A lot has changed in a week since I last blogged.
Kelvin and the clinic system has moved to "mitigation" for COVID-19 trying to conduct mostly tele-health visits, and having "ambassadors" screen patients at the front doors for any signs of infection (our county reported its second case yesterday). With a big outbreak down south, the whole state of California is on "shelter in place" likely for several weeks (or months), allowing outings only for essential needs (grocery shopping, medical appointments) or open-air exercise, and all of the public schools are closed for the near future.
It's been a (mostly emotionally) exhausting week, between all the time Kelvin has had to spend on the phone coordinating the organization's planning and implementation, figuring out the specifics of the childcare situation (now planning for door ambassadors and no parents inside), and the sheer amount of labor at work reassuring and educating patients and their families about this infection, prognosis, and what the future might hold (with tons of triage calls and MyChart messages -- see the Washington Post
article about what the coronavirus is doing to people with anxiety and also how health care workers are starting to
suffer from "Pre-TSD") .
Our kids (and those of other "essential workers") are still allowed to attend their daycare, but in small groups (and obviously only if healthy, with screening and prevention measures above). Then, in the evenings and on the weekend, we are attempting to do our best entertaining our little ones in our homes and immediate outdoor space, while trying to limit the tech/screen time while staying sane so we can just catch our breaths (we adults have definitely been on our devices too much and our constant conversation/planning as a result is only feeding the burnout). It's so hard to try to explain to a two-year-old, who still, hopefully, asks "park?" at pick-up that, "No, son, we aren't able to do that for a while" or telling both kids that kisses are not recommended.
Fighting a virus as an enemy has made for a pretty lonely life and has me pretty much dreading the weeks and months (and years?) ahead (I thought the year 2016 was a bad one! Then there were fires, and power outages. 2020 just said "Hold my Corona!").
Last year, I listened to a TED Talk and read the book
Lost Connections by Johann Hari, which really resonated with me with regards to its discussion of the biopsychosocial model of mood disorders (depression and anxiety) and contextualized the current epidemic of such afflictions. While I prescribe SSRIs and other medications for mood in many patients, many of whom report that they are helped by the drugs, medications aren't the only answer. Meditation and mindfulness, time in nature rather than on screens or technology, finding purpose and joy in work, in-person or one-on-one relationships, therapy, and exercise can often be far more effective in treating such concerns than pharmacologic agents, and many of us rely on such measures to cope with the stressors of daily life.
However, now many people have had these coping mechanisms pulled out from under them with the recent orders to remain "socially (really physically) distant." Being confined mostly inside to our homes, often tempted to use screens to connect, feels unsatisfying and, even for me, a strong introvert, has felt incredibly lonely. Thinking that this will be our "new normal" for weeks, months, or longer, is hard to fathom. For those of us who are anchored by plans, we feel lost and for me, "getting the virus" (or even dying from it) feels like the least scary part of all of the unknowns.
We talk about the direct health care costs of the this virus (people sick, lives lost, etc.) and I don't mean to imply that they are not certainly grave (nor do I question that these home isolation measures are needed. THEY ARE.). However, I worry--about my kids, my family, my patients, and of course my neighbors, co-workers, and community members-- and about how their futures look in a post-pandemic (but not really because another one could come at any time) life (assuming they survive). There is a definite huge, depression-scale economic cost for our country and many others, due to individuals' losses of jobs or job security and overwhelming financial stressors (i.e. not even knowing how they can pay for groceries or rent) as a result of the order to "shelter in place." I do recognize that I am extremely blessed to not have such concrete concerns at this moment and feel totally sick for those who do. But even more far-reaching than financial implications alone is how these circumstances shape our psyches and souls.
As a healer and a
feeler, I am grieving all of the psychologic costs that we will all incur as a result of this virus. The owner of my kids' daycare is facing the reality of having to close her doors and lay off her team of extremely caring employees as she does not feel right about charging ongoing tuition to families whose children can't attend due to our current advisories (and thus cannot pay her teachers). She's not sure if she'll be able to keep her doors open after this all settles down, and has been distraught with this prospect. For this, and for all the kids that won't be able to see their friends and teachers, I, too, have been in tears. Teachers, especially those in early childhood education, are arguably society's greatest asset (see "An Open Letter to the Teachers" by Tricia Lott Williford, below) and they are sadly missed. Kids will undoubtedly endure trauma from their school closures, loss of socialization, loss of those attachments to these caregivers that they formed, and the disruption of their routines.
Will kids ever feel secure again in their young worlds, especially those who are already quite anxious (like one of mine)? Will they remember how stressed their parents were with all the talk about COVID-19 which (in a two-physician household) dominates our workdays as well as our after-work time? Will our family units and marriages, confined to small spaces, survive the stress on one another? Will kids be able to accompany parents to stores and walk around not seeing people in scary masks? Will we have to wear gloves and neurotically wipe down handles of car doors, knobs, grocery carts, and food packaging indefinitely (this behavior is totally foreign to a non-germaphobe like me and feels impossible to sustain)? Will we feel comfortable visiting our far away but elderly/immunosuppressed relatives, even if we know it might be our last chance to connect? Can we hug our friends, kiss our kids, and socialize closer than 6 feet apart? Will we ever feel safe booking international travel or vacations (it scares me how recent our return from South America was before this all hit the fan in the U.S.)? What happens to tourism (will Americans be even more reluctant to leave our shores to explore some of the awesome parts of our planet)? Will people feel comfortable planning weddings months or years in advance? Will we feel safe in meetings and schools, basketball arenas and concert halls? Will we want to re-congregate in churches and in theaters and go out to crowded restaurants?
Or will we be forced to live in the silos of our homes, fearful of the novel pathogens our neighbors may bring to us or us to them and practice social isolation indefinitely? Will we not feel comfortable donating goods and items to others, or buying things secondhard for fear that they're contaminated? What good will come from this test (other than notably cleaner air and water)? Will we find that technology (Facebook, FaceTime, text messages, etc.) can in fact really bring us together rather than pushing us apart and away from our loved ones? (Will kids be able to, without a power struggle, go back from using screens for learning and play to more constructive, physical play both in and out of doors?). Will working from home become the default for many businesses including in medicine, where physical touch is so important and has been one of those things lost with using computers and electronic heavy-on-the-clicks medical records for charting? Is that a good or a bad thing for us humans as social beings?
Will we remember how hard we and neighbors were hit and change our behavior, hearts, and minds about things which previously seemed not to be threats to our own lives and liberty? Will we realize how few
things we actually need and conserve accordingly? Will anti-vaxxers now trust their doctors and scientists and choose to vaccinate, their eyes opened to what a world without immunity looks like? Will we have more or less faith in our public leaders, who have let us down in a big way by firing pandemic teams, defunding public health departments, and ignoring scientists (among other things)? Will people recognize the importance of health insurance and access to health care, because even the young and otherwise healthy are not invincible when faced with an equal-opportunity microscopic enemy? Will social safety net programs become popular and well-funded because, well, you never know if you'll be in need? Will we, when many parents will be forced to stay home and homeschool (not out of choice), realize the extreme value of our nation's public schools and teachers (and pay them accordingly)? Will we have more, or less, trust in our neighbors based on their actions in these times? Do we think that people will do the moral and right thing, or act act in their own self-interests (like hoarding toilet paper)? Will we come again together as one nation, seeing how interconnected we all are, after being divided and socially isolated both in the past years and in recent times?
Only time will tell.
Writing words here on my blog is somewhat of an outlet for my emotions in such uncertain, scary times. Here are some more powerful words I read recently to get you through.
Pandemic
What if you thought of it
as the Jews consider the Sabbath—
the most sacred of times?
Cease from travel.
Cease from buying and selling.
Give up, just for now,
on trying to make the world
different than it is.
Sing. Pray. Touch only those
to whom you commit your life.
Center down.
And when your body has become still,
reach out with your heart.
Know that we are connected
in ways that are terrifying and beautiful.
(You could hardly deny it now.)
Know that our lives
are in one another’s hands.
(Surely, that has come clear.)
Do not reach out your hands.
Reach out your heart.
Reach out your words.
Reach out all the tendrils
of compassion that move, invisibly,
where we cannot touch.
Promise this world your love–
for better or for worse,
in sickness and in health,
so long as we all shall live.
And especially for all of the terribly underpaid and undervalued teachers out there, who truly hold together our world and save our children, my thoughts and prayers are with you. Please re-read John Pavlovitz's
article about these superheroes and these touching
words from by Tricia Lott Williford which had me in tears yesterday (and up at 4 a.m.).
The Sadness is Real: An Open Letter to the Teachers
"What's keeping you awake at night?" A friend of mine asks this question when she wants to get the to the heart of what's on the minds of the people she loves. The worries that keep us awake at night can point to the core of who we are.
What's on my mind tonight? The teachers. It's 3:00 in the morning, and I can't get you out of my mind.
You didn't plan on this. And let's be honest: teachers are planners. This is one giant curveball.
You were gearing up for spring break - that's all the time off you needed. One week off, and then you had plans to head into the homestretch of the school year, the weeks we've all been waiting for. The most fun units that you save for springtime. The sentimental traditions. The finish lines. That last stretch where your team rounds third base and heads for home plate.
And now this, the closure that was one week, then two, and now four, probably eight, but who really knows?
I taught kindergarten and third grade, and the thought of someone taking my kiddos away from me in those last weeks? Well, it has me awake tonight, feeling so very sad for you.
I would have worried for the kids who were hungry - for food, yes, but also for soul care. For eye contact. For morning hugs and high-fives and secret handshakes. There's so much you can learn by looking at your students, by the way they slump over their desk during a spelling test and the way they hold the book too close or too tight when they're in the reading corner. You have spent months, weeks, days, and a million moments with them. Your heartstrings are tied to them, and now your heart feels stretched in so many directions that it's frayed down the middle.
A kindergarten teacher I know lined her kiddos up for the "last day," and one of her students said, "Well, I hope I see you again." Oh, bless it all. That's too much. This isn't how it's supposed to be.
In beginning literacy, we teach them that every good story has a beginning, middle, and an end… but your ending just got interrupted.
I get you, teachers.
In a week's time, you’ve gone from being overlooked and underpaid, to now finally being recognized as some of the most important players who keep our world spinning. You're the glitter and the glue.
And I hear you saying, "Right. We knew that, actually. Now can everybody just follow directions so we can get this virus under control and I can have my students back? We've got work to do."
I hear you, teachers. I get you.
You can call it work, but really it's love.
You had more loving to do this year, and you thought you had more time.
I can't fix it for you. But I know a thing or two about grief, and there's a lot to be said for naming what is sad and letting it be sad. So I can sit in the space with you, I can lie awake at night with you on my mind, and I can get up to tell you this: the grief is real and valid and yours.
Grief means you loved well.
Thank you for loving our kids this hard, this much, this well.
And so as to not to end on too negative a note, here are some photos from our fresh-air time outside last weekend (prior to the shelter-in-place order but in the spirit of social distancing. We skipped church to take a walk), where the sun's rays gently kissed our faces.
Thank God for beautiful Trinidad Head, and for us living near such lovely outdoor spaces.
Sunny street
Walk in Arcata's Community Forest
And, now indoors, here's are some snaps from a Vu Family group Face-chat today!
Lovin' on the dog Pepper (who is delighted we're home so much!)
Stay safe and as positive as you can be, everyone! Pray for one another and strengthen your virtual connections for now.