American Ignorance is Killing Us

Dr. Anita Sircar, an infectious disease physician and clinical instructor of health sciences at the UCLA School of Medicine, has published an opinion piece in the LA Times, “As a doctor in a COVID unit, I’m running out of compassion for the unvaccinated.” https://lat.ms/2W9yrLp

I’m with Dr. Sircar.

Conditions continue to deteriorate in Florida and other states of the former Confederate States of America. The Governor of Florida continues to act like Donald Trump – basically taking the position that this virus is no more than a common cold. He preaches that some vague idea of “freedom” is more important than stopping the worst pandemic in modern history that is now, once again, ravaging the country. #DeathSantis, as he is often called on Twitter, claims that parents should be able to make all decisions regarding the health of their children, just because they’re parents, without regard to their knowledge or the impact their decisions may have on others.

Florida seems to have adopted as its unofficial motto: “my body, my choice,” a favorite mantra of the anti-vaccination mob. Ironically, Texas simultaneously has placed into law SB8 that effectively bans abortions regardless of rape, incest and so on. So much for “my body, my choice.” But that’s for another time.

Here I want to address the widespread ignorance that has left the United States and much of the world in a position of failing to stop a deadly viral pandemic even though the means to do so is readily available and free. I readily confess up front that at my late stage in life I am profoundly resentful of the arrogant and ignorant decisions being made by people that have effectively stolen two years of my life and threaten to continue doing so indefinitely.

Dr. Sircar’s op-ed tells a gruesome story of a patient under age 50, normally in good health (just some mild blood pressure issues). He tested positive 10 days before, began coughing with severe fatigue 8 days before and, after doctor-prescribed antibiotics did nothing, turned to … hydroxychloroquine, the drug promoted by Donald Trump and multiple medical quacks despite compelling evidence of its ineffectiveness against COVID. That, of course, also failed. As his health continued to decline, he was, Dr. Sircar reports, a “shell of his former self.” By the time he arrived at the clinic, treatment with monoclonal antibodies also failed.

He finally ended up in the ER with dangerously low oxygen levels, exceedingly high inflammatory markers and patchy areas of infection all over his lungs. Nothing had helped. He was getting worse. He could not breathe. His wife and two young children were at home, all infected with COVID. He and his wife had decided not to get vaccinated. [emphasis added]

Dr. Sircar goes on,

Last year, a case like this would have flattened me. I would have wrestled with the sadness and how unfair life was. Battled with the angst of how unlucky he was. This year, I struggled to find sympathy. It was August 2021, not 2020. The vaccine had been widely available for months in the U.S., free to anyone who wanted it, even offered in drugstores and supermarkets. Cutting-edge, revolutionary, mind-blowing, lifesaving vaccines were available where people shopped for groceries, and they still didn’t want them.

Outside his hospital door, I took a deep breath — battening down my anger and frustration — and went in. I had been working the COVID units for 17 months straight, all day, every day. I had cared for hundreds of COVID patients. We all had, without being able to take breaks long enough to help us recover from this unending ordeal. Compassion fatigue was setting in. For those of us who hadn’t left after the hardest year of our professional lives, even hope was now in short supply.

The man claimed not to be anti-vaxxer.

I was just waiting for the FDA to approve the vaccine first. I didn’t want to take anything experimental. I didn’t want to be the government’s guinea pig, and I don’t trust that it’s safe.

Dr. Sircar, notes that,

The only proven lifesaver we’ve had in this pandemic is a vaccine that many people don’t want. A vaccine we give away to other countries because supply overwhelms demand in the U.S. A vaccine people in other countries stand in line for hours to receive, if they can get it at all.

Dr. Sircar turned to remdesivir, explained its status among approved treatments with long-term side-effects unknown:

“Do you still want me to give it to you?”

“Yes” he responded, “Whatever it takes to save my life.”

It did not work.

 Dr. Sircar concludes the story:

My patient died nine days later from a fatal stroke. We, the care team, reconciled this loss by telling ourselves: He made a personal choice not to get vaccinated, not to protect himself or his family. We did everything we could with what we had to save him. This year, this tragedy, this unnecessary, entirely preventable loss, was on him.

She is exactly right about that. The op-ed goes on to lay out the likely outcomes for the unvaccinated going forward. If you, or members of your family, are like the patient described here, read the full story at the link above.

We are headed swiftly back into the abyss of a raging out-of-control pandemic, widespread deaths and long-term impairments, loss of businesses, collapse of the economy, failure of the education system and more. Many parts of the world are declining again to admit Americans. The travel industry, among many others, is reeling as business disappears.

The CDC has just issued another warning about Labor Day travel, asking the unvaccinated not to travel this weekend and suggesting that even vaccinated individuals carefully reassess the risks of travel.

Here are the reported facts, per CNN’s summary [https://cnn.it/3kIudDh]:

US is surpassing an average of 160,000 new Covid-19 cases a day

38.6% of eligible people (everyone 12 or older) are not yet fully vaccinated

Hospitalization rates for unvaccinated are 16 times higher than for vaccinated people

180 new COVID cases were traced to a multi-night church camp and a men’s conference, neither of which complied with CDC recommendations

More than 200,000 kids test positive in a week – infection rates in children are increasing exponentially

Less than half of children 12 to 15 are vaccinated with even one dose

More than 200,000 children tested positive for Covid-19 in the last week, a five-fold increase from a month ago, with corresponding increases in hospitalizations

Between August 20 and 26, an average of 330 children were admitted to hospitals every day with Covid-19 — highest rate of new Covid-19 hospitalizations among children in more than a year

Hospitals and staff are again being overwhelmed and some are running out of oxygen

If the virus had a personality, it would be laughing out loud at the folly of humans who are so able and willing to ignore reality in favor of conspiracy theories and myths perpetrated by other humans who have no credentials or other authenticity as authorities on health decisions. What else is there to say?

Well, here’s something. A respiratory therapist, Karen Gallardo, described the Seven Stages of Severe COVID in a Los Angeles Times article at https://lat.ms/3yzlGan. It’s not pretty. Heavily summarized, they look like this:

Stage 1: Debilitating breathing problems force you to the ER

Stage 2: You’re drowning. Transfer to ICU

Stage 3: Breathing is worse. You are put on a “positive pressure ventilator” velcroed tightly to your face

Stage 4: In preparation for full intubation, from which most patients never recover, you are advised to call your loved ones, likely for the last time. Then,

You are sedated and paralyzed, fed through a feeding tube, hooked to a Foley catheter and a rectal tube. We turn your limp body regularly, so you don’t develop pressure ulcers — bed sores. We bathe you and keep you clean. We flip you onto your stomach to allow for better oxygenation. We will try experimental therapeutics.

Stage 5: If you’re not one of the few Stage 4 survivors, you may need special machine that bypasses your lungs and oxygenates your blood, if your hospital has one.

Stage 6 (Ready?):

The pressure required to open your lungs is so high that air can leak into your chest cavity, so we insert tubes to clear it out. Your kidneys fail to filter the byproducts from the drugs we continuously give you. Despite diuretics, your entire body swells from fluid retention, and you require dialysis to help with your renal function.

The long hospital stay and your depressed immune system make you susceptible to infections. A chest X-ray shows fluid accumulating in your lung sacs. A blood clot may show up, too. We can’t prevent these complications at this point; we treat them as they present.

If your blood pressure drops critically, we will administer vasopressors to bring it up, but your heart may stop anyway. After several rounds of CPR, we’ll get your pulse and circulation back. But soon, your family will need to make a difficult decision.

Stage 7 (End Game):

After several meetings with the palliative care team, your family decides to withdraw care. We extubate you, turning off the breathing machinery. We set up a final FaceTime call with your loved ones. As we work in your room, we hear crying and loving goodbyes. We cry, too, and we hold your hand until your last natural breath.

The End

Fix Stupid

Position of Republican Governors who fight to prevent implementation of strong, sensible public health measures recommended by federal and other health experts:

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