COVID’s challenge: moral injury

By Caitlin Kelly

I hadn’t heard that phrase until September 2019, when I sat down to interview an American physician, Dr. Emily Queenan , describing why she stopped working in her native country and moved to work in Ontario. It wouldn’t have been the easiest choice, choosing small-town Ontario with mixed-race children and having her husband leave a corporate job.

But it was absolutely the right choice for her.

From my 2020 story for The American Prospect:

 

Dr. Emily Queenan, who is American, also voted with her feet; after studying biology at Williams College, working for Americorps in Peekskill, New York, in community health, and attending medical school at the University of Pennsylvania, she did her residency in Rochester, New York. She opened a family medicine practice there in June 2009, closing it in May 2014—and moving to Canada.

After being recruited by an agency of the MOH, Queenan visited four cities selected from a list of rural communities needing a doctor, She chose Penetanguishene, a middle-class town of 8,962 in northern Ontario on Georgian Bay, a beautiful area that welcomes many summer-home visitors.

“It was a wrought decision to close my practice,” Queenan says, sitting in the 1920s-era red-brick house in small-town Ontario whose main floor is now her office. “I envisioned having my [U.S.] practice for decades. But I was really burned out by the burden of being someone’s family doctor and the moral injury of denying care versus the lack of payment versus dealing with your own medical bills. This is not asked of other professions.”

Still in New York, Queenan attended a local meeting of Physicians for a National Health Plan, an American advocacy group founded in 1985 by Dr. Steffie Woolhandler and Dr. David Himmelstein, “trying to decide what was next. I was on the cusp of turning 40 and saw a career of fighting stupid fights. Doctors across the country were going through exactly what I was going through. I am not unique.”

 

 

Maybe you are, or know, a physician or nurse or other healthcare worker; my first husband is a physician I met when he was finishing med school at McGill so I watched him through his residency and early practice — which brought him to some unpleasant realities.

Most healthcare workers choose their profession because it expresses their values — to help and to heal, whenever and wherever possible.

Covid has torn their world to shreds, as evidenced by the recent suicide of Dr. Lorna Breen, an ER physician who had worked in a New York City hospital under such terrible circumstances that her sister said she called it Armageddon.

Her father is also a physician, so she would have grown up with this moral code.

From The New York Times:

 

“She tried to do her job, and it killed her,” he said.

The elder Dr. Breen said his daughter had contracted the coronavirus but had gone back to work after recuperating for about a week and a half. The hospital sent her home again, before her family intervened to bring her to Charlottesville, he said.

Dr. Breen, 49, did not have a history of mental illness, her father said. But he said that when he last spoke with her, she seemed detached, and he could tell something was wrong. She had described to him an onslaught of patients who were dying before they could even be taken out of ambulances.

“She was truly in the trenches of the front line,” he said.

He added: “Make sure she’s praised as a hero, because she was. She’s a casualty just as much as anyone else who has died.”

 

When patients die in the ambulance, on stretchers, in waiting room chairs, or after appearing to be recovering, your skills, strength, speed and teamwork still aren’t enough.

 

You just can’t help.

You can’t comfort.

You can’t save.

 

You feel angry and helpless and overwhelmed — for doing everything you know and it’s not enough.

Let alone re-using PPE.

Here’s a definition from a PTSD website run by the VA:

In traumatic or unusually stressful circumstances, people may perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations (1). Moral injury is the distressing psychological, behavioral, social, and sometimes spiritual aftermath of exposure to such events (2). A moral injury can occur when someone is put in a situation where they behave in a way or witness behaviors that go against their values and moral beliefs.

Guilt, shame, and betrayal are hallmark reactions of moral injury (e.g., 3). Guilt involves feeling distress and remorse regarding the morally injurious event (e.g., “I did something bad.”). Shame is when the belief about the event generalizes to the whole self (e.g., “I am bad because of what I did.”) (4). Betrayal can occur when someone observes trusted peers or leaders act against values and can lead to anger and a reduced sense of confidence and trust (5).

 

What I miss now — and what I don’t

 

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Early March,  Middleburg, VA. My last breath of freedom for a while. I miss travel!

 

By Caitlin Kelly

It’s been two months now of self-isolation, at least here in New York.

It will last at least another month, maybe two.

I only go out for walks and, maybe once or twice a week, to buy groceries or go to the hardware store or pharmacy.

It makes me feel normal, even though, of course, I’m wearing a mask.

Here’s what I miss most:

 

Leisurely, spontaneous chats, whether at the gym or on the street or in the hallway or lobby of our apartment building.

Spin class, three mornings a week. Super-fun, energizing and social. Helps with weight management.

Going to movies at my favorite local art film theater, sometimes three times a week, with popcorn.

A lazy afternoon wandering a few blocks of Manhattan, usually with a good meal or a drink.

Browsing stores. I rarely buy stuff, but I do enjoy looking.

 

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Grand Central, taken from the balcony restaurant Cipriani

 

Grand Central Terminal, the station I commute from to our suburban town. It’s truly gorgeous, a cathedral of bustling elegance.

Having friends over for a meal, setting a pretty table to welcome them.

Sunshine! We have had truly depressing, terrible weather, week after week, with rain and temperatures in the 40s.

Our gorgeous, quiet, large, sun-filled town library with its tall ceilings and windows. I love sitting at one of its long wooden tables and savoring the silence.

Dressing well — make-up and decent clothes and pretty shoes. Not much point now!

 

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Our last big trip, a week here in June 2019

 

Travel! It’s normal for us to always be planning our next trip, whether upstate to visit friends or back to Canada or overseas. I really really miss it.

A decent head of hair! Ohhhhh, I miss the hair salon.

What I don’t:

 

The New York subway, dirty and crowded.

Driving everywhere all the time. It’s not healthy for me or the environment, but also typical of suburban life with lousy public transportation and towns without sidewalks.

 

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Too many magazines — we’ve drastically cut back on our subscriptions and I feel less overwhelmed.

Constant airplane and helicopter noise. We’re on a flight path to Westchester airport and live near the Rockefeller estate, so normal life adds a daily barrage of inescapable aviation noise.

Traffic! The streets and highways are practically empty.

Stupid public relations pitches. Normally, I get probably a few dozen every day, none of them of any interest to me. I find it really annoying. Now I get many fewer. Yay!

Robo-calls. Also much diminished.

Oddly, my friends. I’ve stayed in close contact with the people I value most, by phone or email or Skype. The rest? No time or energy anyway.

 

How about you?

 

Rights? How about responsibilities?

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By Caitlin Kelly

The pandemic has laid bare many behaviors we didn’t really see clearly before, or not as clearly.

If you grew up — as I did — in a nation with a clear commitment to the common good, Canada (yes, with terrible treatment for a long time, and still, of First Nations) — the American fetish for individual rights just seems weird.

It’s possible to live freely and still actively care about others’ health and welfare.

If you want to.

There’s actually quite a continuum from being controlled and monitored 24/7 by your government and selfish, lethal mayhem.

Welcome to mayhem.

Check this out.…images of protesting Americans determined to keep infecting themselves and others because the whole social distancing thing is such a drag.

They feel oppressed.

They’re angry that they’ve been told to stay at home, to wear a mask, to stay distant from others to protect them.

Because the number of Americans potentially walking around feeling just fine — still  shedding virus everywhere they go — could be as high as 50 percent

 

Centers for Disease Control and Prevention (CDC) Director Dr. Robert Redfield told NPR that an estimated 25 percent of coronavirus carriers experience no symptoms. Meanwhile, data out of large-scale testing for coronavirus in Iceland found 50 percent of those who tested positive with COVID-19 said they were asymptomatic, according to CNN.

“Information that we have pretty much confirmed now is that a significant number of individuals that are infected actually remain asymptomatic. That may be as many as 25 percent.” Redfield told NPR Tuesday.

 

The American Constitution — amended 27 times since it was first written — promises “life, liberty and the pursuit of happiness.”

Sounds lovely.

It is lovely, except that 40,000 Americans have died  — so far — from COVID-19, a lethal virus whose ability to destroy the human body is quick, powerful and still little understood.

Twice the number in one week.

Read this chilling, detailed look at its whole-body effects from Science.

“Only” a tiny percentage, many scoff.

It’s all a hoax, right-wingers still insist — maybe because their cities don’t have refrigerated morgue trucks with corpses stacked three deep outside their hospitals, crematoria running 24/7.

New York City does.

How does this happen?

Because so many Americans really hate and mistrust any government intrusion into their lives and behaviors.

They resent being told what to do.

They think no one else’s life could possibly be more important than their going to the beach!

Sitting shoulder to shoulder at a bar!

Attending a church jammed with other selfish “Christians.”

Canadians, derided as boooooring, have a wholly different Constitution, one that instead promises “peace, order and good government.”

Pretty snoozy, right?

Not HAPPINESS!!!!!!???

Not LIBERTY!!!!!???

Right now, living in a country “led” by a lying grifter of a President, I’d be thrilled for some peace, order and good government.

How about you?

And now, who are we?

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This changed my life, October-November 2018

 

By Caitlin Kelly

Interesting essay in The Globe and Mail:

I’m not going to suggest this crisis has a silver lining, not when medical workers and shop staff and home-care assistants are out there putting their lives on the line, and people with the virus are dying afraid and alone. There is no silver lining, but there is a rare opportunity to see how behaviour changes when it is challenged by a new and terrifying threat. It seems to me that we’ve quickly – but perhaps only temporarily – lost our appetite to strive for perfection.

It’s been astonishing to see human fragility on display on a mass scale, with no shame or scorn. Vulnerability isn’t generally the mode that is most welcome in this world, and even people who say they love Leonard Cohen’s line, “There is a crack in everything / That’s how the light gets in,” tend to spend most of their time furiously hiding their own cracks from public display.

But now it’s all cracks. Firefighters break down during interviews, nurses sob on their Facebook pages, broadcast anchors reach for the Kleenex. Cory Deburghgraeve, an anesthesiologist who volunteered to do intubations at his Chicago hospital because he’s young and childless, talked about treating people who are isolated and in distress: “I have to find a way to hold it together in order to do this job. I tear up sometimes, and if I do, it can fog up my face shield.”

 

No question, social media is typically shiny and performative, certainly for “influencers” and anyone who needs to maintain a veneer of fabulousness to keep their credibility.

This blog is one social media spot where I tend to loosen my stays, as it were, revealing some truths about myself — attractive or not! — in the knowledge many of you (despite 22,000 followers) aren’t actually listening.

The ones who are (thank you!) tend to be kind.

My shell really cracked wide open in June 2018 with a diagnosis of small, early-stage breast cancer, surgery and radiation.

I’m not someone who cries easily or often, but I cried at the dinner table. I cried in our shared hallways.

I asked others for help and succor; two friends were amazing and came with me to the hospital for moral support for tests —- three in one day.

It changed me in some powerful ways, how I see my life and how I want to relate to other people. Cancer does that to its survivors.

Normal life, certainly in the land of “rugged individualism”, the United States, usually means asking for help is somehow considered shameful, a moral weakness, hence conservatives’ blasé brutality toward the poor and needy.

How dare they!

I found this essay, by a former New York Times colleague of Jose’s, really sad.

As the host of The Takeaway, a national daily NPR talk show, Tanzina enjoys a well-paid, challenging dream job many of us would kill for, yet…

 

When I gave birth to my son at the end of January, an unexpected miracle to me at the age of 45, I never could have imagined spending my maternity leave in the middle of a pandemic.

But by the time I brought my son home to my apartment in Queens, the coronavirus had already landed in the United States. Soon, the borough would become the epicenter of the virus, nearly collapsing the emergency medical services of nearby Elmhurst hospital.

Single parenthood is certainly tough. Raising a newborn is already isolating; now leaving the house may be dangerous. But the pandemic has highlighted just how fragile my social networks really are, which, as a public figure and radio host who’s had her name and face splashed across billboards and tote bags, is something that’s hard to admit.

 

This global scourge is certainly forcing millions of us to reconsider our choices, whether work, family, friendship, where we live, what we buy, what we deem essential and what, we suddenly see, is real, shallow, silly bullshit.

 

So, what next?

 

trump-tv

 

Social and economic differences, something we used to politely ignore socially and politically ignore when useful to our needs, are suddenly glaringly obvious — as African-Americans and Latino and lower-wage workers are dying from COVID-19 in disproportionate numbers.

 

 

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What’s the path ahead?

 

Will this all somehow change for the better?

When and how?

I wish.

some thoughts from The New York Times:

 

A crisis on its own has not been enough to start a labor movement, but if a movement has been simmering, a crisis can make it boil over, said Nelson Lichtenstein, a labor historian at the University of California, Santa Barbara. For example, he said, the conditions weren’t right for workers to revolt during the 2008 recession, but this time they might be.

“We have had a decade and more of agitation, planning, think-tanking on the need to solve problems of inequality and capitalist dysfunction, and so these ideas are more prominently on the agenda, and not only of liberals,” he said.

During this pandemic, workers in the United States have organized strikes at Whole Foods, Instacart and other companies, asking for protections like hazard pay, gloves and sick leave. Congress has passed policies, albeit temporary ones, that would have been politically unthinkable before now, including paid leave and direct payments to individuals. Democrats have introduced bills to make some of the benefits permanent.

 

 

Has this pandemic changed you?

 

How?

 

Do you think, if/when this ends, you will revert to your “old” self?

 

Will society?

Dancing for your life…street version

 

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By Caitlin Kelly

Loved this, from The New York Times dance critic:

One day, before the coronavirus pandemic, a river of pedestrians — half manic, half clueless — was feeding onto the escalator at the West Fourth Street subway station during rush hour. Blocking the escalator entrance were people gazing at their phones. Once they finally stepped on, they planted themselves on the left. It was a mess.

You stand on the right; you pass on the left. This is the choreography of everyday life.

I found myself directing people where to stand and when to move. As the bottom half of the escalator started to organize itself, I noticed that something similar was happening toward the top. I recognized the voice up there: It belonged to Ori Flomin, a dancer, teacher and choreographer. We saw each other and giggled.

“Of course,” he said, “we are the ones arranging people in space.”

 

I started studying ballet at 12, and took ballet and jazz classes five nights a week in my 20s. I only stopped a few years ago thanks to my messed-up knees.

Dance, for fun or in a studio, has long been a way to stay in touch with my senses and sense of balance and rhythm and grace. I’ve never really understood people who “hate to dance” but I know there are many of them! Once you learn to parse a piece of music — a waltz or a mazurka, have your body remember allegro and adagio and what it should do in response — it’s a permanent muscle memory.

And understanding how your body moves within space — and especially in relationship to other bodies — is key to dance, even if all you ever do is take a dance class. You still have to navigate your spot at the barre or leaping and spinning across the floor. You swing your legs in grands battements, careful not to knock anyone while focused on staying strong, centered, elegant.

Spatial awareness is a very real quality we all need to cultivate right now in shared spaces to avoid endless transmission of COVID-19.

Heedless selfishness is now, we all know, lethal.

Those days are gone. Or soon will be; on April 1 — no joke! — New York governor Andrew Cuomo declared every New York City playground closed.

But the ambitious, driven, rushrushrush sort of people who live in New York City — a massively dense city to start with — are also used to being shoved and jostled, in the subway, in line-ups, pretty much anywhere.

So learning to literally keep your damn distance, every day, everywhere — to step out of an elevator with anyone else in it (a la Devil Wears Prada!) — is a new challenge.

Add to this the relentless American individualism that somehow insists each person’s own comfort and safety matters far more than anyone else’s…good luck!

 

Tough love for tough times

 

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By Caitlin Kelly

As someone with a green card, I can’t vote — so my enthusiasm for how New York’s governor Andrew Cuomo is handling this crisis will carry no political weight.

But every morning now, at 11:30 a.m. EDT on weekdays and noon on weekends, we watch his 30-minute press conferences, live, and listen to another 30 minutes of questions from reporters and his replies.

Jose , (my husband), spent eight years in the White House Press Corps as a New York Times photographer, covering Presidents Reagan, GW Bush, Clinton. He’s heard plenty of political spin and is not easily impressed, but is a huge fan of Cuomo’s handling  of the COVID-19 crisis — and New York City is the hardest-hit city in the United States.

Unlike the joke in the White House, Cuomo — another born-and-bred New Yorker — doesn’t bullshit or blather on about how great he is.

Nor does he insult the press corps, whose job it is to question every elected official and keep them accountable, as 45 does, most recently telling two veteran reporters: “Don’t be a cutie pie” and “Be nice. Don’t be threatening.”

During the conferences, Cuomo’s team also shows viewers clean, clear graphics with the numbers of infected, where, in the hospital, recovered — and dead. He explains who is most likely to die from the disease and why.

We live in a small suburban town, so density and crowding are less pressing for us than in the five boroughs of New York City.

Yet the state’s patient zero lives in a suburban town on the other side of our county. He went to synagogue (infecting many), traveled into the city by commuter train (more) and went about his business there (more again.) He’s alive and out of the hospital.

In the past few days, the National Guard equipped the enormous Javits Convention Center on the western edge of Manhattan as a hospital with 3,000 beds.

The Javits Center is an amazing facility,” said Semonite, [Gen. Todd Semonite, the head of the Army Corps of Engineers.] “Every 10 feet there’s a great big steel door in the floor, you open it up in there is all the electrical; there’s cold water, there’s hot water and there’s a place for sewers, so you can actually do things like sinks, right in the middle of a convention center to be able to make that happen.”

The hospital will be staffed by 350 medical personnel from FEMA and 600 medical personnel serving with the two Army hospitals.

Non-COVID-19 patients will be transported from hospitals in the New York City area to the convention center, just as they will be at the 1,000-bed Navy hospital ship the USNS Comfort when it is operational in New York Harbor on Tuesday.

 

Here’s a New York Times piece about Cuomo:

 

To the surprise of many who did not associate the name “Andrew Cuomo” with the word “empathy,” the governor has become a sort of national shrink, talking us through our fear, our loss and our growing stir-craziness.

“This is going be a long day, and it’s going to be a hard day, and it’s going to be an ugly day, and it’s going to be a sad day,” he told officers from the New York National Guard on Friday, charging them to fight this “invisible” and “insidious” beast and “kick coronavirus’s ass.”

Because New York is at the epicenter of the epidemic in the United States, with 519 deaths and 44,635 confirmed cases, as of noon Friday, Americans have their eyes on the state. Cuomo knows this. “New York is the canary in the coal mine,” he said during one of his passionate televised pleas for the president to provide more ventilators.

It is more than passing strange that in this horror-movie moment, with 13 people dying on Tuesday at Elmhurst Hospital in Queens and a refrigerated truck parked outside to collect the bodies, the nation’s two most prominent leaders are both Queens scions. Both men grew up in the shadows of their fathers, the hard-working sons of European immigrants.

The Trump family is a model of bad nepotism — noblesse oblige in reverse. Such is their reputation as scammers that congressional Democrats felt the need to put a provision in the coronavirus rescue bill to try to prevent Trump-and-Kushner Inc. from carving out a treat of their own.

And, from New York magazine:

Cuomo, most definitely, is not a fan of Trump:

“Government, presidential elections, it was tweets, it was all one-liners, it was all personality, character, celebrity. That’s what politics had become. And all of a sudden you have changed the lens,” he said while an aide brought him a large Dunkin’ Donuts coffee. “Government is about real capacity and real consequences and really knowing what you’re doing and real leadership. Elect the people who know what they’re doing, because you elect somebody because they are a celebrity, or because they have a great slogan, and then you ask them to perform. What do they say?’ ‘I never told you I could perform. I told you I was good looking. I told you I tweeted a lot. I told you I had a great slogan. I never told you I was competent.’ And by the way, it’s really serious. It’s not about celebrity and slogans. That is a stark shift. This is government at wartime.”

 

And, in a lighter vein, this from Michelle Collins, in Marie Claire magazine:

 

But the one thing I do have to look forward to every day like clockwork has been New York Governor Andrew Cuomo’s daily press briefings at 11 a.m. (Sometimes he’s late, and starts them at 11:30. I’ve started referring to this waiting time as “Cuomo FOMO.”) Like a velveteen gravity blanket for my soul, the second I see this man’s perfectly weathered face and tousled curls, the moment his Pacino-like accent fills my living room with its mafia-like authority, my blood pressure drops, my breasts seem to perk up on their own, and a tingly feeling of optimism washes over my imprisoned body as I think to myself… I think we’re gonna be okay.

Also: I think I’m in love with New York Governor Andrew Cuomo.

 

Trying to be normal

 

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By Caitlin Kelly

So we’re doing some of our usual silly banal things, like watching Jeopardy and playing gin rummy and tossing a softball into our battered leather gloves then sitting for a while on a bench in the sun — far away from anyone on our building’s property.

They are comforting and familiar and we need them so so badly.

We haven’t yet, thank God, lost anyone we know to COVID-19 but our minister has it and two of our parishioners, (who are recovering.)

Those of us old enough to remember it, the only time, domestically, that feels like this was the 1980s and the AIDS crisis, which I covered for The Globe & Mail and the Gazette in my native Canada.

Thank God, we still (for now!) have the same smart, tough, wise, no-bullshit public health expert today that we turned to back then, Dr. Anthony Fauci.

But, no matter where you live, we’re all grappling with a sort of life that makes no rational sense right now:

— millions out of work

— no idea if, how or when the economy will recover

— millions still at work endangering their lives and those of others, whether healthcare workers, first responders, police, grocery staff, delivery staff, to care for us

— the world’s richest nation with so few ventilators, let alone trained ICU staff, that triage is going to become brutal for everyone

— a “leader” who babbles and lies and and sneers at and insults any journalist who dares to challenge or question him

 

We are lucky, so far, to be healthy.

 

We are lucky, so far, to have continued freelance work.

 

We are lucky to live in a quiet suburb with places we can go out for a walk safely without dodging dangerous/selfish crowds of people.

 

We are lucky to live in New York, a state massively whacked by this disease, but led by a governor, Andrew Cuomo, who is calm, empathetic, tough. His daily 11:30 EDT press briefings (available on CNN) are a morning ritual for us now.

 

From The New York Times:

The governor repeatedly assailed the federal response as slow, inefficient and inadequate, far more aggressively than he had before.

Mr. Cuomo was once considered a bit player on the national stage, an abrasive presence who made his share of enemies among his Democratic Party peers. He was too much of a pragmatist for his party’s progressive wing, too self-focused for party leaders and too brusque for nearly everyone.

But now, he is emerging as the party’s most prominent voice in a time of crisis.

His briefings — articulate, consistent and often tinged with empathy — have become must-see television. On Tuesday, his address was carried live on all four networks in New York and a raft of cable news stations, including CNN, MSNBC and even Fox News.

 

How are you doing?

 

What are some of your coping mechanisms?

Getting through this

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We need this tree’s determination to thrive. Split rock, as needed.

 

By Caitlin Kelly

It’s not a joke or a hoax.

It’s forcing everyone to re-think every element of our lives: work, relationships, employment, money, access to government aid, education, worship, mourning, celebrations, trust in government, the safety and reliability of medical and hospital care.

Many people have died. Some are very ill. Some wonder — without easy access to testing — if they’ve even been infected with COVID-19, its now official name.

 

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It’s forcing Americans, especially, to behave in ways that run counter to how they’ve been socialized for decades — i.e. to behave as individuals, to behave as they please, free of most government interference, (but also government aid.)

Writing in this week’s New York Times, Donald McNeil says:

Is that what some countries are missing? This sense of collective action and selflessness?

That is absolutely what many Americans are missing — that it’s not about you right now. My parents were in the World War II generation and there was more of a sense of, “Hey, we did something amazing; we ramped up this gigantic societal effort.” It was this sense of we’re all in this together.

We’ve got to realize that we’re all in this together and save each other’s lives. That has not penetrated yet and it needs to penetrate because we all have to cooperate.

 

 

When you grow up not giving a damn about “the other” — people unrelated to you or you’ve never met and why would you even consider universal healthcare for the “undeserving”? — a pandemic throws this thinking out the window.

The nation’s addiction to capitalism and for-profit healthcare and limited government has also led to this crisis — you can’t keep an economy centered on consumer spending alive when no one is shopping or traveling or buying a house or a car.

The wealthy? They’ve already hopped aboard their private jets, and are safely ensconced in their third or fifth home, like the guy writing to The New York Times who fled New York for his house in Rhode Island.

In a time when Americans have never been more divided racially and economically and politically, this virus doesn’t care.

 

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Like it or not, ready or not, we’re all intertwined now

 

People may look, sound, earn and vote just as you do — and still be carrying and widely spreading this lethal virus.

I finally went out for a walk yesterday on our town reservoir path — lots of people (safely distant!) walking, running, biking. It felt great to be out of the apartment and moving.

It’s no fun being stuck indoors all the time.

It’s really hard not to get irritable and snappish if you share a small space with others.

Yes, people are really disappointed by cancelled parties and weddings and kids’ sports and graduations.

But seriously?

Stay home and be responsible.

We have to buck up.

 

I wish,  more than anything, we could still hear the wise and seasoned voices of those who survived WWII, who knew the kind of shared terror we’re only now beginning to feel — and who can share the mental strength and stamina they all needed to get through it.

 

Here’s my new theme song, from one of my favorite bands, The Talking Heads:

 

 

Adjusting to the Covid-19 pandemic

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By Caitlin Kelly

I won’t belabor you with the endless details of the coronavirus pandemic — trusting that you’re paying attention to reliable sources of news like the World Health Organization.

If you live in the United States, where millions — like my husband and I — have no sick pay or access to unemployment benefits since we are self-employed, this is very worrying.

Thanks directly to the coronoavirus, we’ve just suddenly lost a very large piece of paid work  — with no access to unemployment benefits — that we’ve been counting on for months; unlike many Americans we do have savings.

The only people I know who aren’t panicking right now have significant savings or the ability to move back home with their parents to cut their living costs.

That’s a small percentage of Americans.

What worries me most isn’t just the lack of preparedness by the American government and the lying grifter in the White House “leading” it all — but the bedrock of traditional American values.

 

Individualism.

 

The “I”ll do whatever I want and screw you” behaviors I’ve seen for years.

Only now, they’re lethal.

If you’re on Twitter, as I am, you might have seen the hashtag #CoronaKatie, a young woman who tweeted:

 

I just went to a Red Robin [a fast casual restaurant chain] and I’m 30 [a very high risk group for spreading the virus.]

It was delicious and I took my sweet time eating my meal. Because this is America and I’ll do what I want.

 

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Get used to being alone!

 

I can’t adequately express how angry this selfishness makes me.

I fully expect many of us, unwittingly, may have already infected others while we remained without active symptoms. I feel guilty and worried, and don’t even know if I should.

As one brilliant UK physician Graham Medley, a professor of infectious disease modelling, has said — stop behaving as though you hope to avoid the virus.

Behave as though you already have it and do everything in your power to not infect others!

I moved to the United States when I was 30 — but was born, raised and socialized in a country with two attitudes profoundly different from the United States, to this day, both affect how I think and how I behave:

 

cradle-to-grave healthcare provided through taxes

a national, equally bedrock concern for the common good, which this public policy makes abundantly clear.

 

Everyone matters.

 

Anyone who still insists on going out into crowded, shared public spaces — unless medically or legally necessary — is a fool and possibly risking others’ deaths.

If you’re OK with this, please stop reading and following this blog at once.

As you likely know by now, anyone over 60 — with a weaker immune system than those younger — is more vulnerable. Those with underlying conditions, especially respiratory, are very much at risk; my late mother, who died in a Canadian nursing home February 15, had COPD and other health issues. It may have been a blessing she died before this, as nursing homes are a petri dish for this disease.

I am scared.

Even though we have savings, we’re wholly self-employed and if our work dries up, we’re screwed. Whatever the U.S. government offers as help, it never — as usual — affects anyone self-employed.

For now, Jose’s two anchor clients are still going and he is able to work from home for one of them. I have work through mid-May, but nothing after that.

We will figure it out. We have to!

 

I pray that you and your loved ones stay safe and healthy.

 

Ten ways to enjoy working from home

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Step into our office!

 

By Caitlin Kelly

 

Welcome to my life!

 
As the world  suddenly learns the words “social distancing” and every crowded place is closing, many people who have always worked away from home are now…working at home.

While The New York Times laments the lost joys of office life, I deeply disagree.

 

An excerpt:

Steve Jobs, for one, was a famous opponent of remote work, believing that Apple employees’ best work came from accidentally bumping into other people, not sitting at home in front of an email inbox.

“Creativity comes from spontaneous meetings, from random discussions,” Mr. Jobs said. “You run into someone, you ask what they’re doing, you say ‘Wow,’ and soon you’re cooking up all sorts of ideas.”

 

Sure…if your workplace is full of smart, motivated, helpful co-workers.

Is yours?

My last staff job, sorry to say, was a shitshow from start to finish. I was hired by someone who soon left, leaving me vulnerable to management that wanted nothing to do with me and frosty co-workers.

It was the worst experience of my life.

So I never spent much energy looking for another office job.

I’ve been working alone at home, with no pets or children, in a suburban one-bedroom apartment since 2006. I occasionally spend the day working at our local library, which is large, sunny and gorgeous.

 

Here are my ten ways to enjoy working from home if this is all new to you:

 

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— Wake up (more) when it suits you.

Even if you have to be on the clock for your employer by 9:00 a.m. you’ve lost all the mad rush to get ready/showered/dressed/shaved and the cost and annoyance of a commute.

— Savor healthy meals

I eat so much better at home! I know exactly what’s in my food without added salt, sugar, fat and calories. Your late afternoon pick-me-up might be my daily pot of tea or fresh coffee or an apple and cheese or…anything not junky and gooey and full of sugar.

— No eating at your desk!

This is such a gross American habit because everyone’s expected to work all the time. Or, worse, in your car or on the train or bus.

 

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— Take walks, maybe with your very happy dog

You must build in some breaks. Fresh air is a good perk.

— Exercise!

If you can’t use your gym, take a walk or bike ride. If your home is big enough, you can do yoga or workout to exercise videos.

 

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— Avoid the sofa!

I literally won’t sit on it until work is done. In a small space, I have to delineate areas of work and areas of pure leisure (that includes the bedroom.)

— Avoid the TV!

Until your work is done.

— Enjoy music!

Jose and I have a few favorite stations we listen to when working from home. One is TSFJazz from Paris.

 

 

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Zzzzzzzzz……

 

— Naps

As long as you are getting your work done and joining Zoom or Skype or phone meetings as expected, you can probably grab a half hour when needed.

— Comfortable clothing is a real pleasure

Pajamas are not a great idea and sweatpants can feel gross after a while. But there’s no need to keep wearing more formal clothing unless that’s your preference.