Tag Archives: pandemics

For Everything there is a Time and Season… COVID 19 and a Time to Mourn

Friends of Padre Steve’s World,

When I was growing up the Rock group The Byrds released a song written by Pete Seeger entitled Turn! Turn! Turn! (For Everything There is a Season.)  The Song hit number one on the U.S. Pop Chart in 1965 and I still can remember it being played on the AM music radio stations that my mother would listen to when my dad, a Navy Chief was away. It is still one of my favorite songs.

I don’t know about you, but music can get a message into my head much more than simply reading the words, or especially hearing it from an uninspiring speaker, especially boring pastors who couldn’t could preach their way out of a wet paper bag or melt an ice cube with a blow torch.

I was five years old at the time the song was released and living in Oak Harbor, Washington, where my dad was serving with a squadron at the Naval Air Station. Back then I didn’t know that the song’s lyrics were adapted from the Old Testament Book of Ecclesiastes, Chapter 3, verses 1-8, just in case you want to look them up. Seeger rearranged the words to better work with the rhyme and meter of his music, he composed it in 15 minutes and sent it to his agent who loved it, far more than Seeger’s protest songs, which he couldn’t sell.

But Seeger was  ahead of this time when he wrote and recorded the song as a folk tune in 1962. But it  really didn’t break through until the Byrds recorded it as a follow up to their number one hit Mr. Tambourine Man.

The lyrics to the song are catchy, especially in the version recorded by the Byrds. Over the years other artists and groups have recorded it, but it is the Byrds adaptation that even now still gets airplay, and still resonates in my head, even when that section of Ecclesiastes Chapter Three are part of the lectionary readings.

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time to be born, a time to die
A time to plant, a time to reap
A time to kill, a time to heal
A time to laugh, a time to weep

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time to build up, a time to break down
A time to dance, a time to mourn
A time to cast away stones, a time to gather stones together

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time of love, a time of hate
A time of war, a time of peace
A time you may embrace, a time to refrain from embracing

To everything (turn, turn, turn)
There is a season (turn, turn, turn)
And a time to every purpose, under heaven

A time to gain, a time to lose
A time to rend, a time to sew
A time for love, a time for hate
A time for peace, I swear it’s not too late

The words of the song, and the scripture it is drawn from remind me of our human need to live in the moment and cherish all the times and activities of life. One of those that stood out to me a couple days ago after the death toll from the novel Coronavirus 19 topped 100,000 people in this country. Many of us know people, including family members and friends, who have either come down with the virus or died from it and its complications. Sadly, because COVID 19 is so infectious we are unable to mourn in the ways we normally would when we lose someone we know or love.

That occurred to me Wednesday night when I read yet another article on how COVID 19 is interrupting the normal grieving process, and a second article that discussed who easy it can be to become numb to the deaths, simply because of the numbers. Joseph Stalin said something that to human beings is all too true when confronted with massive numbers of deaths: “The death of one man is tragic, but the death of thousands is statistic.” What the psychopathic dictator was true then and true now. There is something in the human psyche that can accept vast numbers of dead human beings more than they can a single human being. After all, of a hundred thousand people die and you don’t know them they are only a statistic, a mass of numbers who are only that. They are just numbers, and even when we are confronted by their faces or bodies, especially if they happen out of our sight, even across town. However, if one of the dead is a friend, a lover, or even a devoted pet, the loss can be catastrophic.

In a way I kind of know how that goes. When I did my hospital chaplain residency in 1993-1994 at Parkland Memorial Hospital in Dallas, Texas there were times that I was nearly overwhelmed by the numbers of deaths where I stood by grieving families and friends, and occasionally over the body of people who went un-mourned, at least at their time of death. I counted myself lucky when I only had to deal with two deaths on any given shift, most of the time it was more. The highest was on a summer night where on an 11 PM to 7 AM shift I dealt with eight deaths in eight hours. Two from gunshot wounds, one from a motor vehicle crash, three AIDS victims, one heart attack, and one newborn baby who was born too early to save, but who was precious to his mother and father in his all too brief life. I walked out into the sunshine of that morning and felt numb. I saw people laughing, and couldn’t laugh. In the eight years as a civilian and military hospital chaplain I have probably dealt with about 700-800 deaths, I lost count along the way. Many simply blended together, but there are quite a few others where I remember them like they were yesterday, even with the dead or their loved ones I remember details that are forever burned in my memory. I can understand what the EMTs, paramedics, doctors, nurses and technicians in overwhelmed hospitals are going through, although with HIV or H1N1 infected people, or maybe a violent family member, friend, or enemy of the victim, most of the time I didn’t have much concern about being infected by a patient in the ER or ICU compared with today’s ER and ICU staffs are dealing.  Likewise, to some extent what the families of the victims are going through, not being able to be with loved ones when they died, because of time, distance, and military considerations.

Too many people are grieving without being able to really mourn, while others are becoming numb to the number of deaths, be they on the front lines, or just bombarded by the news. The way the numbers are shown often reminds me of the “body counts” put out by DOD during the Vietnam War, which were featured on every nightly newscast of the era, like baseball box scores.

In Star Trek Deep Space Nine there is an episode where crew members of DS9 are reading the daily casualty count: Captain Benjamin Sisko noted: “Every Friday morning, for the past three months, I’ve posted the official list of Starfleet personnel killed, wounded or missing in the war. It’s become something of a grim ritual around here. Not a week goes by that someone doesn’t find the name of a loved one, a friend or an acquaintance on that damned list. I’ve grown to hate Fridays.”

I have begun to hate the numbers of infections, hospitalizations, and deaths brought about by the Coronavirus 19. But, at the same I cannot forget that behind every number there is a life cut short, loved ones and friends left behind, struggling to mourn, with no end in sight. But we must find a way to mourn those who we have loved and lost. I hope that we can do that. I am trying to figure out a way at the Naval Shipyard where I serve that we can make that happen, while taking every precaution to ensure that no one else is infected. I hope that others are trying to do what I am trying to do for people who have had their chance to mourn their losses as they should.

All that being said, with the President and his cult of followers, mostly conservative “pro-life” Christians, or those that say they are pretend to be for political purposes, continue to act in a a uniquely disturbing and murderous behaviors. They shun Protective masks and call it government tyranny. The same is true for social distancing rules designed to protect the lives of all, in order to conduct public worship services, crowd around bars, and send poor people back to work where they have little protection from the virus due to the intentional negligence and concern that those workers might become infected or die.

I cannot understand such convoluted reasoning. I actually wrote much more pointedly about them in this post bust decided that those words, which present unpleasant facts and truth would have completely destroyed what I want to say in the article.

We cannot allow such longstanding selfishness, race hatred, suspicion of Americans who come from different cultural or religious backgrounds. Nor can we allow the lives of the Americans infirm, elderly, or disabled to be sacrificed just to get the economy moving faster and hotter. That is not pro-life, but it is pro death.

While such beliefs remain intrenched among Trump’s shills and supporters, I believe that they are not beyond redemption. It will be hard for them, but when the next wave of the virus hits and kills their loved ones and friends, they might finally see the light. Of course I could be wrong and find them to be like the most fanatical ideologues, religious or unreligious to have their leader be the President of the United States.

Somehow we will get through this together, unless Trump and his cultists destroy us first, and to die so we will have to mourn the dead, as we fight to save the living and prevent the spread of this deadly virus. Sadly it will have to be an us thing because the President has determined it to be yesterday’s news, declared victory and deserted the battlefield with the enemy’s counter offensive just beginning.

Peace and blessings, Until tomorrow,

Padre Steve+

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Filed under Diseases Epidemics and Pandemics, ER's and Trauma, ethics, faith, healthcare, leadership, ministry, music, Political Commentary

The Coronavirus Pandemic: Leadership and the Ability to Admit the Hard Truth and Inspire them to Greater Things during an Existential Crisis

 

Friends of Padre Steve’s World,

Winston Churchill said:

“There is no worse mistake in public leadership than to hold out false hopes soon to be swept away. The British people can face peril or misfortune with fortitude and buoyancy, but they bitterly resent being deceived or finding that those responsible for their affairs are themselves dwelling in a fool’s paradise.” 

I think that Americans, once we strip away the veneers we have laid over our society, and tear down the walls that ideologues have tried to divide us will realize this, probably sooner rather than later.

As we approach an total 80,000 deaths attributable to the novel Coronavirus 19 I am reflecting on it and the 1918-1919 Great Influenza. I am not so much thinking about similarities in the viruses, but both were, or are highly infectious, airborne, and could be spread through touching droplets of it from tables, chairs, doorknobs and then wiping one’s face without having thoroughly washed their hands.

Likewise, since no vaccine existed for either. It was not until the 1940s that one was developed for the H1N1 Great Influenza, and still none today for COVID 19. While virologists and researchers are working around the world to find one, most experts believe that one will not be available for a year to eighteen months, not including the manufacturing and distribution time should one be developed.

Like 1918-1919, which actually continued through 1920, the only defense was what we call non-pharmacological interventions. It is like going forward into the past, and unsurprisingly many of these interventions are as unpopular today as they were in the Great Influenza pandemic.

The interventions included then, and now are well known. They include what we now call Social distancing; the prevention of the spreading or inhaling of infected droplets from coughing, sneezing, or being in the close proximity to an infected by the virus by wearing face masks; as well as frequent hand washing, wearing protective gloves when needed, and sanitizing work stations, and common areas where people gather. Some states and cities even criminalized spitting in public places.

In 1918-1919 these measures were all taken by local or state authorities businesses were closed, sporting events, including the NHL Stanley Cup were postponed or cancelled. In some municipalities mayors, like that of St. Louis shut down church services, and did not cave in to immensely powerful clergymen, like the Archbishop of St. Louis. Cities that took these measures in 1918-1920 and didn’t let up even in the face of public pressure minimized their deaths and ensured that hospitals were not overwhelmed. As a result, even with the restrictions life began to resume at a normal pace.

In the cities that eased up, or eliminated their non pharmacological interventions in the face of public pressure, the influenza returned with a vengeance because there were still far too many people who had no immunity to the virus. Of course the pressure was do to business leaders, politicians, and religious leaders. One group even called itself an “anti-mask league.” But even though there was public opposition to these measures, even some protests, which by and large used the same rational as today’s protestors, there is no instance of protestors invading state capital buildings, or city halls. Nor did they resort to violence or threats against local leaders. Likewise, unlike now, they did not have the active support of the President, or nationwide television and internet media outlets to spread their message and threaten state and local government officials.

Likewise, there is the difference in the attitudes of the Presidents during each pandemic, Woodrow Wilson during the 1918-1919 pandemic, and Donald J. Trump today. The two were very different, Wilson was a native of Virginia, a Democrat, an academic, and a former university professor and President of Princeton University when drafted to campaign for the governorship of New Jersey, which he one in 1910. His policies as governor propelled him into being nominated as the Democratic candidate for President in 1912. He won the election, mostly because the Republicans were divided by the candidacy of Theodore Roosevelt running as a third party candidate and the incumbent, William Howard Taft. They split the conservative vote and had just over 50% of the vote between them. Wilson lost progressive votes to Socialist Eugene Debs, who garnered 6% of the vote. Wilson’s 42% was enough to garner a majority in the Electoral College.

Wilson’s policies were more progressive than most Democrats of his era, but not nearly as progressive as Teddy Roosevelt or Eugene Debs. Though he championed and helped establish the Federal Reserve and anti-trust laws, Women’s Rights, and those of workers, he remained a Southern Racist and segregationist at heart. His actions as President set back the civil rights of Blacks, in the military and civil service, and his premier of D.W. Griffith’s film Birth of a Nation legitimatized the rise of the second birth of the KKK. However, they were enough to ensure that he barely won re-election in 1916.

Wilson led the effort to have Congress declare war on Germany and its allies in April 1917, and once war began he became completely focused on it, and it was only. Nothing else mattered. In regard to the Great Influenza he made no public statements about the pandemic, and when the war ended he went to Europe and remained completely engaged in fighting for his 14 Points and the establishment of the League of Nations. He was unsuccessful at Versailles which his points were swept aside by Britain and France, and defeated at home when Congress refused to ratify the treaty establishing the League of Nations. He was a believer in internationalism and not nationalism or isolationism. He suffered a stroke which left him incapacitated for most of his remaining year and a half in office. All that being said he never sought to undermine physicians and scientists, or state and local governments doing their best to contain the virus, even as they searched for a cure.

I won’t go into his differences with President Trump other to say that Trump would have supported his racist policies, and opposed Wilson’s progressive policies. Likewise he would have been an isolationist and not an internationalist.

The big difference in the men is in how they chose to deal with pandemics that where killing tens of thousands of Americans. Wilson remained silent and focused on prosecuting the war at whatever cost. That being said he did not interfere with the efforts of the newly established National Health Service, or the heads of the Army and Navy Medical Departments, the American Red Cross, or the states to fight the virus and save lives.

While Wilson remained unengaged, he didn’t interfere with efforts of others to to fight it, however, he could have done much more. That is very different from President Trump who has tried to discredit scientists and doctors, creditable intelligence reports, going back to December of 2019, issued conflicting, contradictory, and completely false statements about the virus. He is now doing his best to undermine the only effective measures outside a vaccine to stop the spread of the virus, even when his administration published a report that if the guidelines were not strictly adhered to, would result in a doubling or tripling of death from COVID19 by this summer.

Unlike Wilson who was so focused on winning the war as well as the peace, Trump is only focused on his power, authority, and self-image, without any concern for how many Americans might die. He has a fantasy that he can make things go back to they way they were a few months ago, and in that world facts, science, and history, have no importance. Nor do human lives. He insists on the testing of anyone near him, and to be tested regularly, inside a tightly sealed location, even as he disparages the importance and efficacy of testing for the general population. When he is exposed to the virus he goes into a volcanic rage that his staff is not doing enough to protect him. I guess he is experiencing what many Americans have felt since March.

A members of ReOpen Maryland wearing a custom face mask listens to a speaker during a road rally procession calling for the re-opening for the state of Maryland amid the coronavirus disease (COVID-19) outbreak, in Sailsbury, Maryland, U.S., May 2, 2020. REUTERS/Tom Brenner

Even so he allows his Attorney General, Bob Barr, to threaten States and cities with lawsuits or penalties that he believes are excessive “draconian” measures to maintain public health and safety. This is nothing but an authoritarian or dictatorial measure. If successful it will forever destroy the separation of powers between the states and the Federal government established by our founders in the Constitution.

I’m sorry, but that is not a leadership trait. It is the trait of a pathologically, narcissistic, sociopath, who has no concern for anyone but himself. No American President has ever behaved in this kind of manner. That being said he is preying on those who believe conspiracy theories. He is stoking their distrust the government, and encouraging them to have less empathy than they already have for other human beings that they believe to be weak, or whose lives are expendable. To use the terms of the Euthanasia proponents of to 1920s and 1930s, and the actions of Hitler’s SS medical and euthanasia experts, such people, the weak, the by the chronically ill or those possibly afflicted with terminal disease, the mentally ill, the elderly, the poor, or anyone else considered to be Life unworthy of life.

The focus of this President is his political survival and it does not matter how many people have to die to revive his personal myth of creating the greatest economy in history. So he has countermanded his own directives, and undercut and discredit the scientists and experts who know how to best deal with a pandemic and it’s human and economic effects,  in order to attempt to recreate a mythical past that any worthwhile scientist, economist, or historian, would not expressly condemn as a myth, fantasy, and ravings of a man who created nothing, and who was a failure in almost every enterprise he undertook. The numerous corporate bankruptcies, the multiple failed marriages, the unfulfilled promises of his campaign and presidency, as well as the tens of thousands of fact checked lies and distortions, that he has told during his campaign and throughout his Presidency bear this out in lurid detail. Dwight Eisenhower noted: “The supreme quality of leadership is integrity.” It is something that President Trump has never understood.

Now in the middle of the COVID 19 Pandemic, he has ensured that a pandemic which would have killed many people, and harmed the economy regardless of who was serving as President, was made worse by his words and actions. When it was first identified and there was a chance to prepare with a unified whole of government response, he ignored it. He denied it would come to the United States. He minimized it once it arrived. Then he declared himself to be a wartime President, but made unfulfilled promise after promise, and ignored actionable intelligence going back to January, if not before. Likewise, he abandoned responsibilities which are normally those of the Federal government, and pushed them off on the states. It would have been like Franklin Roosevelt telling the governors that fighting the Second World War was their job.

I do not want to sound harsh but I value truth and competence in a public office holder above allegiance to any political party. But the President’s actions have made both the public health and economy more than they should have been.

As of now there have been over 78,000 deaths in the United States and over 1.3 million infections, of which over a million are still active cases. Around 2,000 people are dying per day, and the daily infections are creeping back up to 30,000 a day, even as deaths and infections in New York and New Jersey, for long the epicenter of the virus have sharply declined. At the same time the states most resistant to the non pharmacological interventions, those with massive protests, are starting to increase by large numbers since their state governments started ignoring public health guidelines, and opening up their states to business with limited regard to public health and safety.

As a side note, my wife Judy and I both tested negative to COVID19 following a possible exposure of her that resulted in a fever. I had not symptoms, but since we live together I felt being tested was the right thing to do.  I could not take a chance that We spent the last three days under quarantine waiting for the results, and no matter what we do we always wear masks, social distance, and minimize our public exposure, and take no chances that if we got infected we would not infect anyone else. It’s called being a responsible human being.

By the way the doctor at the clinic where we were tested said the masks that Judy makes are the best that he has seen and probably as effective as an N-95 because of the number of layers of fabric, the removable polypropylene layer, the adjustable nose piece, the adjustable straps and the excellent seal.

But before I close let me talk about masks. They take a while to get used to wearing if you never have worn them before. Some people find them to cause claustrophobia, and some people hyperventilate. The key is to find a comfortable clothe mask that is more than one layer thick that has an adjustable nose piece, and provides a tight seal around your nose and mouth. If you find yourself hyperventilating, calm done and take a few deep breaths. Then when you are wearing it in public make sure that you are wearing it correctly. Make sure you have a good seal and ensure that both you mouth and nose are covered. This serves a twofold purpose, to protect others in case you have the virus, and to protect yourself from getting it. Back in my Army days in Cold War Germany we had to learn to live wearing an M-17A1 protective mask, as well as a protective suit, heavy rubber gloves, and  rubber overshoes to wear over our boots for up to twelve hours at a time. Trust me, none of the cloth protective masks, or medical masks being used today are nearly as claustrophobia inducing as one of them.

If you one of the fools that protests social distancing and wearing masks as attacks on your freedom, including your religious freedom, please don’t call yourself “pro-life.” Your words and actions show that you are not, and that you do not care about the lives of others, especially their right to life, which among the three unalienable rights in the Declaration of Independence, is first, ahead of liberty, and the pursuit of happiness.

Likewise, attacking state houses and city halls while assaulting police, while outfitted in body armor, helmets, and carrying assault type weapons, high powered rifles, and semiautomatic handguns with large magazine capacities is not patriotic, but criminal. I have served this country in peace and war for coming up on 39 years, and I don’t see such actions patriotism but terrorism. The interesting thing is that most of these rallies are being led and financed by anti-government White Nationalist, and Neo-Nazi groups who want to start a civil war.

Honestly, when I see politicians, pundits, and preachers trying to push for trying to go back to how things were a few months ago with the virus still rages is beyond me. If they succeed they will ensure that the number of infections and deaths spike higher than previously, and do far more damage to the economy, especially if people ignore the non pharmacological interventions, which are our only defense right now until a vaccine is developed and widely distributed.

Despite this I am not a pessimist or fear monger, but a realist who believes that we can beat this and eventually be better off than we were. Like Winston Churchill in the dark days of the Blitz said to the beleaguered but not defeated British people:

“We shall go forward together. The road upwards is stony. There are upon our journey dark and dangerous valleys through which we have to make and fight our way. But it is sure and certain that if we persevere – and we shall persevere – we shall come through these dark and dangerous valleys into a sunlight broader and more genial and more lasting than mankind has ever known.” 

I wish that President Trump were so inspiring and realistic. We would be better off today had he been more like Churchill, or Franklin Delano Roosevelt who said during the dark days of the depression with the clouds of war building in Europe and Asia:

“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 our battle to overcome the novel Coronavirus 19 we must never lose sight of what our fellow citizens suffer in order to simply try to jumpstart an economy that where unemployment has jumped to 14.7%, a number not seen since the Great Depression and where another quarter of negative economic growth will officially confirm we be in another depression. Since neither the Coronavirus or our massive economic problems will not disappear with the waving of a magic wand, we need face the reality as did men like Winston Churchill and Franklin Roosevelt. We need what we need now from our leaders is the brutal honesty to tell the truth as unpleasant as it may be, who will still inspire us to pull together as Americans, and human being and overcome this scourge, for we are not merely dealing with a pandemic and economic collapse, but every day we see the storm clouds of war gathering around the world.

We need leaders at the Federal, State and local level who are willing to speak truth rather than pleasantries designed to tickle itching ears and in the process avoid scrutiny. When he became Prime Minister of Great Britain in 1940, Britain and France were facing disaster. Nazi Panzer Divisions had broken through the French lines and were spreading behind the allied lines like a virus without a cure. Churchill told the members of Parliament, the people of Britain, and the world the truth, as unpleasant as it was. He said:

“I say to the House as I said to ministers who have joined this government, 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 months of struggle and suffering.

You ask, what is our policy? I say it is to wage war by land, sea, and air. War with all our might and with all the strength God has given us, and to wage war against a monstrous tyranny never surpassed in the dark and lamentable catalogue of human crime. That is our policy.

You ask, what is our aim? I can answer in one word. It is victory. Victory at all costs — Victory in spite of all terrors — Victory, however long and hard the road may be, for without victory there is no survival…

I take up my task in buoyancy and hope. I feel sure that our cause will not be suffered to fail among men. I feel entitled at this juncture, at this time, to claim the aid of all and to say, “Come then, let us go forward together with our united strength.”

That is what we need. We don’t need a man who calls himself a wartime President and then on multiple opportunities denies all responsibility for his actions on multiple occasions. We need leaders at every level who are willing to tell the truth and say, the buck stops here.

So until tomorrow,

Peace,

Padre Steve+

 

 

 

 

 

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The Cost of Service: Doctors, Nurses, First Responders, and other Medical Personnel During the novel Coronavirus 19 Pandemic


Friends of Padre Steve’s World,

I’ve served in ERs and ICUs during pandemics, but none as bad as this one. Likewise, I have seen far too many people die, I lost count somewhere after 700, but can still remember many of the dead, their families, and those who tried to save them like it happened yesterday. Many of the cases I dealt with were violent deaths, others from people who were in the words of ICU doctors and nurses, medical disaster areas because they had so many things wrong with them that you could treat one disease or organ, but have more organ failures. In the Medical ICU this is called multiple system organ failure. I have been with people who died with loving families and friends with them, others who died alone, and still others, especially dying AIDS patients die and being condemned to hell by family members who then used the opportunity to separate the patient from his lover and best friends.

I have also seen those who survived their illnesses or injuries, but never fully recovered after long periods on ventilators to keep them breathing and huge concoctions of drugs and procedures to give them a chance to survive.

As a part of the treatment team I was often the go between from the physicians to the patients family members, providing ministry, even as I shuttled information between them with the goal of trying to help the patient survive. Sometimes all treatments were futile and I would help prepare the patients or the families for the end. Even as I write this the memories, images, and even sounds of these encounters of life between life and death.

Even without the scourge of a pandemic, ERs and ICUs in inner city medical and trauma centers, tend to resemble combat zones. Surges of critical patients flooding ERs followed by brief lulls, that are then followed by more surges. In between surges housekeeping crews clean the blood, fluids, gauze, wrappings from needles, intubation kits, chest tubes, masks and gloves, as doctors transcribe their notes, nurses and techs restock the rooms, and others either prep and transport the patient to the operating room, appropriate ICU, or ward. If the patient didn’t survive, following time for the family or friends to say goodbyes, the staff preserves the body, leaving in it the intubation tube, chest tube, catheters, and any other invasive treatments, place it in a body bag, and transport to the morgue. If the person was known to be infected by HIV or H1N1, or the SARS, MERS, or Ebola outbreaks when I was working in a hospital, more protective measures are taken.

 

Unlike television where miraculously people are pulled from the jaws of death, it doesn’t always happen, especially if the patient is being coded when they arrive in the ER aboard an ambulance, or their heart and breathing stops requiring the ER team to begin the Code, which unlike on television is a rather violent attempt to save the patient’s life. Cardiac compressions begin, the patient is incubated, lines of saline IV fluids are placed and set to maximum flow to keep the blood pressure up, if need cardiac stimulants such as atrophiere are administered, sometimes directly into the heart.  If the injury is due to trauma, or perhaps an Abdominal Aortic Aneurysm, the patient’s chest may need to be cracked. If this happens happens in the ER it is a truly ghastly sight, as the instrument used to separate the ribs looks like the bones of some dinosaur, and unless the trauma surgeons, surgery resident, or ER physician manages to repair the damage and get the heart started the patient dies. Only about one in a hundred survive the procedure under those conditions.

In the  ICUs of various types, Medical, Cardiac, Trauma/Surgery, Cardio-Thoracic, Neurosurgery, Burn, Pediatric, and Neo-Natal there can be chaos as well, but in normal times it is more controlled than in the ER, but despite the best efforts not everyone who gets to the ICU gets out. No matter how caring the staff, the ICU is a clinical and cold setting. In every room or bay there are ventilators, monitors, specialized beds, pneumatic heated blankets sometimes known as Bear Huggers”, crash carts. Available in a fully equipped ICU are dialysis machines, portable X-Rays, and even CAT Scans, under the direction of the ICU attending physician, physician specialists of various types, residents, and physicians. Most of the nurses are Critical Care RNs or have have attained the status of Nurse Practitioners. The techs that work in the ICUs are the best. Likewise there are Clinical Social Workers, Discharge Planners, Unit Clerks, and often Chaplains, like me.

 

In my last full time fully equipped ICU I took the time to learn about what our physicians, techs, and nurses did. I asked questions about how to read cardiac monitors, understand the importance of blood oxygen levels, know when a patient was going into an abnormal heart rhythm, or who was dropping their blood pressure, or de-sating. I still have a copy of the ICU book. One of our ICU attending physicians asked why I didn’t go to medical school, and I had to admit that because of my wretched high school advanced mathematics experience was that it would probably take me at least three years to catch up on the math, algebra, and calculus needed just to get into medical school, and that after the poverty of seminary that Judy would never consent to it. He understood.

All that being said I treasure my time with those physicians, nurses, techs, and EMT and Paramedic first responders, many of whom are now in the front lines fighting COVID-19. When I read about what is happening in ERs and ICUs in major urban areas, when I see the horrors of what these men and women are experiencing my heart goes out to them. They are being confronted in real life with what one could only imagine in the most terrifying Science Fiction, or Horror story. Take a combat zone and add a pandemic which not only infects and kills those brought to hospital, but those risking their lives to treat them. As of two weeks ago some 9,000 health care workers have been infected and about 30 have died as a result of COVID-19. That doesn’t count those who have committed suicide because of the impossible conditions they work under and the impossible choices that they have to make, of who lives and who dies, and which of their staff has to go back into the battle even if they are unready. The cases of PTSD, Moral Injury, and other psychological conditions that will afflict these heroes will rise to exponential level. Others will commit suicide, and even more will abandon the medial profession because the spiritual and psychological toll is simply too high. These are not weak people, but people whose humanity is being assaulted by their inability to save those committed to their care, and fear that they will make a mistake that will get them, their patients, friends, or families killed because they didn’t have the correct PPE or got infected during an intubation, or during CPR.

Sadly, while for the moment the first wave seems to have crested. But without adequate testing, tracking of cases, and eventually effective treatments, and a vaccine, COVID-19 will keep coming back. Each time it does it will harvest those foolish enough to tempt fate, or God, whatever works for them, and put others in harms way. Personally, I don’t want to see those I know fighting for the lives of others die because of the arrogance and stupidity of others who think that getting a haircut, their nails done, going to a fitness center, or going to a dine in restaurant or movie trumps the right to life of others. Anyone who thinks that their right to do what they want for enjoyment which endangers the lives of others is nothing more than a sociopath, incapable of empathy. Sadly, evil, is the lack of empathy.

As for me, I know all too well the consequences to others when people decide that their need for fun and to do what they want to do when they want to do it trumps the right to life of others, including those who are putting their lives on the line every day to fight a pand

Until tomorrow,

Peace,

Padre Steve+

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Filed under ER's and Trauma, ethics, healthcare, mental health, News and current events, suicide

The Value of a Single Human Life: Personal Responsibility during the COVID-19 Pandemic

Friends of Padre Steve’s World,

I have grown tired of the deniers of science and those who when occupying high positions in the Federal and State governments prepare to add to the death and economic disaster we are already experiencing in the COVID-19 pandemic. Likewise I have grown very tired of trying to confront their cultish followers with history, science, and facts, especially those who should know better. The sad thing is that I can certainly determine that they have left their conscience, and medical knowledge behind simply to support the policies of President Trump which began with denial, deflection, and outright lies between December 2019 and now.

I have a unique perspective to offer on what is going on now. I am a historian, an ethicist, as well as a Priest and Navy Chaplain. I have served in the military for over thirty eight and a half years, as a Medical Service Corps Officer and Chaplain. I have served in combat, and as an ICU, ER, and Critical Care Chaplain during the height of the AIDS pandemic when there were no drugs to even mitigate the symptoms of HIV, and the H1N1 pandemic of 2009.

As a historian I have studied pandemics, eugenics, and the sterilization, or extermination of people whose lives were considered Life Unworthy of Life, a condition more influenced by eugenics to purify the race, and the economic costs of keeping such people alive. Sadly, many American Christians who lean toward Libertarianism, and Conservatism, even those who claim to be Pro-Life, which should be more accurately termed anti-abortion because once a child is born into this world they couldn’t give a damn if it lives or dies. By their budgets you shall know them. The poor, the disabled, or those with chronic medical conditions are not worth spending tax dollars on, especially if that money keeps the rich from getting richer. As Alfred W. Crosby wrote in his book America’s Forgotten Pandemic, the Influenza of 1918 about the businesses leaders that pressured San Francisco’s board of supervisors to lighten up on Medical and public health and restrictions that had led to a decline of infections and deaths: “The dollar sign is exalted above the health sign,” said Hassler, referring to the influence of the merchants on the supervisors’”

As a Medical Service Corps officer in the Army while commanding a Medical Ambulance Company stationed in Germany during the height of the Cold War I was school trained as a Nuclear, Chemical, and Biological Warfare Defense officer. I can describe in detail what radiation poisoning at different amounts will do to a human being, as well as what kind of shelters provide the greatest protection from radiation exposure.  I can tell you what various chemical agents, blood, choking, and nerve will do to a person if they are not properly equipped, or fail to use their provided protective gear as they were trained to do, the same is true of militarized biological agents. Unlike, chemical agents, there is little defense against a biological agent. I was also trained in combat triage in a contaminated environment. I have written about that in the last month so I won’t go into detail here, but it turns normal triage upside down.

Finally, as a young Medical Service Corps Captain helped write the Army’s regulation on personnel policies for HIV infected soldiers, and then because officers senior to me, I had to counsel all of our HIV infected personnel on their career options, and legal restrictions if they violated the commanders order which closely corresponded to the Physicians Medical order, but had the authority of the Uniform Code of Military Justice behind it, if the soldier failed to warn a sexual partner that he or she was HIV positive or did anything else to intentionally spread the virus. That was back in 1987. At that time I met and talked with then Major Robert Redfield, now head of the CDC about how HIV could spread and that it would enter the general population. Before effective policies and treatments to mitigate its effects HIV spread like a fire around the country and the world. While we do not yet have a vaccine for it, education, preventive measures, and effective drugs to mitigate its lethal effects have blunted its spread. That being said, HIV is far harder to spread than airborne viruses like influenza and Coronavirus. HIV has to be spread by direct contact and intermixing of bodily fluids, like blood, semen, or other bodily excretions.

At of the time of the writing of this article, the Coronavirus 19 has now killed over 55,000 Americans and infected almost a million according to official tallies, which are probably low since very few health agencies were testing for it before March. Testing in the United States has continued to lag on a per capita basis with only about 1.5% of the population tested. Currently there are over 813,000 active cases in the United States. The United States government leadership knew of the threat through reliable intelligence sources that the virus was raging in China In December 2019  long before the Chinese Communist leadership admitted it, or took action to contain it. Instead the President did nothing until he instituted a travel ban from China at the end of January. However, by then, it was too little and too late. The virus was already spreading and killing in the United States.

The lack of  any action defied the warning of President George W. Bush in a speech to the National Institute of Health on 1 November 2005:

“A pandemic is a lot like a forest fire: if caught early, it might be extinguished with limited damage; if allowed to smolder undetected, it can grow to an inferno that spreads quickly beyond our ability to control it.” 

However, President Trump, a man who prides himself in not reading, and despises the counsel of experts in any field, could not heed the warnings of President Bush or any other responsible member of his administration, or the medical and scientific community at large. Instead he denied the threat, blamed others, and took no decisive action to protect the people of the country or economy from it. instead of being like Harry Truman who had a sign on his desk that said “The Buck Stops Here,” the President refused to take any responsibility for the earlier lack of action or distribution of public warnings, and said “I take no responsibility at all.” But that is no exception to anything he has done in his life. He loves to claim credit when times are good, but when his decisions result in multiple failed divorces, failed businesses, and serial corporate bankruptcies, he refuses to take any blame. But still, his cultish followers refuse to abandon him even as he abandons them to poverty and death.

in 1918 and 1919 before he suffered a stroke that left him incapacitated and unable to lead the country, President Woodrow Wilson said nothing about the pandemic that was then killing hundreds of thousands of Americans, and threw the responsibility to respond on under funded and unready state and local authorities. As Albert Marrin wrote in his book Very, Very, Very, Dreadful The Influenza of 1918:

“Throughout the pandemic, the nation lacked a uniform policy about gathering places, and there was no central authority with the power to make and enforce rules that everyone had to obey. Each community acted on its own, doing as its elected officials thought best.”

As a result over 667,000 Americans died, the economy was hit hard, and the stage was set for policies that help bring about the Great Depression a decade later, and would take the leadership of Franklin D. Roosevelt to overcome. John Barry wrote in his book The Great Influenza:

“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.” 

Unfortunately, that has been the case today. For every responsible citizen there are those who would preserve their lives and fortunes even if they had to sacrifice the lives of others to do so. They are little different in their morality to the Germans who turned away from Nazi atrocities to maintain or enrich themselves without ever lifting a finger to kill or help anyone. The issue reminds me of an episode of Dr. Who where the leader of a colony on Mars tells the doctor that he would do anything to protect his people and family. The Doctor asks “even if that meant killing innocent men?” Unmoved, the leader reiterated his point, to which the Doctor replied:

“Well then, that’s the difference between us. I’d give up my ownlife without hesitation; it’s mine to give. Just don’t ask me to give up anybody else’s. … This is how evil starts: With the belief that the ends justify the means. But once you start down that road, there’s no turning back. What if you can save a million lives, but you have to let ten people die? Or a hundred? Or a hundred thousand? Where do you stop?”

Truthfully we have to ask the question posed by the Doctor. But for many committed to the dollar, their position, and their loyalty to a President that shoes no loyalty to them the current crisis has proved that they are selfish and more interested in their creature comforts and lifestyle than they are of the deaths and suffering of hundreds of thousands of people. I am reminded of the words spoken in the film Judgment at Nuremberg by Judge Haygood played by Spencer Tracy in the fictionalized account of the Judges Trials at Nuremberg:

But this trial has shown that under a national crisis, ordinary — even able and extraordinary — men can delude themselves into the commission of crimes so vast and heinous that they beggar the imagination. No one who has sat at through trial can ever forget them: men sterilized because of political belief; a mockery made of friendship and faith; the murder of children. How easily it can happen.

There are those in our own country too who today speak of the “protection of country” — of “survival.” A decision must be made in the life of every nation at the very moment when the grasp of the enemy is at its throat.  Then, it seems that the only way to survive is to use the means of the enemy, to rest survival upon what is expedient — to look the other way.

Well, the answer to that is “survival as what?” A country isn’t a rock. It’s not an extension of one’s self. It’s what it stands for. It’s what it stands for when standing for something is the most difficult!

Before the people of the world, let it now be noted that here, in our decision, this is what we stand for: justice, truth, and the value of a single human being.” 

So, that being said, what do we stand for in 2020? It is something that all of us all have to answer for, not just political, or business  leaders, but all of us.

If we are nor willing to protect and care for the least, the lost, and the lonely, what use are we? As Dietrich Bonhoeffer wrote:

“God loves human beings. God loves the world. Not an ideal human, but human beings as they are; not an ideal world, but the real world. What we find repulsive in their opposition to God, what we shrink back from with pain and hostility, namely, real human beings, the real world, this is for God the ground of unfathomable love.”

As a Christian and humanitarian I cannot speak otherwise. If I cannot stand up for truth regardless of the cost, I am not worth the powder to blow me to Hell.

Think about that. Until tomorrow,

Peace,

Padre Steve+

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Filed under christian life, Coronavirus, Diseases Epidemics and Pandemics, ethics, euthanasia, faith, film, History, laws and legislation, national security, nazi germany, Political Commentary, Religion, US Presidents, world war one

The COVID-19 Tsunami is Here and The Pro-Life is Exposed as Profit over People

Friends of Padre Steve’s World,

The disaster that few prepared for, including our President despite having verified and validated evidence of it in January is here. Back then we were given a moment in time to prepare, something that people that experience tsunamis ever get. An administration in denial dismissed evidence that could have mitigated the novel Coronavirus and minimized the number killed by it. I will not go through the litany of deception and false claims that he made made, and the actions of his administration in giving away tons of vitality needed Personal Protective Equipment  from our national stockpile, to China. PPE that our doctors, nurses, and other medical personnel are crying out for because they are having to reuse or use makeshift gear to treat the victims of the novel Coronavirus. 

Back in January there were only a few cases, which the President said would soon disappear along with the virus, and the President’s “band played on,” to borrow words the late Randy Shilts in his monumental volume about the initial response of the Reagan Administration to the AIDS pandemic. However, despite the warning the President played politics by minimizing the threat, and later bragging about how he has responded to it, constantly upstaging, and contradicting the experts of the CDC including Drs. Fauci and Brix, while ignoring the rising infection rate and death toll until it became a political liability. When that happened he and is enablers, supporters, and propaganda network, you know them well Fox News began to deflect the blame to the Democrats, the impeachment hearings and Senate trial, the Chinese, the media, and anyone else for his multiple failures when simply listening to experts and being honest with the American people would have been far better. In fact he took his impeachment trial and COVID-19 so cavalierly that he kept having campaign rallies beating his chest, demonizing his opponents, bragging on himself, and exposing his followers to to a deadly virus in massed rallies who God knows how many were exposed to satiate his vanity. That is the mark of a true sociopath, he doesn’t even care about his supporters. Think about that.

Just 24 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 infections and deaths are spiking, and the healthcare system is being overwhelmed without enough resources to care for the victims or protect their caregivers. In two and a half months we went from a barely noticeable situation, unless you pay attention to potential pandemics. But in 24 days we went from a noticeable wave to a tsunami of infection and death, not to mention economic carnage, and worldwide instability. But, instead of doing what almost all of his 44 predecessors did, President Trump declared “I don’t take responsibility for anything.” Forget President Harry Truman who declared “the Buck stops here,” or any other President, this President denies any blame for anything regardless of how serious it is. But that is his history: draft dodging, divorces, affairs, corporate bankruptcies and failures, leaving employees, contractors, and now the American people in the lurch to protect himself.

As of now the United States has 215,300 of the world’s 936,204 infections, or 23% of the world total. That is a 338% increase since 8 March. Our death rate since 8 March has gone up by 223%. By the way we have the unfortunate distinction of having the most infections or any country in the world. But wait, there’s more. Of the 47,249 deaths we went from 3,ooo to over 5,000  deaths in 48 hours. Our death toll is now 5,110, or 11% or the worldwide death total, and supposedly we have the best medical system in the world.

But that is not the case. Public health ranks at the bottom of our priorities. Expensive specialty procedures and interventions are at the top, not to include medical procedures performed simply for our vanity and good looks. Preparation for pandemics and disasters  is also low, because our medical system is profit based predicated on what insurance companies will pay for, if an American is fortunate enough to have medical insurance. The fact is that our private and even public hospitals operate with very little surge capacity, because it takes profits down. ICU beds, ventilators, and the highly trained staff need to man them are expensive. Insurance companies don’t like to pay those costs, nor do hospitals and medical systems. For the corporations, profit takes priority over people, even when the doctors, nurses, and other staff are committed to life and the Hippocratic Oath.

As of today that number is far lower than it was a week ago, as failing businesses end their COBRA policies, and then fire their workers. It looks great on a corporate balance sheet but it fucks all of their employees, especially those who devoted their lives and careers to those corporations, while the Trump Administration refuses to let the millions of people impacted by this to purchase health insurance through the Obamacare exchanges. The President rejected that today, it is quite obvious that he would rather destroy the lives of people than to save them and then claim victory despite the loss of 100,00-240,000 people or more. Those are not the actions of a man who stands for the sanctity of life, but rather a sociopath willing to sacrifice lives to keep power.

The cruelty of profit over life exposes that our real civil religion and morality is not life, but profit. As a historian and scholar of Nazi Germany and the Holocaust, I have to ask when palliative care transitions to euthanasia, and those deemed life unworthy of life, are euthanized by the people who supposedly there to care for them and protect the sanctity of their lives. As this cris continues, and the Trump Administration remains in change that such a decision will be made, not to protect the sanctity of life, but to enhance corporate profits, and political power, regardless of the human cost.

It is late and I am tired, but as of now of those whose cases were resolved by death and recoveries, 36% resulted in death. The worldwide death rate has gone up to 20%, up from 16% at the end of last week.

I believe in God, faith and prayer, but without the actions of responsible human beings in leadership positions, elected, appointed, or commissioned, we are headed to a human, economic, sociological, and eventually war based solution, regardless of whatever nation starts it,

So until tomorrow I wish you all the best. Please be careful out there.

Peace,

Padre Steve+

 

 

 

 

 

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Filed under civil rights, Coronavirus, Diseases Epidemics and Pandemics, economics and financial policy, ethics, euthanasia, faith, healthcare, History, holocaust, laws and legislation, leadership, life, national security, natural disasters, News and current events, Political Commentary, pro-life anti-abortion

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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Filed under civil rights, culture, Diseases Epidemics and Pandemics, Foreign Policy, History, laws and legislation, leadership, national security, nazi germany, News and current events, Political Commentary

Coronavirus 19: Just the Facts

Friends of Padre Steve’s World,

I have been working on this article for two days in order to check sources and facts and to try to find the best sources of information for my readers.

The novel Coronavirus, or COVID 19 is now spreading at a rapid rate around the world, after beginning in and wreaking havoc in China, especially Wuhan City and Hudei Province where it began. The first death was reported by China to the World Health Organization on December 31st 2019. By the end of January the total number of infections numbered nearly 12,000, with 259 deaths. The Chinese Communist leadership tried to minimize the outbreak in its official communications, and finally, after delaying, enacted draconian measures to contain the spread of the virus, slowing its advance and buying time for other nations to take action. Even so the outbreak was declared a Public Health Emergency of International Concern on 30 January 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

Coronaviruses can range from the common cold to more serious diseases, This is a new form of Coronavirus, which can be transmitted from animals to humans. Two of the more recent Coronavirus are  were the Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS).

Since the World Health Organization declaration at the end of January the total number of cases number nearly 110,000, with over 3800 deaths. Cases have been reported in 103 countries on every continent. However, the numbers are certainly under the actual totals, as many countries, including the United States do not have enough testing kits to detect every case and the incubation period where an asymptotic infected person (someone not showing symptoms but who  is infected) can be up to 14 days, and in a few outlying cases 19 days or more. Depending on the country the average incubation period is 5-6 days. https://www.worldometers.info/coronavirus/

Politics and inept actions in Washington, beginning with the President’s refusal to treat the outbreak as anything serious, and the administration’s initial response to ban non-U.S. residents from China from entering the country helped squander the time bought in China, despite that travelers from the infected region had been traveling around the world for weeks.

This was compounded by flaws in the CDC’s test kits which were discovered by clinicians which led to inconclusive results. It took most of February to troubleshoot the issue and begin deploying the CDC kits. The administration promised a million kits by the beginning of March, but fewer that 100,000 have been issued. Likewise, outside of the CDC the only a dozen research medical centers had the capability to produce their own kits, and the FDA, which is in charge of quality control standards for commercially produced kits and medicines was not brought into the effort until the end of February.

The delay meant that a very stealthy and hard to discover virus, 1/70th the size of a human blood cell, was loose in the United States without means to test for it in the midst of cold and flu symptoms, many of which it mimicked. It is highly contagious and there is no vaccine for it, and most experts don’t believe that there will be one for some time.

The only way to stop the spread is to keep people apart, for weeks because of the slow incubation period. The draconian measures to contain the virus by quarantining a large province have been the only thing that has slowed the rate of new infections. Italy, which has seen a massive spike in infections and deaths has quarantined Lombardy and the 12 nearby provinces. This is the industrial heartland of Italy, and the effect on the Italian economy will be great, as well as on companies which rely on the region for vital products.

As of today the United States has tested less than 2000 people for the virus, but the CDC  removed numbers tested from their website on March 2nd. This was probably a political move as it occurred shortly after Vice President Pence was designated to lead the fight against the virus. Shortly after Pence was named, it was announced that no Federal Government Health agency, civilian or military should release any information without clearing it with the Vice President first. The optics of this make it look like the administration is deliberately withholding information that could prove damaging to it and the President.

Even as the virus spread exponentially over the past week the President and the CDC are underplaying it. According to EU data, COVID-19 has been confirmed in 32 American states. According to CDC, it’s 19. According to Johns Hopkins tracker, there are 516 confirmed cases and 21 deaths. This is in large part due to the few tests conducted in the United States. https://coronavirus.jhu.edu/map

However, according to the CDC there have only been 164 cases and 11 deaths. https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html

The President still speaks as if there is no threat and downplays warnings from scientists and doctors. He surrounds himself with yes men who dare not cross him. He has done that in almost every branch of the Executive Branch, and now lives are at stake, as he, as he always does, knows more about the subject than experts. On Friday, Trump commented at Mar-a-Lago:

“I’m not concerned at all,” the president said when asked about Coronavirus getting closer to White House. “We’ll hold tremendous rallies,” he said — rallies will continue.“

Such rallies, while they boast the President’s ego, will endanger the lives of his supporters.

A report by a research group in Washington State suggested that based on genetic similarities between the first person diagnosed in the state and the United States, who had traveled to China, and a teenager in the same county who tested positive recently, that the virus could have been spreading undetected in Washington for up to six weeks. They considered their results “statistically significant.”

The spread of the virus has not been good for the global economy, and after over a month and a half of living in denial the world financial markets have taken major hits. The Dow Jones is down almost 4000 points; and other U.S. and foreign exchanges are losing similar amounts of their value. Likewise, bonds are down, oil is down, and the Federal Reserve dropped the Prime Rate by a quarter of a point to try to prop up the economy and prevent a recession, but there is little else they can do. The rates are nearly as low as they can go, and the Trump tax cuts when the economy was good have ballooned the budget deficit and national debt, so there is little wiggle room to pump up the economy.

However, the real problem is that we now live in a global economy, which is linked via supply chains dependent on the rapid movement of parts, materials, and manufactured goods, because most companies now rely on “just in time” supply systems rather than maintaining large inventories. Supply disruptions will be a major part of any recession, because they will lead to closed factories, stores, and put many people out of work. It will be a recession unlike any other we have experienced. Commerce is based on people coming together, and if governments “pull out all the stops” to contain the virus as the World Health Organization has urged, countries will have to do what China did and Italy is doing. Factories will shut down, entertainment venues will close, stores dependent on delivery of goods from across state or international boundaries will shutter as interstate travel and movement is banned with exception of absolutely essential items, and people will stop going to restaurants. Based on his actions so far I cannot see President Trump taking those kinds of actions.

There are also national security concerns, the virus could hurt American military readiness, and ability to train and deploy forces. Depending on how bad things get, it could cause social and political disruptions in countries where economies are on the edge, and where race based populist movements enjoy significant influence. Such movements often repress racial and religious minorities at home, and seek conflicts with their neighbors to settle old scores, or to take control of contested areas.

Hard decisions have to be made if this outbreak is to be stopped from becoming a major epidemic. The number will certainly be safe.

I will write about my experiences during the AIDs outbreak and dealing with it as both a Medical Service Corps officer in 1987-88, as a civilian hospital chaplain at Parkland Memorial Hospital in Dallas from 1993 to the end of 1995, as well as as an ICU Chaplain during the H1N1 flu pandemic in 2008-2009.

So until tomorrow, be safe, stay informed, and prepare. If you are sick, try not to expose others and seek medical treatment, and by the way, wash your hands.

Peace,

Padre Steve+

 

 

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Filed under Diseases Epidemics and Pandemics, News and current events, Political Commentary

The End of an Exhausting Week: Community, Coronavirus, and Comparisons to the Past

Friends of Padre Steve’s World,

The past week has been difficult with the corporate destruction of what used to be our version of Cheers, battling the emotions that came with that, as well as a couple day relapse into coughing most of the night and being unable to get any sleep, and obey the directive, that if one was sick one should not go to work. But, even so I was unable to get anything of substance accomplished, tired, and drained both emotionally and physically, by Wednesday night I was on the mend and able to go back to work yesterday and today. However, Thursday was busy but at the same time productive, even though I was running as if my Warp Core had been drained and I could barely get by on Impulse power. I slept fairly well Thursday night and today my propulsion and other systems were nearly back to normal.

Friday evening we were able to reunite with a good number of friends and some of our former bartenders and General Manager of our Gordon Biersch met at a locally owned Irish restaurant and bar, where the management and employees welcomed us, expressing the shock and surprise at what happened. It was a night to reunite with our friends, our extended family and community. It was nice, we were all on the same side on the bar, and the former customers were paying for the meals and drinks of those who over the last decade did so much to take care of us.

I have a number of things I will be writing about over the next few days; the Coronavirus 19 pandemic and our government’s mostly inane response to it, Season Three of Babylon Berlin, and the anniversary of the historic duel between the USS Monitor and the CSS Virginia, as well as the race for the Democratic Party nomination to run against President Trump in November, and the challenges that face the United States and World in light of the Coronavirus. Likewise, I need to update you on my Reading Rainbow. 

There are some interesting historical parallels to now and the events during the years between the First and Second World Wars which are worth exploring, including the Spanish Flu Pandemic of 1918-1919, world economic fluctuations which culminated in the Great Depression, as well as the rise of Left and Right Wing extremist parties that brought about the authoritarian rule of various Fascist, Communist, and Racist parties in Europe and Asia, which also spread to the United States and Great Britain, but in the latter they did not seize control, as they did in Germany, Russia, Italy, Hungary, Poland, Japan, and other smaller, less powerful countries; nor did they destroy the democratic and constitutional underpinnings of government as they did in France in the 1930s. However, as always I digress.

I am tired and need to get to sleep. I promise to get back on schedule, even as I watch Izzy and Pierre having their nightly Papillon war at my feet. So until sometime Saturday night or Sunday morning I wish you all well.

Peace,

Padre Steve+

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Filed under Diseases Epidemics and Pandemics, healthcare, History, Loose thoughts and musings, Political Commentary