layers. She tried a couple of prototypes and has decided on one. She is supplying them to people, including nurses who are vulnerable to the disease. Likewise she spend last night making me a really cool little booklet of her own sweet yet somewhat twisted poetry and verse of different types. Since she had a couple of appointments this morning and didn’t get home until shortly before I did she made an early night of it. She is a hero to me. The masks are not relaxing for her to make, but she makes them because she cares.

Now I am downstairs watching the Netflix series Pandemic, with my wonderful Papillon girl Izzy at my side, and my little Papillon boy Pierre, across the room perched on the back of our couch as I nurse a glass of 12 year old, 8 years in Chardonnay cask, Glen Moray Speyside Single Malt Scotch.

While enjoying my birthday in a more somber fashion than usual wondering what is going to happen regarding the spread of the Coronavirus, how it will effect the world, the country, my family and friends, and even if it makes such an impact in the military that there will a Stop Loss that prevents military personnel from being discharged or retired. Since I am preparing to retire this could include me, and it is already making it hard for me to do the administrative, medical, and other tasks that I have to complete before I retire because most have to be done in person and many people are teleworking. Likewise, my VA disability claim submission that I need to do could well be delayed because you cannot do anything in person. What happens when the military doctors who need to conduct your retirement physical, as well as those you see for follow up care cannot see you, and what happens when the VA does not have the doctors and specialists needed to do their work to verify your disabilities and complete your claim? That is not just a question I am asking, but many others that I know.

That is about enough for the night but I have to post a reminder. As of today the United States is now the leader in the number of verified Coronavirus infections, far ahead of Italy and China, which just a few days ago were far ahead of us. The worldwide total of infections is almost 600,000 and and of those 436,534 are current, while there have been 27,365 deaths, with 133,363 recoveries, a 17% death rate. In the United States we now have 104,205 infections, of which 99,979 are current. Of the resolved cases 2,525 have removed, and 1,701 are dead, a death rate of 40%. These numbers around the world will certainly be far above that tomorrow. We are nowhere close to slowing the spread of the virus or even close to flattening the curve of infection.

So happy birthday Padre Steve, once more into the breach.

Peace,

Padre Steve+

 

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Filed under Coronavirus, Diseases Epidemics and Pandemics, History, Military

“The Power to Lead is the Power to Mislead, and the Power to Mislead is the Power to Destroy” The Responsibility of President Trump for the Coronavirus Pandemic in the United States

Friends of Padre Steve’s World,

Well here I go again. Thomas Mommsen wrote that “ The power to lead is the power to mislead, and the power to mislead is the power to destroy.” That one sentence sums up the essence of the Trump Presidency. I have watched several of the Coronavirus Task Force Briefings over the past week. They are painful to watch, at least while he is on stage. Unfortunately, President Trump must continue his attempt to act like a leader at each conference, and every time shows is lack up understanding of pandemics like COVID-19, and their broader effects, medically, sociologically, economically, and militarily; believe me I could name more areas where is lack of real leadership and poor acting ability, to convince us that he actually knows what he is doing is unending. As long as he stays on script during these briefings, uttering platitudes about his interactions with foreign leaders, Congress, and state governors he almost sounds like a real president. Then he goes off script and one knows that it is all an act, and a bad one at that.

The President is not a leader, he is a bad actor who is exposed every time he has to go off a prepared script. He would be better off to just stand in the background after making a short introductory statement, and let experts answer questions, but that is not him. He has to be what he is, a narcissistic sociopath who needs the adulation of others and has a very thin skin. He has to be center stage  and doesn’t have the self-awareness to know that most people see through his shtick. He’s a bad actor, not a leader. General Douglas MacArthur said:

“A true leader has the confidence to stand alone, the courage to make tough decisions, and the compassion to listen to the needs of others. He does not set out to be a leader, but becomes one by the equality of his actions and the integrity of his intent.” 

Bottom Line Up Front: Donald Trump and his administration were warned about the Coronavirus pandemic when it was still en epidemic, mostly contained to China. The warnings of scientists and U.S. intelligence agencies were ignored, depreciated, and called fake news as President Trump and his willing accomplices assured the country that there was nothing to fear. That isn’t leadership, that is bad acting. As Bo Bennett noted: “Faked enthusiasm is worse than bad acting – it is bad acting with the intent to deceive.” 

Likewise, the man has no sense of politics or leadership. He doesn’t understand or care that setting people up to die when you can mitigate the losses is not only irresponsible, but criminal, because Americans are dying, and he cannot even go to a hospital where that is happening and show any empathy, because he has none, and what he doesn’t have he cannot five. Gustave Gilbert, the US ist  Army Psychologist assigned to the major war criminals at Nuremberg that the one thing that they all had in common was an absence of empathy. Gilbert noted that “Evil,is the absence of empathy.”

The words of Gustave Gilbert describe the President, many members of the Administration, the GOP national committee, his fawning allies in Congress, and his state propaganda network, Fox News, as well as many radio talk show hosts headed by the dying Rush Limbaugh show the same lack of empathy, to a tee. That my friends is the bad news, but what follows is worse because at least all of the American deaths from COVID-19 are on them, every one of those sociopaths masquerading as conservatives. To think that until 2008 I was one of them, grieves me, but then I have a conscience and they don’t. They have ideology, and ideology can never can never replace morality or humanity.

As of this moment there are  532,362 cases of the COVID-19 Virus worldwide, and 24,090 deaths. This is up from 471,035 cases of COVID-19 and 21,283 deaths yesterday. Today 383,824 of the cases are still active. Of the closed cases 124,349 have recovered and 24,090 have died for a 16% death rate, up from 14% less than 72 hours ago. That is a increase in infections of 60,841 and nearly 2,792 increase in deaths in just 24 hours. Arnold Glaslow noted: “One of the tests of leadership is the ability to recognize a problem before it becomes an emergency.”  This was not a strong point of Trump or his administration when the problem was first reported to them. Not only did they ignore the scientific and intelligence reports, they denied them and called them lies, while spouting lies to blame others and insulate themselves from any blame.

I know that I am beginning to sound like a broken record, but the leadership and response of the Trump Administration to it has been abysmal, despite the warnings of U.S. Intelligence Agencies that the pandemic was coming, the administration did nothing. The President made light of it, said that it would have little impact, and played the part of Denier in Chief for two months, but then the stock markets crashed, and all of a sudden the President decided it was no longer fake news and ordered Vice President Pence to head up the effort to contain the virus and its effects. To his credit Pence did. try, and some policy changes began to occur, but to tell the truth, it was too little too late. The Virus had been spreading in the United States for weeks before Pence even received the mission. As a result the virus spread to tens of thousands of people, many who didn’t or don’t know that they are even infected, who in turn spread the virus without realizing they are doing so.

Because I have worked in ICUs and ERs in major civilian and military hospitals in two past pandemics; AIDS during its most deadly period the early to mid-1990s before effective drugs were developed to help infected people live somewhat normal lives. The in 2009 I was in a different Medical Center dealing with H1N1. As such I have been following the COVID-19 infection numbers and death rates with interest since it first came on the scene, but much more so when the first case appeared in Washington in mid-January. Now for the last month I have been watching the progress of the virus by following the data supplied by the CDC, Johns Hopkins, WHO, and this website https://www.worldometers.info/coronavirus/ .  It tends to be updated more frequently than the other sites, mostly because it is relying on updates as they are released by countries, and in the case of the United States, the states, the District of Columbia, and U.S. Territories.  It is one of the sites mentioned in DOD and Navy message traffic to use in getting solid data and updates about COVID 19.

In the United States  https://www.worldometers.info/coronavirus/country/us/there are now 85,594 cases, up over 17,000 in the last 24 hours. At midnight on 26 March there were 85,984 total reported infections with 1,300 deaths and 1868 recoveries. Currently 84,426 of these cases are active. The mortality rate among the closed cases is 39%.

The biggest issue has been the delay in testing and unavailability of test kits. Likewise we are now facing an acute shortage of ICU beds and ventilators, as well as severe shortages of PPE (personal protective equipment) for health workers and first responders, which would include police, fire, and EMS. Likewise there is a critical shortage regular hospital beds and places to put them because our system of managed care does not deem surge capacity important. The Army is deploying several field hospitals while the Navy is deploying the 1000 bed  USNS Mercy and USNS Comfort to Los Angeles and New York.

These numbers change multiple times a day depending on when countries, or in the case of the U.S. our states and territories report their daily data. The disturbing item to me is that with the exception of China, South Korea, and Japan and a few other Asian countries that instituted draconian measures to flatten the infection curve, the virus is showing exponential growth in the United States and western Europe. The reason it hasn’t exploded in many underdeveloped Second and Third World countries is that it was most likely late getting there because they are out of the way and do not get the kind of visitor, tourist, and business traffic that Western Europe and the United States have. Likewise they do not have the test kits or adequate medical care to document the spread. However, once it takes hold it will become a killing machine, wiping out millions in those unfortunate countries, and probably leading to more refugees, infections, and deaths.

Likewise one has to take into account Russia, North Korea, Venezuela, and Cuba which all under-report or fail to report infections and deaths. North Korea has reported no cases or no deaths as incredulous as that may sound, but reports from that county say that anyone showing symptoms is taken out and shot. Russia, for a large country between China and Europe reports under 1,000 infections and very few deaths, while reporting almost 7,000 more deaths from pneumonia than last year. Pneumonia is almost always the cause of death for those infected with COVID-19. Coincidence, I think not, especially when Vladimir Putin was photographed coming out of a hospital in complete biological hazard protective equipment. Non permeable suite, helmet with respirator, facial protection, and gloves. that is not normal for a regular hospital visit, even to people with active pneumonia.

Nineteen days ago, on 8 March, the United States reported 541 infections and 22 deaths. By March 18th there were 9,259 cases and 150 deaths. Four days later we were at 46,182 cases and 582 deaths, a death rate of 66%, well over the worldwide percentage. Two days later we were over 66,000 infections and over 1,000 deaths. Now we lead the world in number of infections, as deaths are spiking.

But expect we can eventually expect this to fall to somewhat  closer to the world average. But we are not there yet, and this will only get worse with more infections and deaths until the Federal government led by President Trump takes ownership and provides leadership we will have a patchwork of state and local response that only can provide porous protection against the virus. Leading is different than acting, being President is not the same as being the host of a tyrannical reality TV show.

Likewise, unlike China, we are not a police state with a population used to millennia of authoritarian rule that can use truly draconian measures, including welding people’s doors shut, and using massive numbers of police and military personnel to enforce a policy of social isolation, sadly that kind of policy, is the only one proven to be successful at flattening the curve of infection. Likewise, the testing of every swinging Richard and Mulva for the virus is the only way to trace its spread, and focus resources where they need to be sent, as South Korea demonstrated. But our administration refuses to test everyone, saying that it is not necessary, thus we will not have an accurate understanding of the spread of the virus, nor know how many people have been infected.

Since the virus is often spread through people who are asymptomatic, and many people refuse to self-isolate or in public violate the six foot buffer zone, I recommend that any person who reads this article practices an abundance of caution for two reason; first two protect themselves, and then, just in case they are infected but are asymptotic, protect themselves and others from getting the virus. This should be the case anytime they leave their homes to do necessary shopping, or go to a medical appointment. Anyone who goes out should not only observe the measures issued by the CDC, but go further. Personnel and their families should wear some kind of surgical, or other mask to reduce the possibility of transmission protecting them, and in case they are asymptomatic anyone they come in contact. These can be hard to find but there are a number of groups or individuals making relatively effective face masks, which though not to the N-95 standard would give them a modicum of protection. Some of the designs and patterns are online. Likewise I recommend that when leaving home that personnel wear vinyl disposable gloves, carry some kind of hand sanitizer (if you can get it) , wash your hands after every physical contact with a probably contaminated surface, and care antiseptic wipes in your car to wipe down the steering wheel, door handles, and gas pumps.

Call this an abundance of caution on my part, but the virus knows no borders, races, religions, rank or status.

However, almost every day after occasionally acting the part of a real President, Trump continually goes back to his baseline. he blames everyone but himself, and 12 days into a 15 day campaign to try to stop the virus by social distancing and shutting down businesses, he is threatened to reverse a key public health decision he made because the “economic costs might be higher than the virus itself.” He walked that back a bit yesterday, but, yesterday he doubled down on that topic. None of us knows what today or tomorrow will bring, but now many of his propaganda team are urging that he end his social distancing policy, reopen business and let vulnerable people die, all to save the stock markets. Adam Smith, the originator of capitalism would deplore.

In his news conference comments last night, as the two previous nights before, he tried to make his threat sound a little more humane by suggesting that isolated people were more prone to suicide, and would would outnumber the people infected and killed by the virus. That is not true. While I know that social isolation can be a killer, its effects can be mitigated by people that care. That cannot be said of the virus.

However, if people go back to work, and stores and restaurants are opened just as the virus is hitting full stride the infection and death rate will make those of the past few days look like peanuts. Millions more will be infected, and many of them will die. As the true believers and investors realize that Trump deceived them, the economy will collapse like a house of cards. Not just because of the effects of the virus, but because the business leaders, stock holders, and even his some of his cult followers will abandon him because they will finally realize that they mean nothing to him. However, there are plenty who will choose to die in his bunker with him.

So, as I did last night, I highly recommend that anyone reading this read the books, The Great Influenza: the Story of the Deadliest Pandemic in History by John Barry, as well as And the Band Played On, by the late Randy Shilts, and Barbara Tuchman’s A Distant Mirror: the Calamitous Fourteenth Century. They are all worth the read. History has much to teach anyone who dares to read it without political or ideological blinders.

So, because I am tired I wish you a good night. Until tomorrow,

Peace,

Padre Steve+

4 Comments

Filed under Coronavirus, Diseases Epidemics and Pandemics, History, leadership, Military, ministry, national security, Political Commentary

Exponentially Exponential, COVID-19 and Reality, not Fantasy

Friends of Padre Steve’s World,

I know that I am beginning to sound like a broken record. That being said I must tell the truth, even if it appears repetitive. In Star Trek the Next Generation, Captain Jean Luc Picard gave Wesley Crusher the following words of wisdom.

“the first duty of every Starfleet officer is to the truth, whether it’s scientific truth, historical truth or personnel truth…”

Bottom Line Up Front: As of this moment there are 471,035 cases of the COVID-19 Virus worldwide, and 21,283 deaths. This is up from 381,699 cases of COVID-19 and 16,558 deaths. Today 335,534 of the cases are still active, of the closed cases 114,218 have recovered and 21,283 have died for a 16% death rate, up from 14% less than 48 hours ago. That is a 90,000 increase in infections and nearly 5,000 increase in deaths in that short timespan.

I know that I am beginning to sound like a broken record, but the response of the Trump Administration to it has been abysmal, despite the warnings of U.S. Intelligence Agencies that the pandemic was coming, the administration did nothing. The President made light of it, said that it would have little impact, and played the part of Denier in Chief for two months, but then the stock markets crashed, and all of a sudden the President decided it was no longer fake news and ordered Vice President Pence to head up the effort to contain the virus and its effects. To his credit Pence did. try, and some policy changes began to occur, but to tell the truth, it was too little too late. The Virus had been spreading in the United States for weeks before Pence even received the mission. As a result the virus spread to tens of thousands of people, many who didn’t or don’t know that they are even infected, who in turn spread the virus without realizing they are doing so.

Because I have worked in ICUs and ERs in major civilian and military hospitals in two past pandemics; AIDS during its most deadly period the early to mid-1990s before effective drugs were developed to help infected people live somewhat normal lives. The in 2009 I was in a different Medical Center dealing with H1N1. As such I have been following the COVID-19 infection numbers and death rates with interest since it first came on the scene, but much more so when the first case appeared in Washington in mid-January. Now for the last month I have been watching the progress of the virus by following the data supplied by the CDC, Johns Hopkins, WHO, and this website https://www.worldometers.info/coronavirus/ .  It tends to be updated more frequently than the other sites, mostly because it is relying on updates as they are released by countries, and in the case of the United States, the states, the District of Columbia, and U.S. Territories.  It is one of the sites mentioned in DOD and Navy message traffic to use in getting solid data and updates about COVID 19.

In the United States  https://www.worldometers.info/coronavirus/country/us/there are now 68,203 cases, up over 22,000 in less than 48 hours. At midnight on 25 March there were 46,145 total reported infections with deaths. Currently 66,782 of these cases are active. 1421 cases are closed and of that number only 394 have recovered and been discharged, but 1,027 have died, giving us a 72% mortality rate. The biggest issue has been the delay in testing and unavailability of test kits. Likewise we are now facing an acute shortage of ICU beds and ventilators, as well as severe shortages of PPE (personal protective equipment) for health workers and first responders, which would include police, fire, and EMS. Likewise there is a critical shortage regular hospital beds and places to put them because our system of managed care does not deem surge capacity important.

These numbers change multiple times a day depending on when countries, or in the case of the U.S. our states and territories report their daily data. The disturbing item to me is that with the exception of China, South Korea, and Japan and a few other Asian countries that instituted draconian measures to flatten the infection curve, the virus is showing exponential growth in the United States and western Europe. The reason it hasn’t exploded in many underdeveloped Second and Third World countries is that it was most likely late getting there because they are out of the way and do not get the kind of visitor, tourist, and business traffic that Western Europe and the United States have. Likewise they do not have the test kits or adequate medical care to document the spread. However, once it takes hold it will become a killing machine, wiping out millions in those unfortunate countries, and probably leading to more refugees, infections, and deaths.

Likewise one has to take into account Russia, North Korea, Venezuela, and Cuba which all under-report or fail to report infections and deaths. North Korea has reported no cases or no deaths as incredulous as that may sound, but reports from that county say that anyone showing symptoms is taken out and shot. Russia, for a large country between China and Europe reports under 1,000 infections and very few deaths, while reporting almost 7,000 more deaths from pneumonia than last year. Pneumonia is almost always the cause of death for those infected with COVID-19. Coincidence, I think not, especially when Vladimir Putin was photographed coming out of a hospital in complete biological hazard protective equipment. Non permeable suite, helmet with respirator, facial protection, and gloves. that is not normal for a regular hospital visit, even to people with active pneumonia.

Fewer than two and a half weeks ago, 8 March, the United States reported 541 infections and 22 deaths. By March 18th there were 9,259 cases and 150 deaths. Four days later we were at 46,182 cases and 582 deaths, a death rate of 66%, well over the worldwide percentage. Two days later we are at over 66,000 infections and over 1,000 deaths.  But expect we can eventually expect this to fall to somewhat  closer to the world average. But we are not there yet, and this will only get worse with more infections and deaths until the Federal government led by President Trump takes ownership and provides leadership we will have a patchwork of state and local response that only can provide porous protection against the virus. We are not a police state with a population used to millennia of authoritarian rule.

Since the virus is often spread through people who are asymptomatic, and many people refuse to self-isolate or in public violate the six foot buffer zone, I recommend that any person who reads this article practices an abundance of caution for two reason; first two protect themselves, and then, just in case they are infected but are asymptotic, protect themselves and others from getting the virus. This should be the case anytime they leave their homes to do necessary shopping, or go to a medical appointment. Anyone who goes out should not only observe the measures issued by the CDC, but go further. Personnel and their families should wear some kind of surgical, or other mask to reduce the possibility of transmission protecting them, and in case they are asymptomatic anyone they come in contact. These can be hard to find but there are a number of groups or individuals making relatively effective face masks, which though not to the N-95 standard would give them a modicum of protection. Some of the designs and patterns are online. Likewise I recommend that when leaving home that personnel wear vinyl disposable gloves, carry some kind of hand sanitizer (if you can get it) , wash your hands after every physical contact with a probably contaminated surface, and care antiseptic wipes in your car to wipe down the steering wheel, door handles, and gas pumps.

Call this an abundance of caution on my part, but the virus knows no borders, races, religions, rank or status.

However, yesterday and today, after occasionally acting the part of a real President, Trump went back to his baseline. At his briefing last nought he again blamed everyone but himself, and 10 days into a 15 day campaign to try to stop the virus by social distancing and shutting down businesses, he threatened to reverse a key public health decision he made because the “economic costs might be higher than the virus itself.” He walked that back a bit yesterday, but who knows what today or tomorrow will bring, but now many of his propaganda team are urging that he end his social distancing policy, reopen business and let vulnerable people die, all to save the stock markets. Adam Smith, the originator of capitalism would deplore.

In his news conference comments last night, as the night before, he tried to make his threat sound a little more humane by suggesting that isolated people were more prone to suicide, and would would outnumber the people infected and killed by the virus. That is not true. While I know that social isolation can be a killer, its effects can be mitigated by people that care. However, if people go back to work, and stores and restaurants are opened just as the virus is hitting full stride the infection and death rate will make those of the past few days look like peanuts. Millions more will be infected, and many of them will die. As they,  the true believers and investors realize that Trump deceived them, the economy will collapse like a house of cards. Not just because of the effects of the virus, but because the business leaders, stock holders, and even his cult followers will abandon him because they will finally realize that they mean nothing to him.

I highly recommend that anyone reading this read The Great Influenza: the Story of the Deadliest Pandemic in History by John Barry, as well as And the Band Played On, by the late Randy Shilts, and Barbara Tuchman’s A Distant Mirror: the Calamitous Fourteenth Century. They are all worth the read. History has much to teach anyone who dares to read it without political or ideological blinders.

So, because I am tired I wish you a good night.

Peace,

Padre Steve+

1 Comment

Filed under authoritarian government, Coronavirus, Diseases Epidemics and Pandemics, ethics, faith, History, laws and legislation, News and current events, Political Commentary

Playing With Fire in a House Filled With Gas: Trump Places Stock Markets and Profits above People

Friends of Padre Steve’s World,

Bottom Line Up Front: As of this moment there have been 381,699 cases of COVID-19 worldwide, with a total of 16,558 deaths. 262,657 of the cases are still active, of the closed cases 102,489 have recovered and as mentioned 16,558 have died for a 14% death rate.

I know that I am beginning to sound like a broken record, but the response of the Trump Administration to it has been abysmal, despite the warnings of U.S. Intelligence Agencies that the pandemic was coming, the administration did nothing. The President made light of it, said that it would have little impact, and played the part of Denier in Chief for two months, but then the stock markets crashed, and all of a sudden the President decided it was no longer fake news and ordered Vice President Pence to head up the effort to contain the virus and its effects. To his credit Pence did. try, and some policy changes began to occur, but to tell the truth, it was too little too late. The Virus had been spreading in the United States for weeks before Pence even received the mission. As a result the virus spread to tens of thousands of people, many who didn’t or don’t know that they are even infected, who in turn spread the virus without realizing they are doing so.

Because I have worked in ICUs and ERs in major civilian and military hospitals in two past pandemics; AIDS during its most deadly period the early to mid-1990s before effective drugs were developed to help infected people live somewhat normal lives. The in 2009 I was in a different Medical Center dealing with H1N1. As such I have been following the COVID-19 infection numbers and death rates with interest since it first came on the scene, but much more so when the first case appeared in Washington in mid-January. Now for the last month I have been watching the progress of the virus by following the data supplied by the CDC, Johns Hopkins, WHO, and this website https://www.worldometers.info/coronavirus/ .  It tends to be updated more frequently than the other sites, mostly because it is relying on updates as they are released by countries, and in the case of the United States, the states, the District of Columbia, and U.S. Territories.  It is one of the sites mentioned in DOD and Navy message traffic to use in getting solid data and updates about COVID 19.

In the United States  https://www.worldometers.info/coronavirus/country/us/ there have 46,145 total reported infections with deaths. Currently 40,185 of these cases are active. 670 cases are closed and of that number 295 have recovered and been discharged, but 582 have died, giving us a 72% mortality rate. The biggest issue has been the delay in testing and unavailability of test kits. Likewise we are now facing an acute shortage of ICU beds and ventilators, as well as severe shortages of PPE for health workers and first responders, which would include police, fire, and EMS. Likewise there is a critical shortage regular hospital beds and places to put them because our system of managed care does not deem surge capacity important.

These numbers change multiple times a day depending on when countries, or in the case of the U.S. our states and territories report their daily data. The disturbing item to me is that with the exception of China, South Korea, and Japan and a few other Asian countries that instituted draconian measures to flatten the infection curve, the virus is showing exponential growth in the United States and western Europe. The reason it hasn’t exploded in many underdeveloped Second and Third World countries is that it was most likely late getting there because they are out of the way and do not get the kind of visitor, tourist, and business traffic that Western Europe and the United States have. Likewise they do not have the test kits or adequate medical care to document the spread. However, once it takes hold it will become a killing machine, wiping out millions in those unfortunate countries, and probably leading to more refugees, infections, and deaths.

Two weeks (March 8th)  ago the United States reported 541 infections and 22 deaths. By March 18th there were 9,259 cases and 150 deaths. Four days later we are at 46,182 cases and 582 deaths, a death rate of 66%, well over the worldwide percentage. But expect this to fall to somewhat  closer to the world average. However, that being said, statistics at the beginning of a season do not necessarily reflect those at the end of the season.

Since the virus is often spread through people who are asymptomatic, and many people refuse to self-isolate or in public violate the six foot buffer zone, I recommend that any person who reads this article practices an abundance of caution for two reason; first two protect themselves, and then, just in case they are infected but are asymptotic, protect themselves and others from getting the virus. This should be the case anytime they leave their homes to do necessary shopping, or go to a medical appointment. Anyone who goes out should not only observe the measures issued by the CDC, but go further. Personnel and their families should wear some kind of surgical, or other mask to reduce the possibility of transmission protecting them, and in case they are asymptomatic anyone they come in contact. These can be hard to find but there are a number of groups or individuals making relatively effective face masks, which though not to the N-95 standard would give them a modicum of protection. Some of the designs and patterns are online. Likewise I recommend that when leaving home that personnel wear vinyl disposable gloves, carry some kind of hand sanitizer (if you can get it) , wash your hands after every physical contact with a probably contaminated surface, and care antiseptic wipes in your car to wipe down the steering wheel, door handles, and gas pumps.

Call this an abundance of caution on my part, but the virus knows no borders, races, religions, rank or status.

However, yesterday and today, after occasionally acting the part of a real President, Trump went back to his baseline. He blamed everyone but himself, and 8 days into a 15 day campaign to try to stop the virus by social distancing and shutting down businesses, he threatened to revere a key public health decision because the “economic costs might be higher than the virus itself.”  In his news conference comments he tried to make his threat sound a little more humane by suggesting that isolated people were more prone to suicide, would outnumber the people infected and killed by the virus. While I know that social isolation can be a killer, its effects can be mitigated by people that care. However, if people go back to work, stores and restaurants are opened just as the virus is hitting stride the infection and death rate will make those of the past few days look like peanuts. Millions will be infected, and many of them will die, and the the economy will collapse like a house of cards. Not just because of the effects of the virus, but because the business leaders, stock holders, and even his cult followers will abandon him because they will finally realize that they mean nothing to him.

So, because I am tired I wish you a good night.

Peace,

Padre Steve+

9 Comments

Filed under Diseases Epidemics and Pandemics, economics and financial policy, History, laws and legislation, leadership, life, Military, News and current events, Photo Montages