Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “The Heart”

The Difference Between Fear Mongering And Reality


Right up front, I must warn you, if you are the type of person who just wants to hear about unicorns and rainbows, believes only in the powers of “The Secret,” or just a simply denier that bad things never happen, you will want to skip this post.

The reality is that the world, not just our country, is facing one of its worst crisis in history.  Any attempt to minimize the severity of the Corona Virus, is pure irresponsibility.  That said, it is estimated that a fairly high number of people will contract this virus and face any number of symptoms from none to mild or moderate, and recover.  And under normal circumstances to go on carrying on about life in care-free fashion would not even raise an eye-brow.

But there is a decent percentage of the world’s population, estimated at 20%, that is known to have major issues not just surviving this virus, but suffering through it, clearly an understatement.  Without going through all the histology of the virus, real simple.  It is not the virus that kills, it is the pneumonia caused by the virus that takes the lives of those who are vulnerable or elderly.  But why?  Why does it affect this certain group of people?

First, I want to be clear, as one of this 20%, I am doing nothing that should put you at risk or inconvenience.  I have been doing my part since the warnings were finally given, actually a bit sooner because even I was aware this was going to be serious even though those with the powers that be, would rather have downplayed it.

So, I am doing my part.  I am social distanced, physically isolated for the most part.  I have taken control of my outcome as best as I can.  Now to understand why I am doing this.

In the beginning of this outbreak, we were warned who was considered vulnerable.  The elderly.  Those with cardiac issues.  People who had pulmonary issues.  Diabetics.  Anyone with high blood pressure.  And of course people with compromised immune systems.  Six boxes of vulnerability, and I check of five of them, because I do not consider being in my fifties, elderly.

In 2008, I had emergency heart surgery to bypass the major artery to my heart, damaged from radiation therapy for my Hodgkin’s Lymphoma years earlier.  I had a second surgery in 2019 to correct another vital artery, also due to radiation damage.  To this day, I know that yet a third surgery will be in my future to correct more radiation damage, to the valves of my heart.  And if that was not enough, I also have to be concerned about my carotid arteries, also affected by the cumulative and progressive damage done by the radiation.

My lungs also have issues from both radiation and chemo therapies.  The lower left lobe of my lung is described as “dead”.  My last test of lung capacity measured was at 76%.  I also have unidentified spots on my lungs that have been watched for years.  In 2012, I nearly died from aspiration pneumonia, because it turned septic.  Nine months later, I would have another round of this pneumonia.  I get the vaccine for pneumonia, actually several boosters, but those are for viral.  The pneumonia I fear and experienced was bacterial.  It was caused by damage to my trachea and  esophagus from radiation therapy.  This has taken a huge toll on my lungs.

The diabetes diagnosis is something I still have not really accepted, and feel diet related.  But, unscientific surveys among other long term survivors, show that many of us have an issue maintaining our A1C levels, the marker for diabetes.  And blood pressure?  Well for the last several years, lifestyle changes have helped me manage though occasionally there is an asshole or two, that will test my tolerance.

And as part of my diagnostics thirty years ago, my spleen was removed.  Years later, medicine would soon realize just how important the spleen was in defending the body against infection.

These are facts, there is no fear mongering.  I personally know what I am up against.  I have followed advice of the CDC, and various health networks.  I need facts to be able to get through this.  I do not need false stories, worse, false hopes.  I need to know how far this is spread, how close this has gotten to me.  I have made every sacrifice I must to avoid being afflicted, including being distanced from my children, the toughest part of this.

So, pardon me if I have zero tolerance because you feel slighted and inconvenienced and choose to follow the recommendations.  There are many like me, who began to isolate ourselves once the numbers became obvious this was going to get out of control.  It is not us that have kept the trajectory of the virus going.  It is portion of the 80% who felt this was not going to affect them, who had this feeling of invincibility, immortality.  Fifteen days to slow the spread, has now been stretched to forty-five.  Why?  Because too many just did not care.  It was those who also were the first to use the words “fear mongering.”  And they are also now the ones offering false information from inappropriately wearing face masks to hoping for Spring weather.

If you want to make this go away, do as we have been told.  Your chances of catching Covid19 or spreading it, are near zero if you follow this guideline of social distancing, stay at home, whatever you want to call it.  Incubation period is fourteen days.  There is no reason if we have all done our part, by the end of April, we should see a huge drop in cases.  That is a fact.  I just wish it was more than hope that everyone would do it.

I am not a fearmongerer.  I live in reality.  I have to.  My life depends on it.

A PPE Nightmare, No Not What You Think


We are hearing enough daily reports about the shortages of personal protective equipment (PPE) that you do not need me to remind you.  Instead, I want to give you a non-Corona virus situation to help understand just how important PPE really is.  What is scary, just this morning, it was revealed that the Center For Disease Control (CDC) last week created a crisis strategy for PPE.  In other words, the CDC is modifying its already minimized requirements for PPE, and in a crisis like we have now, even lowering those standards.  I have not read these changes in great detail yet, so I will not overstep my boundary of this post.  Instead, like I said, I have a story to tell you about PPE.  And hopefully after, you will understand in simpler terms, just what our health care workers are up against, and why this is important to them.

First, to understand, personal protective equipment, is just that, personal (for you), protective equipment (worn to protect you and possibly others).

I worked in medical research for a number of years.  Quite rewarding actually to have an avenue to give back to what saved my life.  Working in medical research, not just wearing PPE was important, but the proper levels of PPE.  And there are different levels depending on how serious a pathogen (germ, bacteria, virus, bad stuff) you were dealing with.

Your dentist wears PPE, usually a mask, and definitely gloves.  Most doctors wear gloves to examine patients.  Scientists and researchers are no different.  The thing about PPE, it is supposed to be once and done.  You wear PPE to prevent you from being exposed, or exposing anyone else.  When you are done with it, you throw it away.  You do not reuse it.  That is why most PPE comes individually wrapped.  It is not meant to be used over and over.  But what happens when it does get used again, and again, and again, and again?  Here is that story.

I had a co-worker, who shall remain nameless, who did just that.  He had several work areas to maintain.  Of course, that would mean that he had to wear a different set of PPE in each area.  Well, “gowning up” or putting on PPE takes time (booties, gown, mask, head bonnet, two pair of gloves, face shield if necessary), as does “ungowning.”  That co-worker had no issue, wearing the same PPE from area to area, and as long as he did not get caught, no harm, no foul.  And by getting caught, I mean, not just by management, but by cross-contaminating from one area to the next.  This alone is disturbing enough.  But it gets worse, much worse.  His laziness not only covered the various work areas, but extended for his entire work week.  That is right, he wore the same equipment to every area he entered, but wore it all week.  You might want to put down anything you might be snacking on or drinking for the next paragraph.

Some of us, including me, would discover what our co-worker was doing.  For the average co-worker who did not give a shit, some of us did, realizing the potential for compromising any studies.  Remember, research, looking for cures, looking for vaccines, these things all require acting appropriately.

Upon inspection, and removal of this PPE that had been discovered, was the evidence that he was doing just as I have written.  With the exception of his gloves, he had reused everything, all week, in every area.  There was “soiled” evidence on everything.  On one particular piece of PPE, was enough to make me vomit, his mask.  The one piece that would go against his lips, cover his nose was filthy, actually crusted with residue from the environment.

Forget the person risk to himself, he was carrying all of this from area to area, putting every study at risk.

That is why, when I hear today, that we have health care workers and responders pleading for PPE, being forced to wear the same PPE for days, even work without, now having the CDC “allowing” reuse of certain PPE with one of the most contagious viruses we have seen in a long time, if ever, I just want to hang my head in despair.  But I cannot.  Because I have so many friends that work in health care, and I know that they are speaking up for what they need.  And they are risking their own lives, and the lives of their loved ones at home, compromised from reusing PPE.

This is a disgrace.  This PPE shortage is something that a 3rd world country experiences.  But in times of companies operating under the guise of Six Sigma, simply put, a method to learn to do more with less, to increase profit margins.  And that means, many, if not most, have been caught with lower inventories of PPE.  Manufacturers probably cut back manufacturing due to lower demand.  And in the firestorm of an emergency like Corona Virus, here we are cut flatfooted, scrambling to find resources, rush production, and in some case, average citizens trying to do their part, making home-made PPE just so that our health care workers can have some sort of “protection.”

Our healthcare workers deserve better.  We deserve better.  All of our lives depend on it.

Getting Through This Crisis Called Corona Virus


The recommendation from the Center For Disease Control (CDC) is really quite simple.  All they recommended, was for us to minimize contact with each other, self-isolate or social distance each other, for a period of fifteen days.  It did not seem like an over burdensome thing to ask, given the potential severity of the Corona Virus crisis.  After all, many time away from others through vacations and other trips, voluntarily.  But this was being recommended.

For the most part, only astronauts and scientists are the ones most frequently performing this act of socially being isolated.  In fact, they train for this.  Others, those with serious illnesses such as cancer and auto-immune diseases, are often forced to stay away from others.  In either case, we do what we have to.

Unlike astronauts and scientists, cancer patients, etc., who endure many months of isolation, having to kill time and loneliness, we are only being asked to do fifteen days.  It should not be so hard.  At least it should not be.  I mentioned before how I dealt with this necessary, and sometimes unfortunate behavior.  The bottom line is I always got through.

So, how am I doing it as a “healthy” person, a non-scientist, definitely not an astronaut?

STAY OFF SOCIAL MEDIA

I am a bit of a hypocrite with this one.  Because of my health issues, I do spend time looking for information, as it will help to protect myself with this crisis as I am one of the more vulnerable people.  It is just, when you are on-line, one thing you are likely to see… others not following the social distancing guidelines.  And this is guaranteed to make you go crazy, perhaps in anger.  After all, you are following the rules, but they are not.

Then, there is also information overload.  I try to keep this to a minimum, so as not to get overwhelmed.  I rely on facts, not hopes and opinions.  And as long as the numbers continue to climb, the risk of me developing this, increases as well, and I must continue to be even more aware.

BINGE WATCHING

With a variety of video streaming services, there is no shortage of things to view from documentaries, concerts, movies, and some very interesting series.  I will say though, it would be nice if Umbrella Academy, Ozark, Stranger Things and others would come out with their new seasons.  This might help some stay inside.

MUSIC MUSIC MUSIC

Play it.  Listen to it.  Write it.  Sing it.  Enjoy it.  No matter how you do it, I am certain that you have a variety of media options to enjoy some cool tunes.

A PICTURE IS WORTH A 1000 WORDS, AND MIGHT TAKE UP A 1000 MINUTES OF TIME

Between my laptop and a huge tote of hard copy photographs, I spend a lot of time looking at old memories.  This also helps me with another issue, as I am currently geographically separated from my daughters, so these memories help keep them fresh in my mind.

WRITING AND OTHER COMPUTER WORK

My laptop is over fifteen years old.  In other words, there is a lot of old “memory” that I could probably eliminate to help extend the life of my old computer.

Also, as I do with this blog, there are also other projects that I have been working on.

This is also a good time to reach out to old friends, if not by email, by phone.

We can all get through this period.  The more that comply with the recommendations, the sooner it has a chance to resolve.  Hopefully these ideas will help sparks other suggestions to help.

As always, I wish you health and safety during this difficult time.

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