Category Archives: News and current events

COVID-19: Living with its Reality While Being Brave and Caring While Acknowledging our Fears

Friends of Padre Steve’s World,

T.S. Elliot penned these words: “Humankind cannot bear very much reality.” 

The sad fact is that Drs. Birx and Fauci have been quietly trying to brace the President and many of us for reality. Despite all the falsehoods and false hopes that emanated from the mouth of the President  between January and the beginning of March they, like them or not, soldiered on when many would have quit. All the President’s  denials, delays, disinformation, claims of fake news, bragging about his success, attacking  political opponents, and demonizing real news agencies, and reporters by name did not keep them from pushing back. I am not sure, but I suspect that Vice President Pence began to trust them helped push the President into accepting reality that the numbers that will die in the United States are far beyond anything that he ever would admit. Today they admitted that 100,000 to 240,000 could die, and that with successful mitigation. The same models predict a million and a half to two and a half million deaths without “successful” mitigation efforts. Who knows what April will bring, but I don’t think most American leaders or their followers are willing to deal with the hard truth that lay before us.

What our states are now beginning to do may be too little and to late to prevent an even higher death toll. Truthfully, based on the deadliness COVID-19 has demonstrated in our country where a lot more people in the 20-50 year old bracket are falling victim than was expect, I think, though I desperately  want to be wrong, and a quarter of a million is a low estimate based on the historical tendency for Americans to not obey the rules, trust science, or the government.

The terrible thing is that now the President would consider a death toll of 100,000 a “victory.” Had the President and  administration prepared for the virus when they were warned, we would have had a chance at minimizing the death toll, like South Korea.

But here we are facing one of the most catastrophic moments in the history of our country. We have to pull together, work together, and fight this together. Political, ideological, and religious animosity has to be chucked over the rails of this ship called America if we are not to sink. As one of the signers of the Declaration of Independence said, “we either hang together or we hang separately.”

Sadly, I have the feeling that many Americans will not believe until they, their family members, and friends start dying. As C.S. Lewis wrote in A Grief Observed:

“We were promised sufferings. They were part of the program. We were even told, ‘Blessed are they that mourn,’ and I accept it. I’ve got nothing that I hadn’t bargained for. Of course it is different when the thing happens to oneself, not to others, and in reality, not imagination.”

That my friends is the reality that we face. No matter our religion, lack thereof, or ideology may be, we are all human. Unless we are true narcissistic sociopaths, the deaths of friends and loved ones strike the very core of our innate human finiteness. They remind us that we too are mortal, and part of a community. I have friends across the religious and political spectrum, even people who disagree with me vehemently on various matters. But the death of any of them would involve grief that I cannot explain.

So now the latest COVID-19 casualty report. Worldwide there are 858,669 cases, 42,151 deaths, and 178,099 recovered. The get the death rate we do not uses the total infections. John’s Hopkins uses the total number infected, but since that number is always changing it is unreliable. Instead you have to use the total cases completed by either death or recovery, as the denominator. You divide the number of deaths by the number of completed cases. That rate is now 19% worldwide. In the United States there are now 188,530 total cases, 3,889 deaths and  7,251 people who have recovered, a 35% death rate. Of course as the minor infections recover the rate will most likely go down, to between 5 and 10%, not the 1-3% that some estimated just weeks ago. This is a killer virus, much worse than any flu. I’m not a scientist, but a historian. The great Spanish Influenza of 1918-19 killed over 600,000 Americans, and based on the latest estimates nearly 50 million deaths worldwide, and the populations, especially those living in major metropolitan cities, were far less than they are today.

John Barry, author of The Great Influenza: the Story of the Greatest Pandemic in History  wrote:

“overstate to make a point—warned, civilization could have disappeared within a few more weeks. So the final lesson of 1918, a simple one yet one most difficult to execute, is that those who occupy positions of authority must lessen the panic that can alienate all within a society. Society cannot function if it is every man for himself. By definition, civilization cannot survive that. Those in authority must retain  the public’s trust. The way to do that is to distort nothing, to put the best face on nothing, to try to manipulate no one. Lincoln said that first, and best. A leader must make whatever horror exists concrete. Only then will people be able to break it apart.”

The lesson is that truth even in the face of unimaginable disaster and loss of life, must be told. The same is true with how to mitigate the threat. Fear is a natural response, and anyone involved in a war, which this is, is not unreasonable, especially when there is no vaccine, should demonstrate a measure of reasonable fear. General George Patton wrote words that should be absorbed by everyone facing this virus today:

“If we take the generally accepted definition of bravery as a quality which knows no fear, I have never seen a brave man. All men are frightened. The more intelligent they are, the more they are frightened.”

That means that we can be frightened, yet brave. We must continue to life life and care for others even as we use social distancing and other prevention measures.

As Captain Jean Luc Picard in Star Trek the Next Generation said: “the first duty of every Starfleet officer is to the truth, whether it’s scientific truth, historical truth or personnel truth…”

Our leaders regardless if the are political, scientific, media, military, religious, or medical leaders must tell the truth, and then do the hard things in order to survive without becoming the dystopia of a world like the Mad Max films, novels like 1984, or so many examples from history and fiction.

We need leaders who tell the truth, and we need to act, despite our fears to defeat this threat. As Winston Churchill said in Britain’s darkest hour, “I have nothing to offer but blood, toil, tears and sweat,” our leaders regardless of party or ideology have to stop offering meaningless but comforting words, and tell the truth. If they don’t we will experience worse than we could imagine. As the English comedian Rowan Atkinson uttered in the BBC comedy series, Black Adder: “a fate worse than a fate worse than death.”

100,000 to 2400,000 preventable deaths is not a victory, it is a needless sacrifice of human life. Each of the dead is more than a number or name, they are human beings who leave behind parents, brothers and sisters, sons and daughters, grandchildren, friends, and coworkers. Each death leaves a hole in the heart of someone who loved and cared for them, that cannot be filled by empty words.

Until tomorrow, and with hope for the future. Please be careful out there,

Peace,

Padre Steve+

 

 

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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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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

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+

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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+

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An Exponential Increase in People Killed or Infected by COVID-19


Erring on the Side of Caution 

Friends of Padre Steve’s World,

In early January a dread came over me when I first read about the novel Coronavirus in China, and the head that the first case in the U.S. had been diagnosed in Washington State. I knew then that things would get much worse before they ever got better. But for fear of being labeled a fear monger or crazy person. At that time the threat was being downplayed except by intelligence agencies whose warnings we not heeded.

I guess it was in the fall of 2008 when I had a troubling dream. In it saw our city’s Town Center, still being built up, completely empty, shops and restaurants closed, construction sites abandoned, and trash blowing through the streets. That was in the 2008 crash with the H1N1 flu pandemic just beginning. I chalked them up to my horrible depression and PTSD, and tried to downplay them, and we did recover. But now it seems that that dream, was a portent of what is going on today. I certainly do not claim to be a prophet, nor a son of the Prophet, but now the restaurants and most shops there are closed. Construction projects appear to look like they are being prepared to shut down. Now I feel like I am living in that nightmarish dream as the novel Coronavirus 19 sweeps the world and the United States. The virus is exploding at an exponential rate and the worst is yet to come, not just the infections and deaths, but the complete disruption, and maybe collapse of an old order not seen since the end of the First World War.

Barbara Tuchman wrote something most relevant to the Trump Administration’s response to the COVID 19 threat, decades before it ever happened. However, she was writing about the men who brought Europe to destruction in 1914 and continued to work to destabilize new democracies, and even in the midst of a worldwide pandemic seek to protect their interests above all, including that of their nations and people. Tuchman wrote:

“Wooden-headedness, the source of self-deception, is a factor that plays a remarkably large role in government. It consists in assessing a situation in terms of preconceived fixed notions while ignoring or rejecting any contrary signs. It is acting according to wish while not allowing oneself to be deflected by the facts.” 

If nothing else that is an indictment of our President, and his enablers in his party, cabinet, Congress, propaganda network, and his devoted cultists who could not tell the truth from a lie if you told them a pie shell filled with shit was an award winning chocolate pie. But on to the current situation and a bit of background.

On December 31st the Chinese Government reported the first death from nouveau Coronavirus 19, or COVID 19. By the end of January there were over 12,000 cases and 259 deaths. The first infected American arrived from China in the middle of January. When I saw that, I knew without immediate intervention by the Federal Government that the spread of the virus would eventually be exponential and devastating, not just in the illnesses and deaths, but to the worldwide economy, and eventually war. If we look at the history of the 1920s-1930s the First World War was followed by economic, political, and the 1918-1919 Spanish Flu pandemic. Of course there were the civil wars and unstable governments caused by icily wars between the extremists of the Bolshevik and Fascist extremes, both seeking to destroy the political center to gain power, the brief economic upsurge brought about in the 1920s, the the Wall Street Crash of 1928 that brought about a worldwide economic depression, and a Second World War.

But now we have the Coronavirus which is sweeping across the world at a now breathtaking pace. It is growing at an exponential rate, and it seems that all the king’s horses, and all the king’s men will find it hard to put it together again.

When the COVIS-19 pandemic hit our shoes,  the American Government led by the Trump Administration paid little attention to it or downplayed its significance. It did that until the bottom began falling out of the stock markets, bond markets, and the oil market, the latter was not completely due to due to Coronavirus but the productions and price oil war between Saudi Arabia and Russia.

The Trump Administration finally labeled the situation a health emergency at the end of January, but did nothing to prepare.  Belatedly, it began to organize a response led by Vice President Pence at the end of February, but even sill the President in his speeches and tweets continued to downplay the situation as members of his political, religious, and media cult amplified his message, until a week ago.

The day I wrote my first article about Coronavirus, March 8th,  there had been almost 110,000 cases and nearly 3800 deaths. That was an increase of 98,000 cases and over 3500 deaths in just 38 daysI wrote me second article on it ten days later. By that time were nearly 198,500 cases and just shy of 8,000 deaths, 7,987 to be exact.

So in ten days there were around 100,000 new cases, and close to 4200 new deaths. As of that evening there were a total of 218,721 cases, of which 125,392 were currently active. 93,329 are closed, meaning either recovery or death. Of the closed cases, 8,983 or 10% had died. This means there were over 20,000 new cases and almost 1,000 deaths in a single night. Italy was hit hardest in the past day, over 4,200 new cases and 475 deaths.  In other European countries the numbers are spiking, and are about a week or two behind Italy in the progression of the disease.

We are now 15 days since my first article and five after my second. Since my last post the numbers have grown exponentially at a rate far faster than even last week. As of this moment in time there are 338,724 total cases of which 225,034 are active. Of the closed cases 14,687 are dead, and 99,003 have recovered. That is a 13% death rate. Since yesterday the number of cases went up by 32,440 with 1631 new deaths. See https://www.worldometers.info/coronavirus/

The sad thing, that even where local, state or provincial, and national governments have taken steps to mitigate the the spread of the virus, only the most draconian measures have succeeded in flattening the infection and death curve. South Korea is not far behind, but more to proactive testing, and mitigation efforts. But the United States remains far behind in testing, the availability of test kits, and haphazard quarantine and social distancing and isolation measures, primarily because the Trump Administration has refused to take the leadership, and responsibility to ensure that states get the resources they need when they need them, while failing to provide  overarching policy guidance rather than by shifting blame to experts, journalists, and truth tellers, and of course China by labeling it by the xenophobic and racist term, the China Virus instead of its actual name.

Likewise the President has proclaimed that he is a wartime President but refuses to treat this as a war. He has correctly called it an unseen enemy but has refused to do the things that a real wartime President would to to stop the losses and win the war. He still, dithers, obfuscates, and blames. Instead of saying “the Buck stops here” as Harry Truman did, he passes the responsibility and deflects the blame to everyone but himself, because he claims no responsibility for anything, and makes himself the victim of others, even former allies, friends, and appointees. He is Captain Queeg on steroids, but in defense of the fictional Queeg, he had been exposed to arduous combat duties before he took command of the USS Caine. Queeg cracked under pressure and his officers failed to help him. That is not the case with President Trump, he got rid of the apolitical professionals and surrounded himself with yes men and his family. Queeg should have been so lucky.

Tomorrows numbers will be worse, and the Trump Administration ignored warnings about COVID 19 by intelligence experts as early as January. Until the stock, bond, and oil markets began to collapse at the beginning of March, they did nothing, except deny, deflect, and minimize what would happen. Once the economy began to crash the Administration began to take actions, most not really effective in stopping the spread of the virus, but actions. Sadly, the President could give a serious and even Presidential Statement, and then go back to undercut everything he said with his Un constrained Tweets.

Bank of America has already stated that the United States is now in a recession. Other economists say that we are headed for an economic depression. Depressions are not good, not just for the economy, but for national security, in the midst of the Great Depression, Japan invade Manchuria in 1931, and China in 1936. Italy attack and conquered Ethiopia in 1935-1936, even as Hitler’s Germany began a startling number of bloodless conquests in the 1930s , without much reaction from from democracies mired in economic crisis and political divisions were unable to respond.

We have now reached that kind of watershed in our time. This will get far worse, in so many ways before it gets better. So until this is over, please err on the sid e of caution. Don’t take unnecessary risks, knowing that asymptotic carriers of the virus can spread it without you knowing it, and demand that our elected leaders at all levels of government take real actions to slow and eventually stop the advance of the virus, take action to help all of our population, but especially the millions losing their jobs in the service industries, And the small business and restaurant chains that are being forced to close due to the virus. This is a time for bold actions, not to bail out the corporate elites and oligarchs, but to help our citizens and the companies that they work for survive.

For me this isn’t about politics or the latest money, but for the survival of us as a people and nation who still hold to the belief of the Founders in the Declaration “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.” 

So until tomorrow,

Peace,

Padre Steve+

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Be Careful and Take Care of Each Other: Surviving COVID-19

Friends of Padre Steve’s World,

Not much good news to report today, except for the fact of at least some people and businesses doing things to try to mitigate the spread of the COVID-19 Pandemic. Imagine craft distilleries making hand sanitizer, people like my wife Judy doing research and the making face masks that give the wearer a chance to avoid getting the virus or spreading it. She was up very late last night making them, and we slept late. We have a local friend who is going to have some blood infusion therapy and since in her weakened state she will have to have to go to a hospital to get them, exposing her to people who could well be spreading the virus. Knowing this Judy went into action, made masks for her and her husband, and due to the urgency we drove the twenty something miles to their home to deliver them. She’s making them for elderly and at other risk friends as well, not asking for any payment, but because she cares, and she will be sharing her pattern and step by step instructions on her blog, and I will do the same here.

Trust me, there are a lot of people who care, and even if under quarantine, lockdown, or similar restrictions that keep them from normal social activities that keep them connected. The primary way they are doing this is by social media and phone. That is important. Tonight I was introduced to some great musicians who I have loved for decades sharing songs and videos from their homes on social media. For me that was inspiring. The included Michael McDonald, Paul Simon, Mary Chaplin Carpenter and others. We all need to do more and more of it because we cannot do what we normally do to socialize with each other. If you are creative, entertaining or funny, don’t hesitate to share goodwill with anyone you can, it might be the only good thing that happens to them that day.

Isolation is a killer. Isolation and loneliness only increase the effects of those who suffer from depression, other psychological conditions, substance abuse, victims of childhood sexual, physical, or emotional abuse, those under stress who have no place to let off steam, or make themselves vulnerable by seeking help. It is deadly. I know too many people who have killed themselves, and isolation from their community was always a major factor. There are so many times that I could have done it had it not been for people who cared for me, and especially my late dog Molly who decided to make her home with me when I was stationed as a geographic bachelor in Camp LeJeune. My God I cannot tell you how many times I considered driving my care into a ditch, a tree, or off a bridge if it wasn’t for the people who cared for me, and Molly, who would never had understood why daddy didn’t come home.

Unfortunately, when there is no perceived escape from isolation, such is occurring now in so many places in the United States and around the world, the resulting loneliness is going to lead to a major increase in suicide attempts and completions. Already the military is continuing its suicide epidemic, but couple that with social isolation, quarantine, and maybe having a virus that both further isolates them, and might kill them, imagine how those already horrible numbers will spike.

So hear the advice of a highly educated, experienced, but incredibly fallible man. Don’t take chances. Do everything you can to avoid transmitting or contracting the novel Coronavirus 19. That will involve personal sacrifice. At the same time reach out by any means necessary, even in person if you have you have appropriate personal protective equipment, in this case an N-95 equivalent face mask, and vinyl  disposable gloves. No hugging, kissing, or other bodily contact, except elbow bumps. It will not be your prayers, preaching, religious or non-religious jibber jabber that will help them, just your willingness to reach out, care, listen, and stay with them without judgement, and whether in person or by other means show them you give a damn. By the ways, don’t just put up trite words and catch phrases or religious jumbo jumbo like “thoughts and prayers,” “trust God’s healing power,” or anything else that ignores the factual advice not to gather in big groups, or self-quarantine. Likewise, and do leave your home if your have any of the symptoms of COVID-19, and only leave to get tested (if you can).

Please, do not endanger yourself or others. I have seen too many people die from these pandemics not to call the Bullshit flag on anyone who says otherwise. I remember their faces, and how they were abandoned by friends and family when they needed them the most. If you cannot reach out in the flesh to those that you supposedly love and care for, even if the best that you can do is a phone call, social media, or email, then a pox on you.

As far as me, even though because of my age I could take paid administrative leave, neither Judy or I have any of the underlying conditions that put me a high risk for contracting COVID-19. Thus though many of our civilian and active dirty personnel are doing telework or are on paid administrative leave, my place is with those still doing their jobs at the shipyard, military and civilian, especial our, Emergency Management personnel, our  police and security forces, fire department and EMS, port operations, and anyone else , including our senior leadership who remain behind. It is what you are supposed to do as a military chaplain. I am also making myself available by email, social medial, phone and text to every civilian employee (about 95% of our workforce) and Sailor in our Command. I cannot leave the ones at risk, suffering, or dying without spiritual, emotional, or practical help, regardless of their faith or even if the are unbelievers. They either wear the same uniform I do, serve the same nation I do, and taken a similar oath that I took. Therefore, everyone of them matters to me.

I have and know how to use all of my personal protective equipment from pandemics past. I am pretty sure that I will be safe, but I fear not. That is not because I am burying my head in the sand or claiming Bible verses out of context, but because I am being safe and taking the necessary precautions.

This pandemic is going to get much worse before it gets better. In light of that, don’t do dumb things. Don’t believe conspiracy theorists, or pandemic deniers, it will only get you and probably the ones you love the most killed. Don’t believe the religious hucksters who tell you to keep coming to church and mass meetings, because they supposedly have a miracle cure, or that giving money to them will save you, or put your soul at risk, but rather to fatten their bank accounts. Religious liberty does not give anyone the right to put people’s lives at risk in a pandemic. If you belong to a religious body or other group that doesn’t believe in getting medical care, then as the Klingons say: Today is a Good Day to Die. Just don’t take others with you.

Please, by all means, heed this warning, or get yourselves and others killed when it shouldn’t happen, even if you believe that it is God’s will, judgement, or a portent of the Apocalypse. Remain calm when everyone else is panicking, give from your excess to help those in need, and don’t let your religious beliefs, or secular ideology make you a part of the problem, rather than a part of the solution.

I apologize for my tardiness in posting this. The article should have been posted before midnight EST, but I got waylaid by music videos from my junior high school, high school, and college years. They were all quite healing to my soul, but after after all the work in the house, and missions of mercy, I passed out on the couch with Izzy at my side while trying to get my tags and photos posted. I woke up at 5:30 AM with Izzy on top of my iPad and lap, I went to real bed then. I will do my next COVID-19 factual update later tonight.

Peace and blessings,

Padre Steve+

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“I Don’t Take Responsibility at All: Trump Tells the Unsettling Truth about Himself

 


Friends of Padre Steve’s World,

President Abraham Lincoln noted:

“In times like the present, men should utter nothing for which they would not willingly be responsible through time and eternity.”

I was able to watch both of President Trump’s speeches on Coronavirus 19 this week. Both were uninspiring to say the least, and he quite obviously understands nothing of being a leader, or even more so, the Commander in Chief.

However, in his Friday Afternoon the President, who is a man whose lies, evasions, of the truth, blame of others, and failure to stand on any principle,  finally spoke one truth. In the midst of other lies and evasions of responsibility, false claims about the availability testing kits, a website run by Google which has denied it would be running by the time the President said it would be, the availability of drive through testing, and the fawning praise of big business leaders, and members of the administration, he spoke the truth.

To NBC reporter Kristen Welker, who asked what responsibility he took for the delays and problems in rolling our the test kits. He replied:

“Yeah, no, I don’t take responsibility at all, because we were given a set of circumstances and we were given rules, regulations, and specifications from a different time. It wasn’t meant for this kind of an event with the kind of numbers that we’re talking about.”

In a follow up question asked  NPR reporter Yamiche Alcindor, who nailed him with a question of his responsibility for eliminating the CDC Pandemic Response team and removing a member of it from the National Security Council. Her question was direct and to the point:

“You said that you don’t take responsibility, but you did disband the White House pandemic office. The officials that worked in that office said the White House lost valuable time because that office was disbanded.”

The President, having been caught twice responded and passed the blame. It was hardly a Harry Truman “the buck stops here,” moment. Nor was it a humiliated John F Kennedy, after the failed Bay of Pigs invasion. He took sole responsibility for it, stating, “because I’m the responsible officer of the government…” time of honesty. Instead the President lashed back, attacking her, and blaming everyone but himself.

“I just think it’s a nasty question. When you say me, I didn’t do it. We have a group of people, I could ask, perhaps my administration.” Turning to Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Disease, who has been the most consistently honest official during this crisis; “Perhaps I could ask Tony about that? Because I don’t know anything about that. Perhaps they do that to people,” he said to Alcindor, a former New York Times who left it for PBS. “You used to work at another newspaper. Things like that happen.”

The President often states how he is the Commander in Chief, and his sycophants claim is therefor above the law, however he has never taken responsibility for anything, unless he is claiming success for that of others. The list of his evasions of responsibility for anything, including the deaths of soldiers that he sent into battle, defies the final responsibility of a true commander, at any level. A commanding officer in our military is responsibility is responsible for everything his unit, base, or ship is assigned to do. If he or she fails, there is no evading responsibility by blaming it on others. Numerous commanders in every branch of the military are relieved of their commands, and sometimes face trial at Court Martial, regardless, most are never promoted again, and find that their careers are over. Sir Winston Churchill, a man of legendary success, and failure noted: “The price of greatness is responsibility.”  President Trump, who has a bust of Churchill in his office should heed those words.

Another British military officer, whose life is shrouded in mystery and controversy, Colonel Richard Meinertzhagen, did write truth in these words:

“A successful leader of men must have character, ability and be prepared to take unlimited responsibility. Responsibility can only be learned by taking responsibility; you cannot learn the piano without playing on one. Leadership is the practical application of character. It implies the ability to command and to make obedience proud and free.”

Admiral James Stockdale, who spent years in a North Vietnamese Prison, enduring constant torture, later noted:

“Leadership must be based on goodwill. Goodwill does not mean posturing and, least of all, pandering to the mob. It means obvious and wholehearted commitment to helping followers. We are tired of leaders we fear… What we need for leaders are men of heart who are so helpful that they, in effect, do away with the need of their jobs. But leaders like that are never out of a job, never out of followers.” 

President Trump has demonstrated none of this, except as Admiral Stockdale said, “posturing and… pandering to the mob,” and has shown his unwillingness to learn, unwillingness to listen to experts, and unwillingness to accept responsibility as President. That is a problem, especially in a time like this, General and later President Dwight Eisenhower said:

“The supreme quality for leadership is unquestionably integrity. Without it, no real success is possible, no matter whether it is on a section gang, a football field, in an army, or in an office.”

On Sunday afternoon the President opened an update on the COVID-19 pandemic stating the most obvious lie imaginable, that the virus “was completely under control,” only to be undercut by Anthony Fauci, who said that it would get much worse.

Trump is failing as President. His denial of the virus for months, his actions to delay any response, and his prior action in 2018 to disband a key component of our National Security Team, the CDC Pandemic Response Unit, created by President Barack Obama and his Administration was irresponsible and has made the situation worse, not better.

Our disease increase curve is similar to that of Italy. Within a few weeks we are going to see tens of thousands of infections and thousands of deaths. The measures taken by the administration were too little, too late. The current measures may help mitigate the effects, but COVID 19 is going to wreak havoc on our society, economy, and way of life.

If Trump was a real leader he would inspire us as Winston Churchill did the British in 1940, “I have nothing to offer but blood, toil, tears and sweat”. We have before us an ordeal of the most grievous kind. We have before us many, many long months of struggle and of suffering.” Or those of Franklin Roosevelt who said at the opening of his first inaugural address:

“So, first of all, let me assert my firm belief that the only thing we have to fear is fear itself—nameless, unreasoning, unjustified terror which paralyzes needed efforts to convert retreat into advance. In every dark hour of our national life a leadership of frankness and vigor has met with that understanding and support of the people themselves which is essential to victory. I am convinced that you will again give that support to leadership in these critical days.”

My friends, that is leadership, that is command, that is the mantle of supreme command that our President has never understood, before or after he became President.

I could write more, but I have been playing with this article for two days.

So, until tomorrow,

Peace,

Padre Steve+

 

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COVID-19, Trump Policy, and “Life Unworthy of Life”

Friends of Padre Steve’s World,

I am reflecting about the present in light of the past, and how policy wise, the Social Darwinist policies of the Trump Administration, and the words of his cult propagandists regardless and  and followers direct me to the Eugenics movement of the 1920s and 1930s in the United States, Weimar Germany, and other European nations, as well as Japan. But the eugenics movement was nowhere more malevolent, evident and active than it was in Hitler’s Germany. Likewise it is hard to believe that members of the administration as well as its supporters seem to believe, if you take them at their word that the elderly, disabled, mentally ill, and poor, especially those who are not white or Christian are a burden on the State, and are as the Eugenicists of the 1920s and 1930s, as well as Hitler’s Nazi Party believed, were ”Life unworthy of life .” 

It seems hard to believe for anyone born after the mid 1960s, that government through its laws, decrees, and policies could deem certain people to be “life unworthy of life.” The most malevolent of such governments was the Nazi regime of Adolf Hitler, but individuals and institutions in the United States promoted the same ideology, but could not carry it to its logical conclusion.

The life that was unworthy of life included the physically and mentally handicapped or disabled, those with Downs Syndrome, Cerebral Palsy, Polio, and people with other neurological conditions. Likewise the mentally ill, those suffering clinical depression, schizophrenia, and other mental illnesses were considered to be life unworthy of life. Even the deaf were included, as well as veterans suffering from what we would now call PTSD or Traumatic Brain Injury. Also included were people labeled as “asocial” a very loose definition that could include almost any metal disorder or criminal act, including being a homosexual.

Tens of thousands Of such people were liquidated at the T-4 Euthanasia centers, most located in former hospitals, psychiatric institutions, or sanitariums.

Once the Nazis decided to eliminate them the same day as they invaded Poland in 1939, most of these people gassed with carbon monoxide gas from the exhaust of trucks or Diesel engines, and their remains were cremated. Others, especially children were either starved to death or given a lethal injection while they slept. In every case the next of kin of each victim was sent a standard form letter telling them that their relative had died of influenza, typhus, or some other disease while being given the best of care. The next of kin were then given the option of paying for an urn that may or may not have contained the ashes of their loved ones for inurnment near their home town. If they could not afford an urn the ashes were disposed of in the cemetery nearest to where they were killed. At Hadamar, it was on the grounds of the institution.

Despite the Nazis attempts to disguise their crime they could not be hidden, and after over 70,000 Germans were Euthanized the official T-4 Euthanasia program was ended in Germany.  The gas chambers, cremation ovens and facilities were disassembled by SS experts, and sent east to Poland, where they and their experienced technicians became key components of the Holocaust of the Jews at Soribor, Belzec, Treblinka, and Auschwitz. 

But the Euthanasia program, despite Nazi lies to senior clerics and officials of neutral countries didn’t stop, it simply moved eastward as the SS Einsatzgruppen killed the patients at every mental hospital, sanitarium, old folks home, or orphanage they came across. Inside Germany at the four T4 centers over 80,000 were gassed. At Hartheim in Austria a Party was held on the gassing of the 10,000th victim. Richard Evans wrote:

“At Hartheim the staff held a party to celebrate their ten-thousandth cremation, assembling in the crematorium around the naked body of a recently gassed victim, which was laid out on a stretcher and covered with flowers. One staff member dressed as a clergyman and performed a short ceremony, then beer was distributed to all present. Eventually no fewer than 20,000 were gassed at Hartheim, the same at Sonnenstein, 20,000 at Brandenburg and Bernburg, and another 20,000 at Grafeneck and Hadamar, making a total of 80,000 altogether.”

The tolls in Poland, the Baltic States, and the Soviet Union were much higher, but outside of the T4 program which “officially” ended in 1941.

Now in the United States the laws guaranteeing health care to people are being challenged, the Secretary of Education has removed funding from the Department’s funding request for the Special Olympics, programs for the physically and mentally disabled under the SSI are being cut to the bone, and even care for disabled veterans is being threatened as not being economical because none of them are economically valuable to an administration for which profit is the bottom line of the insurance industry. Likewise, most supposedly pro-life Christians have no problems in cutting such programs because many have bought into the materialistic, Prosperity Gospel, whose fawning preachers have anointed President Trump if he were King Cyrus.

To them, criticism of the President cannot be tolerated, no matter how factual it may be. Thus, the  sick, then weak, then infirm, or mentally ill, who are not productive have no place in society. Inside the womb they are a remarkably powerful political issue; but once outside the womb they might as well be dead if you listen to Trump’s clique of Reichsbishofs, according to who cannot produce for the economy should not eat, get medical care, or live. They are life unworthy of life.

You see, in the authoritarian world in which we live, where an uninhibited and unhinged executive backed by profit minded billionaires, and greedy preachers, such lives; the old and infirm, the disabled, the mentally ill, the young but physically disabled, those with neurological issues, and birth defects stand in the way of profit, stand in the way of a “perfect” society.

If you directly challenged such people may not advocate euthanasia per say, they would not advocate for gas chambers, or firing squads. Instead they would turn a blind eye to depriving their victims of citizenship, starving them, depriving them of medical care, and turning them out of care facilities knowing that their families lack the capability of caring for them. and if they have any capacity for work, work them until they die, so long as they Confess Christ before they die.

How do we know that life does not matter to them? One way is to note the many times that pharmaceutical corporations have increased the costs of previously inexpensive yet vital life saving medicines by thousands of dollars a dose all for profit with little to no pushback from the White House, or the FDA, much less the Senate GOP majority, or the Evangelical supporters of Trump.

Please understand, this dystopian future need not happen if people of any faith, or no faith at all make a stand against a twisted idea of dictatorship backed up by billionaires and corporate entities that suck billions of dollars from the taxpayer and pay almost nothing themselves. Of course they couldn’t do it on their own in not supported by a de facto State Media, and a cult like legion of followers who would follow Trump even if he shot someone on 5th Avenue. His words, not mine.

I will turn 60 in just over two weeks, and this does bother me enough to speak out. As a senior military officer facing the end of his career and retirement amid multiple physical and emotional issues, it does matter. I keep two things in mind today. First is that of my own responsibility to my Oath, and to fellow citizens.  In that I am reminded of the words of German General Ludwig Beck who wrote:

“It is a lack of character and insight, when a soldier in high command sees his duty and mission only in the context of his military orders without realizing that the highest responsibility is to the people of his country.”

And like Beck’s compatriot, Major General Henning Von Tresckow stated: “We have to show the world that not all of us are like him. Otherwise, this will always be Hitler’s Germany.” Or in my case, Trump’s America.

Historian Timothy Snyder reminds of a certain truth, which should we forget, as I imagine a large number of Trump supporters have:

“The European history of the twentieth century shows us that societies can break, democracies can fall, ethics can collapse, and ordinary men can find themselves standing over death pits with guns in their hands. It would serve us well today to understand why.”

Those are all hard truths to comprehend. As Americans we always presume that we are the good guys, when in fact many times we have acted in means contrary to the ideals of the Declaration as well as the Constitution, and other laws enacted by Congress. But our republic has survived, but its institutions are both resilient and fragile. History has proven this, we have even survived a civil war, but we may not survive an increasingly vindictive and unstable President, his compliant majority in the Senate, and the 35-40% of voters who are in effect no longer Republicans, but a Trump Cult which is largely buttressed by Conservative Evangelical Churches, and inspired by a President who uses force, legal, and extralegal alike to secure his rule.

We live in extraordinary times which call for extraordinary strength if our Republic is to continue in any form that resembles the intentions of the founders and their liberal enlightenment beliefs.

If we do not want to see the return of a full fledged government and industrial sponsored campaign to eradicate life unworthy of life, we have to fight. It is a fight that we did not chose, but if the Republic is to survive without becoming a criminal dictatorship we must speak up, and we must do so now. If we do not we have no one to blame but ourselves.

As Yehuda Bauer said: “Thou shall not be a perpetrator, thou shall not be a victim, and thou shall never, but never, be a bystander.”

The choice is ours, and the time is now.

Until tomorrow,

Peace,

Padre Steve+

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