Paul's Heart

Life As A Dad, And A Survivor

Archive for the month “April, 2020”

Effects On Children


This was originally going to be two separate posts, but since both topics revolve around children, I decided to combine them.  Tomorrow I want to publish what I would call a fascinating and significant post, and I have found I am pretty good at procrastinating (nearly 400 posts started and never finished).  So, if I do not address both now, one may never get published, and I consider both of equal importance.

First as usual, I must address any trolls.  Any reference to custody or divorce is no reflection of my personal circumstances and any coincidence is just that, a coincidence.

The headline caught the attention of everyone is south Florida on both sides of the coast.  It even made national news broadcast on CNN.  Of course, I received several emails about the story.  To be honest, I really struggle with how this particular story made the news in the first place, but realize that it only caught headlines, because the doctor who lost custody, while being a woman, is a doctor on the front lines of dealing with the Corona Virus.

I do not have the time to address the millions of issues with the family court system, and this is not the object of this post.  I am also going to refrain from choosing sides because this story was clearly only presented with one side, as the father of the child is not even mentioned.  And honestly, as a child custody advocate, I can tell you it is highly unusual, other than through social media support groups, complaints over custody rarely have any “feet” in a news cycle.  In fact, those that have made any attempts to draw attention to a system that has so many problems, is likely to be met with the judge and litigants involved, resulting in a charge such as “intimidating a judge” for just voicing a negative opinion about a case.  So, I will admit, seeing this on the news really made me feel uncomfortable.

At issue, the mother, is a doctor in Miami, taking care of patients with the Corona Virus.  She has a daughter that she splits time of the child, 50-50 with the father.  In a non-Covid19 world, most parents would welcome this kind of arrangement.  There is no evidence of an existing custody order.

The father, according to the mother’s side of the story, filed for, and received temporary full custody of the child, while the mother performs her duties in the ER.

In front of the judge in her case, the mother was faced with a decision faced by many today with this crisis.  She was being expected to choose between her career and her child.  The explanation by the judge, not unreasonable, the protection of the child from the higher risk of exposure of the mother.  There are many front line medical personnel who fact similar decisions depending if they have loved ones who are vulnerable, or if they themselves are even vulnerable.

Of course the article stirs up a huge debate and outrcry of unfairness by the courts.  The articles and the televised news stories were all one sided, so it is impossible to make a fair and accurate public judgement either way, other than what the judge had ruled.  Again, the judge’s decision was based on what was “safest” for the child.  For instance, I do have the following questions:

  • Was there a pre-existing custody order in place?
  • Is the relationship between the two parents adversarial or complimentary?
  • Is there any kind of domestic history or behavioral concerns in the past?
  • Does the father have any vulnerability risks with the virus that would jeopardize his custody if the child was exposed to the virus or was a carrier?

The answers are relevant, in that could this be a situation of being an opportunist given the current crisis?  The only response from the father came through his attorney, stating that it is only the safety of the child that is of concern.

I have seen my share of cases presented, a parent fighting with every fiber of their being, for the right to care for their child, even during their custodial time.  And the argument can never be accepted that a parent cannot care for the child as a single parent, when there was no issue as a married parent.  This case does not seem to be about actual custody, at least not the way it has been presented.

But the thing that concerns me about the mother’s side, and she clearly states that the hospital where she works, takes all the precautions, and claims that PPE is not an issue, there is a protocol for staff to follow before heading home to family.  And as long as you have done everything you are supposed to be doing, in theory, you should be safe, and so should your family.  The wild card in this, is everyone else.  The mother cannot control what everyone else does as far as their practices and procedures.  There are countless cases of medical personnel on various levels, coming home and infecting family members.  I know of at least one family personally in a small town in PA where I am originally from.  It can happen.

I applaud the mother for wanting to commit to her passion of care for others.  And I have no doubt that she cares very much for her daughter, all the more reason she should want the extra concerns met for the safety of her child.  It is definitely not a situation that I would want to be in.

I would hope that the father is willing to make arrangements for the child to see the mother as often as possible during this time and that the mother is constantly screened to guarantee the safety of their entire family.  Seeing the mother is not just about in person, but also arranging for video and telephone communications.  There is no restrictions on communication.  Again, the story does not go into details about how they will work around the judge’s temporary ruling.  Who knows?  Perhaps in time, the mother could decide that she needs time away from the hospital and take leave.  I am sure the judge would immediately restore the visitation as it was prior.  Fitness of either parent does not seem in question, only the situation.

The other effect of this virus on children, no school.  Yes, many parents, probably most, have had a child that did not want to go to school.  During this crisis, that wish has been granted.  But is it a good thing?  I want to be clear, I am not making any reference to “home schooled” children as their situation is completely different.

As a child, the most extreme situation that I experienced any kind of isolation, was when I came down with a case of Chicken Pox in fourth grade.  Two weeks at home, highly contagious, and itching like crazy.  I actually have a scare on my forehead from one of the pox left behind as the scab was pulled off by a hat I wore to keep warm towards the end.  Those two weeks were easy for me to endure, because I was really sick.  I was not worried about seeing my friends in or out of school.

Snow days, again were different then compared to now.  Even twenty years ago, as we got hit with blizzards and warnings came with “state emergencies” to stay off the roads, we did as we were instructed, not just for our lives, but for the workers who actually needed to be on the roads, first responders, and just as importantly, the snow plow drivers.  But again, these were temporary times.  Were businesses closed down?  Absolutely, but only areas affected by the storm, not nationally.

Getting back to the kids, my daughters have been raised to be very social.  They adapt very well publicly to different environments which was great jumping from nursery school to Sunday School, to elementary school and so on.  Just as when I was a child, I valued my friends.  The difference today, my daughters have all kinds of technology and social media to keep in touch with their friends.  But that technology does not take away the need for actual physical company of those friends, or their classmates.

In talking with several school officials in various school districts and states, students feeling disconnected from school, unmotivated if you will, is becoming common.  No, it is not the ability to cheat off of a test or share homework, the children actually miss hearing the noises in the classroom, breezes as a student walks by on their way to the teacher, laughing in the lunch room.

Parents need to be aware of this.  This whole “learn at home” is new to public school families, and the schools themselves.  What seems to be an honor system, the work will get done, some sort of attendance recording is kept, though not in the form of hours studying.  The only way an inattentive parent will notice if anything is wrong, is when a communication comes from the school mentioning a failing grade, but then it is too late.  While physical presence in the school is over for this school year, the effort still matters.  And while we as adults struggle ourselves with the need to social distance, it is even harder for those with developing minds to grasp the fact that they are expected to undo what we have taught our children, to be social.

The next school year is more than just about opening schools, clean and disinfected, making sure all issues from the prior year are resolved, all the while preparing to return to a regular classroom activity schedule, most likely all the while trying to maintain the health of the students and staff.

Think about it, if schools are expected to open in the fall, and many are still dealing with Covid19, how does a school deal with social distancing in a classroom of 30 students as is common all over the country?  This is just one of many logistics school districts will now have to prepare for.

What cannot be lost however, is what about the kids?  We as adults, unless we have a great great aged relative have any concept of what it is like to get back to life following a pandemic or epidemic.  We as adults struggle with what will be accepted as a “new normal.”  But you know who also will struggle with this?  The children.  When the children return physically to school in the fall, education as they knew it, will have changed.  Of course, there will be those who say kids are resilient, as they have gotten used to and accepted their daily lives prior to this health crisis included the fear of being their turn for a national headline of being shot, or annual lock down drills.

No, this time, when kids return to school, it is going to be totally different for them.  Time not only stopped for them, it skipped over an entire period of time.

The Fantastic “Voyage” – 12 Years Later


At this time, twelve years ago, I was laying on a table, with no heartbeat.

I had been taken to the operating room around 4am, with a detour at the hospital chapel.  I was scheduled for an emergency triple bypass that was discovered only because I was annoyed by a symptom that I could no longer ignore after four months.  Less than twenty-four hours earlier, I had undergone a catheterization which was believed to have been good enough to correct the suspected blockage.  Instead, my cardiologist had discovered, I had a blockage that gets the dramatic nickname, called a “widow maker.”  Because that is what the type of blockage leads to, a fatal heart attack, not if, but when.

I have written before about the procedure, and you can view the page, “CABG – Not Just A Green Leafy Vegetable.”  Instead, as I have had time to do during this social isolation, I went through my medical file that I have a copy of every record from April 17, 2008 on.  I came across my surgical report from this bypass surgery.

Reading this report reminded me of a movie that I had seen on multiple occasions as a child, “Fantastic Voyage,” featuring Raquel Welch.  It was a sci-fi thriller that had doctors shrunk in size, placed into a submarine type vehicle, the inserted into a syringe, injected a patient.  The vehicle would travel through the body into the various systems finding themselves under attack from white cells, that were only doing what intended, attacking foreign bodies, and other creative situations, all in the attempts to perform a surgical procedure from within the body itself.  Seriously, check out this movie if you can find it.

Anyway, as a Hodgkin’s survivor, I was taught the importance of keeping a copy of my records for everything.  Because not every medical personnel you deal with will have necessary and immediate access.

This is not the first time I have read my surgical report on my bypass.  But as I do, I am still amazed at the detail, the effort, and the literal “life and death” status, not to mention a whole bunch of big words, that to this day, I still have not looked up as to their definitions.  The report, as understood on its own, is enough for me to handle.  So with that, I want to share some of the “cool” things that were done to me during this process.

“median sternotomy incision made… sternum divided…”

“divided left mammary artery”

“anterior pericardium was opened”

“The patient was placed on bypass, cooled, and emptied.  With the heart emptied, a crossclamp was placed and one liter of antegrade cardioplegia solution was given through the catheter in the ascending aorta.  The heart became asystolic.”

This one really got to me.  My heart was emptied of any blood, and it was stopped from beating.  I was dead.  I was on a bypass machine, but my body for all intents and purposes was no longer capable of living on its own.  The bypass procedure was now literally on the clock.

“Hot shot of warm oxygenated blood cardioplegia solution was given.”

“Valsalva maneuver was performed” (artificial respiration technically)… “the heart was allowed to fill” (with blood).

“The heart fibrolated at this time.”

“off bypass…”

“wired the sternum, closed the wound in routine fashion…”

With that, I was taken to the ICU, where I spent an unknown amount of time.  I had no windows so I have no recollection if it was even days.  The entire report is amazing to read.  It makes my experience even more remarkable because I not only lived it, but survived it.

This was the turning point for me in my survivorship of Hodgkin’s Lymphoma, a hyper-awareness with my body’s health.  I learned all of the other issues my body deals with because of the treatments that I went through to save my life over thirty years ago.  Of course now, I wonder the status of the bypass, not necessarily a lifetime solution.  No doctor is willing to give me a time-frame on the bypass lifespan.  But twelve years out, and with the progressive damage still occurring, I know that I have to still be observed not just for this, but all of my other issues.

But given the reality of the Corona Virus crisis that we are in, I have a different point that I want to make.  Though not every outcome results in a positive end, our health care personnel are amazing with what they not only can do, but the circumstances they must perform under.  I will always have the utmost respect for my doctors, nurses, techs, and all of the other personnel not just to care for one patient, to care for all.

I am thankful for you all, whether you were in that operating room or not.

Numbers, Numbers, Numbers, And More Numbers


If there is one thing that cannot be refuted or denied, it is numbers.  And as it turns out, that is one of the comments made about my prior post.  One of the first responses I received was, “why don’t you talk about the recoveries?”, a common war cry to counter the constant attention drawn to the total cases, and worse, death tolls of the Corona Virus.

So I will make this a short post, and keep it just about the numbers as of April 15, 2020 (according to Worldmeters.info).

Total Corona Virus cases in the US:  624,893

Total Deaths in the US:  27,771

Total Recovered From Corona Virus:  47,715

Total US population:  331,002,651 (that’s 331 million for short)

Total Of US population still uninfected or immune to Corona Virus:  330,377,758

If the numbers are still too scary, perhaps if we put them in the form of a percentage, we might be able to see the rainbows and unicorns.

Death rate of US Corona Virus cases:  4.4%

Recovery rate of US Corona Virus cases:  7.5%

Current cases of Corona Virus in the US unresolved yet:  90.5%  (567,407)

Population of the US still not infected or immune to Corona Virus:  99.8%

These are all the current numbers as of 3:55pm, April 15, 2020.  I ask for apologies for not making such a big deal about the number of recoveries.  The number of recoveries are certainly encouraging, well, not so much the number, because it is so small in number compared to the overall population, but percentage wise, if, were were to just assume the current death and survival rates, having to assume that everyone in our country will have a chance at being infected as there is no vaccine, too many still refuse to follow CDC guidelines, and the monstrous push to return our society to normal:

Assumed survival of the population of the US after infection or immunity of Corona virus at 95.6%:  316,438,534

Assumed deaths of the population of the US after infection or immunity of Corona virus at 4.4%:  14,564,116

Sure it is nice to talk about the recoveries, and there will be many, the majority in fact.  But how many deaths is too many?  Especially if we still have the chance to prevent those deaths.  And the only way to prevent them, is to not deny the potential what is already a catastrophic loss.

Let the scientists do their job.  Please, let our leaders follow the advice of the scientists that know what they are talking about, and how to get there.  And maybe, just maybe, not just the recovery numbers will be higher, but more importantly, those infected will be much lower.  But this is not something we can afford to rush or force.

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