Dr Bonnie Henry

April 10, 2023

A few days ago, I opened up Facebook and was met with one of those questions that’s asked of thousands of people, usually a somewhat ambiguous one that’s sure to cause differing opinions.

In this case, it was a simple math question: What is…

48 / 8(14-8) ?

The answer is 1, and if you got that (or don’t care), skip the next paragraph. If you got 36 and are wondering why you’re wrong, read on…

The issue is that 8(14-8) is not the same thing as 8 x (14-8). It just so happens that what’s inside the brackets simplifies quickly to a 6, so if you think that latter expression is correct, then you wind up with 48 / 8 x 6 which, indeed, as per BODMAS or PEDMAS or whatever acronym you learned, is 36. But you can’t do that. The expression of 8(14-8) written out with variables looks like this: N(Y-X) which you can convert, using distribution, to NY – NX… so, you either wind up with 8(6) which is 48, or you wind up with 8×14 – 8×8 which is 112-64 which is, again, 48… which is the right answer, and then 48 / 48 is, of course, 1. You can’t just solve for what’s in the brackets (6) and then go left-to-right, 48 / 8 x 6… which does equal 36, but is simply wrong.

Anyway, I saw this equation, typed in “1” along with a small explanation, and moved on.

Wow… wrong move. Not since the days of the height of the pandemic, where I was writing daily, either explaining the benefits of fresh air, masks and vaccines and/or bashing Trump – that I received such a response of negativity. In some cases, I expanded my answer, with well-versed, simple examples and explanations. Only to be met with “You’re wrong” or, even better, “Your an idiot.”

Sticks and stones, etc… I’ve been involved with internet “discussions” for over 30 years, and I’ve heard far worse. But there’s a difference these days.

Back then, people engaged in “Flame Wars”. A flame war is exactly what it sounds like… two differing opinions starting off with relatively civil discourse, but eventually it starts heating up and eventually the flame-throwers come out. There are two sides, represented by an ever-growing number of people whose passion and anger is also ever-growing. The responses get more terse, and instead of taking days, they take hours… and, eventually, it’s one-word insults going back and forth, measured in minutes. At that point, eventually, the whole thing flames out when everyone realizes it’s pointless. One additional aspect of it… a flame war can come to an instant end when Godwin’s Law is invoked, which is simply that, as soon as you bring nazis into the discussion, whichever side did it – loses. You wouldn’t think a discussion arguing what’s better, the old Star Trek or the new Star Trek, would invoke that… but you’d be surprised.

But these days, you don’t seem to get good old-fashioned flame wars. It seems to cut to the chase immediately.

Question… “You know, I wonder… now that it’s there, why not leave the bike lane in Stanley Park?”

Answer… “You’re a f@!#’n idiot!” or “You’re letting the nazis in City Hall rule us!”

Hmm.

We’re in this day and age of instant gratification, where the dopamine hits, which years ago took some effort to generate, now are measured in seconds. The zombie-like scrolling of Instagram stories and TikTok posts are geared exactly to keep you engaged just long enough to go on to the next one. Once you’re in that loop, it can be hard to get out of it, and I’ve found myself caught up in it many times… someone sends you something, it’s amusing, it scrolls to something similar and almost as amusing, and then you look at a few more and now the algorithm knows you well enough to keep you engaged, clip after clip, the dopamine slowly dripping its way into your brain. There’s rarely anything of value there; it’s stimulus/response, and it works. And frankly, a few minutes of that vs. the few minutes it takes to eat a hot-fudge sundae… which is also stimulus/response… at least one doesn’t cause you to gain weight and/or spike your sugar levels.

But that’s also what a lot of internet “conversation” seems to have devolved to… it’s not a question of learning anything new or discussing a differing opinion… it’s more like “here’s what I have to say, who cares if it’s meaningless – take it!!”, and then instantly moving on to the next target upon whom to impose opinion and abuse. It’s not like this is trolling – another fun activity that’s been around for ages – where you post something that you know will inflame the masses. Sticking to the theme, go to a Calgary Flames forum and post a question like, “Hey guys, honestly, how come the Canucks are so much better than you…?” – and you’ll see what happens: the “two-for-one special” trolling flambé.

I guess I’m old-school… I get my online dopamine trickle from actual discussion, especially when my more-often-than-not humble opinion makes its way into someone’s brain and gives them an “aha!” moment. But that’s becoming more and more rare, because it seems people would rather snipe and move along, than stick around for something more profound. People claiming to have multiple degrees in math and physics, high-school math teachers, accountants, etc… all calling me names, and without any counter-example as to why I may be wrong. Nope… I’m just an idiot. And I’m not sure what’s worse – like if these people are think they know what they’re talking about, or not. Not sure what to make of a math teacher telling me I’m wrong, and he should know – he’s been teaching it this way for almost 30 years. Yikes. Expert indeed.

But while we’re here, let’s talk about two actual experts and what they had to say.

Last week, those two voices that had us hanging on every word three years ago… announced it’s over. Minister Adrian Dix and Dr. Bonnie Henry, in front of a much smaller gaggle of reporters than what they’d been facing on a daily basis for almost two years, announced the lifting of the final pair of restrictions – those that had to do with visitor restrictions in long-term care, assisted living and other healthcare facilities. If you happened to blink at the wrong moment, you likely missed the announcement.

So that’s it… and for those who love numerology, especially the 11:11 crowd, get this… if the initial state of emergency was announced March 19th and enacted March 20th of 2020… and the April 6th 2023 lifting of the final restrictions was decided-upon the previous day before the announcement, the length of this pandemic in this province was… 1,111 days.

Yes, indeed … that first C19 state of emergency, a temporary measure initially expected to last two weeks, haha… and by the way, did you know income tax was also a temporary measure enacted in WW2? And those ugly power-line towers down the middle-median of Boundary Rd. as you head north towards the water/wilderness? Also temporary, haha!!

The pandemic may be over, and I may never write about it again (we can only hope!), but while I’m here referencing the past… and the pandemic, and getting roasted by flamethrowers from all over America, I can’t just not mention Donald Trump.

I took a lot of heat over the last few years for what I said about Trump, so here’s a little more.

I said a while back, and I’ve said it many times… once the dominos start falling, they will keep going. There are a lot directions for the Trump dominos to fall, and New York State became the first to flick the initial domino, where 30 quickly fell. The state of Georgia is next in line, and those indictments will soon see the light of day. Then what? Who knows… but one thing is clear: After all this time (and it certainly seems to have taken a lot more time than one would’ve thought), you can expect that every single one of those initial 30 charges has been scrutinized down to the atomic level. Same with the Georgia prosecutors, and same with the ongoing Mar-a-Lago investigation. Plenty more to fall, and now that it’s begun, there will be plenty to topple.

But what’s clear is that they’re only going to go in legal directions where they’re sure they can stick the landing. Al Capone was as well-known mobster – racketeer, smuggler and murderer… but it was tax-evasion that finally took him down. Somewhere in the Trump dossier there is at least one tiny piece of incontrovertible evidence of wrong-doing. At a superficial level, there’s plenty… but these guys need it to be perfect down to tiniest of details, and I’m curious to see what it’ll be, but one thing is for sure… when it’s revealed, I’ll write about it…

…and then I will get roasted… flamed, in a glorious fashion. But what can I say… thanks to AI and the picture it generated (see attached), I’m ready!

March 10, 2022

It’s been a while since I watched the Dr. Henry update, but I did today, if for no other reason than the fact that it’s going to be the last one… at least as far as scheduled ones are concerned. Two years ago, and for many subsequent months, you’d have found me glued to the screen on a daily basis, watching intently and trying to figure out what the hell is going on. That was my daily question, and the answer always was… “We’ll see.”

Today’s final press conference, close to two years to the day of the first one, came with some announcements that were expected… and will make some people very happy, and others not so much…

One big question people have been wondering about is when do we see the end of vaccine passports, and the answer is – assuming things remain on the path they’re on – April 8th. The provincial requirement for vaccine passports goes away April 8th and, in a perfect world (don’t we wish), stays away forever. We’ll see.

The other biggie is, of course, mask mandates: Also gone, as of midnight tonight… and notwithstanding some minor exceptions (medical settings), places like restaurants and concerts and hockey games will no longer require them. But let’s clarify that… restaurants will no longer be required to require them. I am guessing there will be some places who will be hesitant to just say it’s open season, and that’s likely to cause some problems. Some people will be offended that the person next to them is voluntarily wearing a mask. For others, it’ll be the exact opposite. Some restaurants, for their own reasons, may choose to stick with it… not for the scientific, but for the psychological reasons. We’ll see.

There is a huge, and I do mean… huge… difference between the science and the psychology of where we are today. I realized that recently when walking into my house and subconsciously reaching for my mask. Part of my brain is now on that autopilot; going from outdoors to indoors? Put on a mask.

That sort of autopilot has saved my life, literally… on a few occasions walking the streets of London. Here’s some advice, especially if you’ve never been there: When you’re crossing the street, look both ways. It’s that simple. Don’t try to think about traffic and where it’s coming from and where it’s going and who’s turning to and from where… just look both ways. I once came within inches of getting hit by a bus because I was quickly going to cross the street and there was nothing off to the left. Of course there wasn’t, because that’s not how it works over there.

So how’s it going to work over here? A mask or no mask is unlikely to be a matter of life and death, but the psychology of un-training our brains may take a while. I have a tremendous amount of empathy for people who aren’t automatically young and healthy and fearless. I feel for teachers who are worried about the fact that all students K-12 will no longer require masks after Spring Break.

I feel for them because the fear that’s been around for two years doesn’t go away so easily. Obviously, at some point, the mask mandate has to go away, and it’s the science that’s driving that decision today. But no matter when that was going to be, it was going to result in a lot of issues… and here we are. For a long time, we’ve been told we’re wearing masks for the benefit of others… but long after Covid is gone, there will be people with masks… and in that case, it’s entirely for themselves and their mental well-being. Whether it’s tomorrow or in 6 months or in 2 years, you will see people with masks. To quote our fearless Dr. Henry: “Be kind, be calm.” Perhaps the “Be safe” part of it is not so relevant anymore, at least not for you. But it is, and will remain so, for others.

Speaking of what’s relevant and not… I’ve been wondering for a while how long I’ll be updating these numbers and charts. “Until they’re no longer relevant” is my inward-facing answer to that. Does any of this mean anything anymore?

For a long time, case counts meant everything. Cases turned into hospitalizations and ICUs and deaths, etc. Well… it’s been a while since the daily case numbers have meant much. Testing protocols have changed… and while, for a long time, we knew that reported cases were significantly undercounting reality, we never knew by how much. That’s never been more true, to the extent that the published numbers no longer mean much at all… so much so that many jurisdictions are no longer publishing them on a daily basis, if at all. You’ll see a lot of italics in today’s chart… those are interpolated numbers. If it was 170 last week and it’s 100 today, you’ll see it stepping down by very pretty and consistent and italicized “10” on a daily basis. Does that really mean anything at all? Honestly, not much. But it’s better than blanks and then a big jump. And, to be fair, it’s a relatively fair view of a trend… though, again, the trend isn’t actually as important as simply: Where are we today?

So… where, in fact, are we today…

Today, B.C. has around 400 Covid hospital cases. That number was close to 1,000 a month ago. Also today, B.C. has 58 Covid ICU cases. A month ago, it was close to 150. To the extent this has always greatly been about managing the pressures on the health-care system, we’re nowhere near frightening levels, and continue to head in the right direction.

And, on that note, what do these numbers actually mean? Everyone admitted to the hospital these days gets a Covid test. If you go to the E.R. with a broken arm and test positive, you’re on that list. If you have a heart attack and wind up in the ICU, and happen to have tested positive, you’re on that list too. And if you die with Covid, notwithstanding it may have had nothing to do with it, you’ll count there too.

So… look at all the pretty charts, because they won’t be around much longer. I have to be honest and say that I don’t think they’re conveying too much useful information anymore. You can see the hospitalization and ICU and death trends pretty clearly; they’re what you’d expect… and unless there’s some unheard of Omegaplex variant coming down the line, all of those charts should be going downhill (in the good way) forever. Every single graph shows where we are, and every single graph is in a much better place than it was a month ago… by far.

I suppose this is what the end-game of the pandemic is supposed to look like; it’s what it was going to look like all along… a fuzzy finish line at best. Initially, like two years ago, I somehow imagined a V-E day-type ending to all of this… where the announcement is made, the case-counts are near zero, the death counts have been zero ten days in a row and we’re all out dancing in the streets downtown throwing our masks in the air and hugging strangers. Nothing remotely close like that will happen, and the only people jamming downtown are the insane trucker anti-mask anti-vax “freedom” brigade who are on their way to Victoria to protest… to protest what? Nothing left to protest, but that won’t stop them, so we’ll see.

In fact, that’s a good motto going forward… it answers a lot of the rhetorical questions: Do you feel comfortable in a crowded place? We’ll see. Where nobody has a mask? We’ll see. And nobody had to show a vaccine passport? Honestly, speaking for myself, I don’t know.

We’ll see.

January 6, 2022

Usually I know what I’m talking about (or, at least, think I do)… but I’ve been trying to figure something out, and I am going in circles. Some things require questioning.

There are 2.8 million people in BC who are 50 or older, of which some 700,000 are ages 50 to 60… and this particular demographic (which I’m part of) is the one who got their first shot in late April/early May, their second shot in late June/early July… and, therefore, have become eligible for the booster in recent weeks. The invites may have been sprinkling down like tiny snowflakes at first… but now… we’ve seen in recent days what a real snowfall can look like. Terrific. As soon as you get your invite, book your appointment. Hopefully you can get to it.

But wait… here’s the question: If you recently had Covid, should you wait for the booster? How long should you wait? Why?

So… I’ve asked a lot of people and I’ve read lots of articles and data, and the best response I can formulate when presently asked, is… “Good question!” or “I sincerely don’t know” or “Ask me in 6 months”.

Here in BC, we don’t get to find out what variant we had. They’re obviously collecting the data, but for some reason, don’t want to disclose it. I wish they did, as do many people, because it might make some difference in the chosen course of action, given that the present vaccines are designed for Delta and previous versions; the booster is too. There is no doubt that one, two and three vaccines confer protection against serious illness no matter what version you’re unfortunate enough to contract, so everyone should eventually get all of them. But the issue is… if you’ve recently had Covid as the result of a breakthrough infection (ie 90% of us who got sick in December), when should you get the booster? Pouring a cupful of boiling water into an already-boiling pot doesn’t do much… but if that large pot of water has cooled off a bit, then it does.

I got in a bit of trouble trying to ask this question in one of the BC Covid Facebook groups; the moderators refused to allow it, and gave me pithy and useless one-line responses to my questioning their attitude. Yes, I know you can get the booster 14 days after your symptoms subside. Yes, I know Dr. Henry said just get the booster as soon as you can, no matter what… and I understand where she’s coming from; she doesn’t want to see a flood hospital admissions, and the best way to achieve that given what we don’t yet know – and to umbrella to the whole issue – is to just get everyone as vaccinated as possible… as soon as possible. But that’s not necessarily a medical decision; it’s based on mitigating the local worst-case scenarios with respect to overwhelming the medical infrastructure. My counter-argument would be, “Sure, ok… but maybe someone else needs that booster more at this very moment.” Indeed, there is a lot of talk of “super-immunity” that you have (for a while… how long? A month? Two months? Three?) after a vaccine/vaccine/infection course. If I’m presently “super-immune”, why waste a booster on me right now? Depending who you ask, here are the recommendations:

BC says get it two weeks later.
Ontario says one month.
Quebec says two to three months.
One American article I read said up to six months.

I’m a big fan of Dr. Henry and usually agree with her, so it was interesting to be treated like some sort of anti-vaxxer just because I dared asked a question that threatened to go against the (present-day) gospel of our PHO.

As we all know, science evolves and, as we learn more, so do recommendations. Dr. Henry herself has course-corrected many times, as she should. I suspect this issue will evolve over time as well as more data is collected, analyzed and understood.

But in the meantime, there are all sorts of complicated reasons and mitigating factors going into these various opinions, and there are too many variables… and, of course, different places have different priorities and/or concerns. Vaccine shortages? Bed shortages? Percentage of population vaccinated? Which strain was the infection? Etc etc.

For what it’s worth, I’m leaning towards waiting a month to six weeks. I’m pretty certain I got Omicron given the symptoms, lack of symptoms, and course of the illness… and, that being the case, that covers me (for a while) from all presently-known strains. Certainly, I should be good till the end of the month, and then I’ll reconsider. Or, of course, I might read something in an hour that’ll change my mind. I’m counting on the fact that actual data and facts on the topic will emerge every day, and my (and everyone else’s) opinions and decision making won’t be based on just rudimentary data, speculation and gut feel. And if you’re in the same boat, please feel free to share your thoughts in the comments; I’d love to hear where you’re thinking is at.

On a separate note, one that requires no speculation or changing opinions… we’ve been hearing for a long time that if you’re sick and/or unvaccinated, stay away from people who may have compromised immune systems. As healthy and immune as you may be from contracting the illness, not everyone is so lucky. So, stay away.

Even if you choose not to stay away, the potential victim usually has a say. If you’re not vaxxed but your relative is, and they tell you to stay the hell away, they themselves can flee the scene if you’re so entitled as to impose yourself upon their presence.

But… that’s not always the case, and the specific case I want to talk about are babies.

Human babies are pathetically frail when compared to other mammals. Some animals are good to go on their own mere hours after being born. It’s only humans that rely on parental protection for so long. Years, not hours. Babies depend on us to keep them safe, and the reason I mention this is that a recent article pointed out a very simple stat that speaks for itself: All of the babies presently hospitalized in Ontario due to complications from Covid-19… are from unvaccinated mothers. All of them. One hundred percent.

Yes… some other things don’t require any questioning at all.

December 31, 2021

Talk about a perfect storm… a surging variant, a ridiculous cold snap, and this period of time between Christmas and New Year’s when everyone is barely working… and those who bother showing up are basically phoning it in. The reporting arm of the health department in Alberta has actually given up. “Yeah, we think today’s number is around 4,000… use that for now. Ask us next year. See you January 4th”.

Who can blame them; the temperatures are dipping to the levels where it doesn’t matter whether you measure it in Fahrenheit or Celsius because it’s the same number. You know, sort of like the snowfall forecast we got around here two days ago… you can expect 10 (mumble) of snow. Ten what? Centimetres? Inches? Whatever.

Well… not all things are “whatever”.

The staggering number of new cases around the country (and the entire continent… and, while we’re at it, the entire planet) beg some questions that require some answers but, due to all of the above, the simple responses are not so forthcoming.

Trying to consolidate the numbers with respect to new cases and hospitalizations and ICU admissions has been a real exercise, but what’s most important aren’t actually the case counts; at least, not around here. Dr. Henry made a statement which alluded to the fact that there are far more cases out there than we know about. That’s been the case since the start, but it’s far more pronounced in recent weeks. Her guess is 3x to 5x, but that’s what I’d have guessed months ago. These days, we don’t have the proper testing infrastructure to get accurate numbers and, even if we did, that majority of people aren’t going to get tested. Depending who you ask, in fact… people are being told not to go get tested. You’ve got symptoms? Pretend you have it. Isolate, take care of yourself… and don’t bother us unless you need medical attention. And those who actually tried to go get tested found multi-hour waits, or got sent home with a rapid test, or found that the testing site that’d been shut down because of the cold.

A quick note about those rapid antigen tests: they’re nearly useless. I say nearly, but not entirely… only because they probably work just fine if they’re used correctly, and if the test patient has a high-enough viral load to register. Unfortunately, neither of those things seem to overlap enough to get accurate results. A positive result certainly means you have it, but a negative result doesn’t mean anything.

If you’re taking a rapid-antigen test – and I am speaking now from direct experience, having subjected myself to be a guinea pig for a friend who was trying to figure out the validity of these things – you need to scour deeply — approaching your brain — for ten seconds a nostril, complete with long, uncomfortable swirls — to get a valid result. I took a few of these tests; a gingerly tickle of the inside of your nostril does nothing. Even a medium-sized dip into your nose doesn’t do it. Unless that gargantuan Q-tip makes your eyes tear up and cause you to cough, you didn’t do it right. And it was only when I did that *and* was symptomatic that I got a positive result.

Anyway, that aside, getting a positive test these days is somewhat secondary to what it implies. Around here, with our enviable “fully-vaxxed” rate, it’s pretty good. The daily new case numbers (5,000 on paper, closer to 100,000 in my opinion) are not translating to hospitalizations. At least not yet, but for now, that’s really good news. As a general statement, if you have a normal healthy immune system and you’ve been double-vaxxed or better, the overwhelming evidence implies that you’ll suffer some cold-like symptoms at worst, and that’ll be it. It still needs to be taken very seriously because, of course, you might end up passing it along to someone who wouldn’t handle it so well… and none of that has changed. Older, immune-compromised, at risk people… they’ve been taking the necessary steps to stay safe, and we need to do the same for their benefit.

The relative success story (for now) that we’re seeing here seems to be consistent with other places with high vaccination rates. Those with lower rates are being hit hard, but only because the sheer volume of cases at some point is going to translate to an overwhelming amount of more serious cases.

Looking at the graphs below, you’ll see that hospitalization rates have not gone up dramatically in Western Canada. Ontario and Quebec are indeed seeing more hospitalizations, but barely an increase in ICU cases. Manitoba, too… to a lesser extent. But West of that, numbers are actually down.

I’ve added a third row of graphs today. While the top two rows are the cases, hospitalizations, ICUs and deaths since September 1st, the bottom row are the daily new case counts starting at the very beginning of the pandemic. They’re interesting to look at for numerous reasons… like, you can see clearly the different waves… but have a look at Quebec, from day 1. Near the very beginning, in that first little wave, there’s a notable spike. That spike was from early May, 2020… when over a 3-day period, they saw more than 4,000 new cases and over 300 deaths. It’s interesting to note just how insignificant that little spike looks compared to what came after, especially what’s going on now. But, back then… that was honestly the moment were all thinking that we’re totally screwed. That we, here in BC, were two weeks away from a tidal wave of cases and deaths.

We’ve learned a lot since then, and one of the most important is the realization of just how effective these vaccines are. We see today’s skyrocketing case numbers and we’re nowhere near as freaked out.

On that note… I haven’t written about Trump in a while, but it’s worth mentioning this: For as long as this pandemic has been going on, he’s been talking out of both sides of his mouth. He initially played it down, no big deal, it’ll be gone in a few weeks… and it became the rallying cry of his most-extreme base. His fervent supporters were as anti-mask, anti-vaxx and anti-science as he pretended to be… notwithstanding he took great pride in being responsible for funding Operation Warp Drive which indeed had a lot to do with developing these miraculous vaccines. You know, the ones he claimed we didn’t need and don’t do anything anyway because the virus is no big deal BUT I’ve created the greatest vaccine ever to combat the China virus BUT you don’t really need the vaccine BUT yeah, I got the vaccine, as did my entire family… we all got it quietly while nobody was watching, as did every Republican politician in Washington BUT really, you’re fine, forget vaccines and masks BUT yeah, we all got the booster too BUT….

Recently, and this is the eyebrow-raising part, Trump has been announcing to his followers that yeah, he got the booster and, you know what, they should get it too. But rather than listen to their fearless leader, they boo him and disagree with him. He, of course, doesn’t care… but why is that? It’s a 180, and it needs to be understood.

From the people’s point of view, they’re so deeply sunk into that mindset that they can’t, at this point, admit it’s wrong. They’ve already drowned in the Kool Aid. A lot of them can be heard saying they’d rather die of Covid than get the vaccine, and many of them will get that wish granted. Trump doesn’t care; he never did. But he does care about making himself reasonable and relevant for 2022 and beyond, so now he’s pandering to the bigger Republic base… those that aren’t so anti-everything. And that leaves those fringe people completely abandoned, discouraged and betrayed. And, in a bit of trouble if they don’t change their mind because that’s the demographic that makes up the vast majority of pandemic-related deaths. The anti-vaxx crowd.

Our BC fully-vaxxed rate is 90%. The majority of people in hospital for Covid come from that remaining 10%. The math isn’t complicated. And the American fully-vaxxed number isn’t even close to 90%… more like 62%. Unfortunately, for some select demographics, it could get quite ugly.

Last year, at exactly this time, I wrote a relatively optimistic piece about how the worst is over. Vaccines are just around the corner, and once we all get them, this will all have been a bad dream. Well, that was a little naïve, but I’m going to say the same thing again. Given the direction of Omicron and where we are with all of this, by this time next year, Covid won’t be a distant nightmare from the past that’s still haunting us. Rather, it’ll be an endemic annoyance for which we’ll have an armada of weapons: Vaccines, treatments, prevention therapies, whatever. Every day is one step closer to C19 becoming the common cold of the future, but we’re not there yet. Next year…

So… wishing you all a Very Happy, Prosperous and – most of all – *Healthy* 2022. All the best… and Cheers!

December 17, 2021

OK – it is indeed time for an update. I meant to do this a couple of days ago, but…

There are a lot of questions floating around these days, and it’s frustrating when, for some of them, there are no real answers. Let’s start with the obvious one… you can guess what that is. It rhymes with notthisshitagainicron.

I am still sticking with the cautious optimism that as contagious as it is, the symptoms are, and will remain, mild. And, on that note…

A few days ago, I started feeling a little under the weather. Headache, fatigue, cough… but also, fever. The sort of thing where in the old days you just bundle up for a day or two and are ok, but these days, our minds go elsewhere. Yesterday afternoon, I went and got tested… and waited in an 80-minute lineup to do so. A week ago, that lineup was three cars when I drove past it.

Test results take 24 hours, but I mentioned this to a friend… who came over with a rapid antigen test – which came back negative. Excellent. I thought so, but better safe than sorry. I was already feeling a little better, and then I had a good night’s sleep. I woke up without a fever and feeling pretty ok.

So… it was a rather blunt kick in the face to receive the official PCR result a few minutes ago: Positive.

Well… shit.

So, now… instead of speculating, here’s what I can tell you. Knock on wood that I’m past the worst of it, because if this is as bad as most double-vaxxed otherwise-healthy people get this thing, we are well on our way to seeing an end to it. I’m looking at the silver lining, which is… now, getting sick, coupled with two shots, I’m good to go – perhaps to the end of this entire nightmare. Like so many others whose second vaccine dose was in late June, I’ll be getting my invitation for the booster next week. I’d been hoping to avoid Omicron for a few more weeks, because the AZ/Moderna/Moderna series seem to be very effective against it, but things don’t always go as planned. Looks like I’ll be developing immunity the old-fashioned way.

But this brings up another of those yet-to-be-answered questions with respect to the mildness of these symptoms… how many people are walking around with Omicron-Covid19 right now? I’m going to guess – a lot. Far more than will ever get tested. I say that because while we all have little slip-ups once in a while, I’m exceptionally careful with respect to masks and open spaces and proximity to people and all the rest of it. Where and when the hell did I get infected? I sincerely don’t know. And if I can get this thing, anyone can get it… and, like I’ve said, it’ll eventually hit us all… though, ideally, when you’ve already received your three-shot course.

Which leads to another question, one I’ve heard 20 versions of… what do we do? And the preamble to that has a lot to do with airline tickets and hotel reservations, many of which at this point are non-refundable. Do we go? Do we bail? Help.

The answer very much depends on a number of variables which are very different and vary wildly from person to person. If you’re not worried about getting sick (and a plane-full of double-vaxxed and masked people heading to a place of warmth and sunshine and outdoor restaurants is actually a pretty safe place), what’s the problem? Well, WestJet threw a valid question back at the government a couple of days ago; where’s the science? Why are you telling people not to travel? They do have a point; on this fourth go-around, the one thing we’ve learned is that travel restrictions do nothing to prevent the spread. If they were perfectly implemented and 100% enforced, they would. But that’s not the case… and as we’ve seen with exponential growth, that 99.9% “good enough” decays to 80%, 30%, zero very quickly. A travel restriction might, at best, delay some numbers for a few days… but as we already have seen, by the time the whistle was blown on Omicron, it was already everywhere. The hastily-imposed travel restrictions on ten African countries have been lifted because they did absolutely nothing.

So why advise people not to travel? There may be many reasons such as the pressure on the testing infrastructure and the risk of being stranded overseas and the risk of wherever you’re going imposing some unforeseen restrictions on you; all of those are valid concerns, but they have nothing to do with preventing the spread of the disease. Questions related to needing to be back on a certain day or you’ll lose your job – are perhaps more relevant. At the end of the day, the government has to do *something* — so, we get travel advisories if for no other reason than if this all goes to hell, they can say they didn’t do *nothing*.

Can it all go to hell? Unfortunately, yes. I am basing this on my now-personal experience that Omicron symptoms are generally mild. If that turns out not to be the case, given how contagious it is, we could overrun our health-care system… and that’s what they’re trying to avoid. Dr. Henry’s rather specific list of restrictions imposed today target the sorts of gatherings that are highest risk; she just wants to be sure we don’t run out of hospital beds. Fair enough.

For the moment, this eternal optimism of mine always tries to look at the bright side, and while we see a frightening rise in cases, we’re far from seeing a frightening rise in hospitalizations and ICU admissions. On the contrary; the numbers are significantly down over the last 10 days. Around here, with our excellent vaccination rate, we’re in good shape. Red states down south? It remains to be seen. Around here, new-case numbers will go up, as they are all across Canada. The implications of that remain to be seen. But if you look at the pretty picture, while the unprecedent growth in new cases is alarming, look below it to hospitalizations and ICU cases. It’s a good counterpoint.

As far as I’m concerned, my positive test has certainly derailed our holiday plans, but whatever… we’ll make the best of it. On that note, let’s try to turn my positive test into a positive for you.

I have two pairs of tickets (great ones: center-ice row-3 club seats) for this Sunday’s Canucks game (7pm against the Coyotes) that I suddenly won’t be using… so let’s have a good old-fashioned contest like the old days. I’d base it on BC numbers, but they don’t publish over the weekend… so our neighbours to the east will help us out. Over the last three days, here are the new-case numbers:

Ontario: 1,808 2,421 3,124
Quebec: 2,386 2,736 3,768

The complete list since Nov 29th is on the pretty picture.

So, guess away! Submit two guesses per entry – your guess for Saturday’s numbers for Ontario and also for Quebec. Something like “ON: 4,000 / QC: 5,000” and whoever is closest for each province wins a pair of tickets. Ties go to whoever guessed first.

See? Here’s how we make lemonade out my particularly lemony test result… good luck!

And now, if you’ll excuse me, I’m going to go off and curl up in bed for 10 days.

November 5, 2021

When I was a kid, I thought the little piggy that went to market was going shopping. I imagined the pig, walking upright, dressed nicely, wearing a little hat and pushing a shopping cart in the produce section, judiciously picking out the best cobs of corn. I also imagined that the little piggy that stayed home just didn’t want go shopping. Then there was the little piggy who was eating roast beef, so why would he want to go anywhere… and then the other little piggy who wasn’t hungry. And finally, the little piggy who cried “wee wee wee” all the way home; that didn’t quite add up, because I thought all of them (except the one that went shopping) were already home. But whatever.

Years later, I learned a pig “going to market” means something quite different, and when you read the innocent little nursery rhyme in that context, it all takes on a completely different meaning. The first little piggy is going to slaughter. The second little piggy isn’t quite ready to go to slaughter. The third little piggy needs to be fattened up a bit before it’s his turn. The fourth little piggy needs no more fattening up, and so we all know where he’ll be heading soon.

Distinguished literary scholars have (I suppose), for centuries (the original nursery rhyme is from 1760), been discussing the fifth little piggy. Did he escape from the market and run home, squealing with delight all the way home? Was he taken to market, not purchased, and is now squealing with relief that he gets to go back home, back to his friends… at least temporarily? Or perhaps he was purchased after all, and is now squealing in terror as he’s being taken to his new “home”. We may never know. The questions may linger for another few centuries, but it really doesn’t matter… because that’s totally not the point.

The point is… we learn something initially one way, and sometimes, in due course, as we learn more and new facts emerge, our understanding of what we originally thought gets completely transformed. It took me more than 40 years to understand what’s happening to those five little piggies… and now it’s something you yourself will think about when you’re counting and wiggling the toes of some nearby baby.

Similarly, as this pandemic has progressed, a lot of what we innocently thought we knew has changed dramatically as time has gone by. It bothers me greatly to see conclusions of scientific method and research turned right around… presented as evidence that those conducting the research don’t know what they’re doing. If science and understanding didn’t evolve, then there would be something to complain about, but the reality of the world is the exact opposite. We learn from new facts. We learn when we make mistakes. Nobody has ever been right “all along”.

Starting at the beginning of the pandemic, we were told that with handwashing and social distancing, we’d be ok. No need for masks. Dr. Henry said so. Dr. Fauci said so. They all said so… until the moment science realized that this is an airborne disease after all, and then… a very quick 180 on masks. Yes, indeed, after all… having now studied the matter more and seen more data… masks do make a difference. A big difference. Enclosed spaces? They weren’t talked about much, at least initially. They certainly are now. As the science, data and knowledge have evolved, so have the directives. It’s to be expected. Does this mean they didn’t know what they were talking about? Does it meant they don’t know what they’re talking about now? Of course not.

But sometimes, the science, data and knowledge evolve… and nothing changes, because the initial assumptions were perfectly correct in the first place… and such is the case with vaccinations.

While we’re in the midst of fine-tuning vaccinations… the length of time between doses, the benefits of mixing and matching, the necessity for a booster… this is all just rearranging the furniture and painting the walls… of a solidly-built brick house. The big bad Covid wolf may have been able to blow down the initial straw house and the subsequent house made of sticks, but here we have a rock-solid infrastructure… one in which we can all feel safe. Covid can huff and puff all it likes, but is it likely to kill us? Not by the hair on our chinny chin chins.

Yeah, I know… those three little pigs are very different from the five little ones on your toes, but here’s something worth mentioning: All three pigs in the latter story survive.

The first one, a wolf-denier, built a flimsy house out of straw. The second one was wolf-hesitant and made a bit more of an effort, but sticks aren’t good enough protection. The third little pig understood the big picture and what was at stake, and built his brick fortress… and when the big bad evil Covid wolf came around huffing and puffing and ultimately blowing down those first two houses, its occupants ran screaming to that brick house – whose pig welcomed them with open arms. Finally… a fairy tale with a happy ending, because the good guys survived… even though, initially, they weren’t really deserving. It’s very rare that life, circumstance (and/or fairy tales) reward the “wrong” ones. The whole idea is to learn a lesson. Shouldn’t those first two pigs have been eaten by the wolf? The five little piggies didn’t have a choice… they were all destined for slaughter.

But the three little pigs… they made choices, and the two that made poor choices almost paid with their lives. Yet… sometimes, real-life echoes the fairy tale. Guess what; it’s not too late. If you’re reading this and realizing you’re metaphorically and presently inhabiting a flimsy house, it’s an easy fix; while building a brick house takes effort, choosing to inhabit one doesn’t… it’s as easy as booking a vaccine appointment.

It’s unfortunately looking a lot like the big bad wolf is going to be around for a while, and you never know when or where he’s going to make an appearance with his huffing and puffing. In which house do you want to be when he shows up?

October 26, 2021

The numbers fluctuate a bit… but, generally speaking, if the question is “How many people under the age of 50 currently in the ICU battling Covid are unvaccinated?”, the answer is… “All of them.”

It’s been 100% before. At this very moment, it’s 94.4%… specifically, 34 out of 36 here in B.C.

And here’s a simple example… easy to wrap your head around:

Imagine there are 100 people. Of them, 99 are fully vaccinated. One of them is not.

Two of them wind up in hospital. One of them is the unvaccinated person. The other is one of the 99 that unfortunately got a breakthrough infection. For what it’s worth, that vaccinated person in hospital has a much better prognosis than the unvaccinated one, but that’s not the point.

Some people… they will scream and yell… “See?!? Half the people in hospital are vaccinated!! 50/50!! Vaccines are useless!! It makes no difference!!”

Indeed, when you have a pre-determined conclusion you wish to reach, and your grasp on numbers and their interpretation isn’t your strongest suit… yep, that’s what you can come up with. In fact, in the idyllic situation where vaccination rates are 100%, that would also be the percentage of hospitalized patients who are vaccinated. All of them; 100%. “Check it out!! Every single hospitalized Covid patient has been vaccinated!! In fact, I bet it’s the vaccines that got them sick!!”

That is a good example of what I would call “true” misinformation, similar to something like… 99.8% of people who die in skydiving accidents at some point got some professional instruction on how to do it. Conclusion: It’s much safer to jump out of a plane without having someone tell you what to do.

Be very careful reading interpretations of data… because the data may be perfectly correct, but the messenger may be presenting it in a very disingenuous fashion. I should backtrack a bit… the people who believe this sort of data are in many cases simply incapable of understanding what they’re seeing and reading. They’re the smaller part of the problem. The bigger part are those who are creating and spreading this misinformation, with their fancy fonts and glossy graphs and astonishingly professional productions.

Yes… mangling facts into some grotesque representation of reality has truly become an art form. The most ridiculous, absurd content imaginable comes presented with such a slick and sophisticated look that it could pretty-much fool anyone. And if it happens to agree with whatever you already think, you won’t dig too deep. You won’t question it at all. You’ll Like it and Repost it. Just one more official confirmation of what you already know, and now you’re doing your part just passing it along, It’s unfortunately all too easy, and we’re all suffering the consequences; still in a pandemic that would’ve and could’ve and should’ve been over long ago.

Dr. Bonnie Henry may have been a little bit ahead of her time when she came up with the “Be kind, be calm, be safe” thing. Like, we’re slowly going to get to the two-year mark of hearing that little refrain, and when we started hearing it initially, I recall thinking “Do we really need to hear this?” – you know, we’re mostly Canadians around here, or, at least, Canadian-minded… to the extent that we’re so programmed to be kind to each other, we apologize to everyone (and everything) for, often, no reason at all. I’ve been known to apologize to a door after absentmindedly walking into it.

But yeah… 19 months later, perhaps we all need to listen to those words, and I count myself among those. My patience is running out, and, along with it, the kindness I may have offered that crowd at some point.

There was a time when the reasonable, educated, scientifically-minded, masked and vaccinated people would, at worst, roll their eyes at the ignorant, anti-vax, anti-mask, anti-science crowd. “Yeah, you’re entitled to your opinion… sure, if it makes you happy… whatever.”

But, as time has gone on, it’s become abundantly clear that while it’s entirely appropriate to offer everyone a right to their own opinion, there’s absolutely nothing that says those opinions are to be equally respected. Some opinions are worthless and dangerous, and to consider them as simply an equally valid opposing side… is a big mistake.

My sympathy for that crowd has waned its way down substantially, because their bullshit is affecting me, my friends, my family and my freedom to enjoy life. You can’t go to your favourite restaurant or sporting event because, as of yesterday, you’re not fully vaccinated? You’re a healthcare worker who, as of today, can’t work because you’re not vaccinated? You’re the electrician’s assistant who was supposed to come do some work at the house today, but I won’t let you in… because you’re not vaccinated? See the little dot under the question mark at the end of this sentence? That’s the size of the violin I’m playing for you; take its sad, little song and wallow in its misery.

I get it… nothing will change your mind, and, at this point, it’d be almost impossible. Admitting you’re wrong now would mean admitting you’ve been wrong all along, and the “I’m right and you’re all wrong” crowd is well-known for being particularly stubborn on that point.

Society has offered you many outs; get vaccinated so you can enjoy life. Get vaccinated so you can work. As per the implication of the top paragraph, get vaccinated so that if you do get Covid, it won’t be so serious.

Are we actually at the finish line of discussion? It’s starting to feel that way. What else is there to talk about? Be part of the solution or be part of the problem? That’s no longer the discussion. The anti-vax anti-science anti-common-sense crowd isn’t part of the problem. They *are* the problem, and some problems can’t be solved, just managed… which leads to the unfortunate truth as to why we’re all going to be stuck in this for a lot longer than we ever thought.

That being said, I’ll be at the Canucks home opener tonight, along with 19,000 other fully-vaccinated people. Life does indeed go on, at least for most of us. And for those who, because of their choices, it doesn’t… notwithstanding I feel like I’m wasting space saying the same thing over and over… here it is again, and it’s just a suggestion because, I know, you don’t like listening to people telling you what to do because freedom and all that… but anyway, you know, it’s not a bad idea… at all: Go get vaccinated.

July 2, 2021

On the last day of second-year university, I wrote my last exam on a Friday afternoon. That was the last thing after a tumultuous few weeks of final papers, projects and exams. I finished writing it, barely remember driving home, told everyone not to wake me… I’m exhausted, I already ate, leave me alone. I fell asleep around 6pm and woke up the next morning at 11am. That’s 17 hours of glorious, blissful sleep… and I remember it well because it’s, by far, the longest continuous sleep I’ve ever had.

And when I woke up the next day, I suddenly felt like I was in a vacuum. “Now what?!” What paper or project do I work on? What exam do I study for? There were no answers of course, but as the saying goes… when you stare into the abyss, it stares right back at you. Now what?

The government 3pm briefings were something I’d gotten used to. If you were here watching with me, you might have heard me screaming at the screen… not at Dr. Henry or Minister Dix… but rather, at the reporters serving up the softball questions. “Ask him this!” or “Ask her that!” I’d (very ineffectively) yell… and usually, nobody thought to ask what I’d desperately wanted answered. I took to Tweeting certain reporters, and a couple of times, by coincidence or because they listened, my specific questions got asked and answered… but now… this vacuum of silence. This abyss of zero information.

This is, of course, good. No news is good news. Usually. We can all hope we never see Dr. Henry on TV again, except when she’s receiving her well-deserved Order of B.C. and Order of Canada. But perhaps there’s a bit of Stockholm Syndrome as well. This pandemic has held us all hostage for more than a year, and even if it’s letting us go, there’s visible reluctance all around. I’m not saying we’re going to miss it, but certainly parts of it. I’m not saying I need to see the Henry/Dix 3pm gathering every day for the rest of my life, but there’s no doubt it held great importance for many people… and, truthfully, I will miss it. And while we’ve all become very used to masks and distancing, and the mental stranglehold of that – even if Henry/Dix are telling us don’t worry, take them off, gather, whatever – it’s going to take some time. You don’t jump into the abyss… you lower yourself in slowly.

Yes, I do think Dr. Henry will receive (and deserves) those honours. As much as she received criticism and death threats and all the rest of it, in the decades to come, when this whole experience is looked back upon and textbooks are written as to the proper way of dealing with pandemics, British Columbia will be near (if not sitting on) the top of the list. Pandemics incur a lot of collateral damage… lives, businesses, jobs. Mitigating that properly, navigating the subtleties, juggling thirteen flaming chainsaws without getting hurt; it’s no small feat. Look around at the rest of the world for comparison. We, around here, have been very lucky indeed.

I’m going to try to sleep seventeen hours tonight… though I will fail miserably. But one thing that’s changed… I used to go to sleep on Fridays with a bit of dread, not knowing what to expect after the weekend media blackout. That’s now gone, and I certainly won’t miss that.

June 10, 2021

The most notable fact that emerged from today’s C19 update was one that was implied by the numbers… but it was nice to hear it stated officially: that the Ro (R nought) of C19 in B.C. is now below one. This is the number that indicates, on average, how many people get newly infected from someone who’s already got it. A number less than one simply states this thing is fading away; if everyone is infecting, on average, less than one other person, we’re very much headed in the right direction.

The Delta variant is likely to affect the velocity with which we ultimately get close to zero, but it doesn’t matter too much. If we keep doing what we’re doing – primarily, keep getting vaccinated – it’s hard to imagine that number bouncing back up. Like I said yesterday, it’ll never go away completely… but it’ll be relegated to just one more other annoying seasonal disease that’s very controllable.

One thing that’s clear with respect to how the PHO handles things; they will be cautious and certain before they pull the plug on any restrictions… for one big reason: once a restriction is lifted, it’s not coming back. It would take a serious derailment for something to be re-imposed after it’s been removed. At least, that’s the idea… which is why even though it looks like today is a good day to take a step forward, it’ll always wait till next week. This comes from watching what’s happened around the world and, unfortunately, will happen again… where people’s impatience, rather than the science, drives the policy. But here, they’ve set conservative but achievable goals… and they’re sticking with them. Accordingly, everything is pointing to moving to the next re-opening phase on June 15th, where outdoor gatherings of up to 50 people will be allowed, indoor parties of 50 people will be allowed (with C19 provisions in place), provincial travel restrictions will be lifted, liquor will be served till midnight and a number of sport and gym-related restrictions will be eased.

Dr. Henry has taken a lot of crap from people for what they consider her heavy-handed, draconian and excessive policies… but the fact is, these policies have worked really well. In hindsight, all the people telling you “You see, it wasn’t so bad” should be reminded that it was *because of* — not *in spite of* — these policies that we made it through this relatively unscathed, compared to so many other places.

And again, don’t take my word for it. Those other places who are so keen and impatient on reopening ahead of schedule… are places where things are likely to look a lot different.

May 10, 2021

As expected, Dr. Henry spent a lot of time today talking about data… withheld, public and/or otherwise. My opinion hasn’t changed; as mis-interpreted as “too much data” may be for some people, I’d still want it to be out there. I understand the arguments against sharing everything… and I could probably strongly argue that side of it as well… but as much as I’d understand the reasoning, I still wouldn’t agree with it… and, anyway, going forward, more data will be made available. Good… I want to see it.

And looking at numbers around here, there’s reason to be optimistic. Vaccination rates are the highest ever, and going full blast… and case numbers, while still relatively high, are trending downward. Twenty deaths in three days isn’t great, but that’s due to the high case counts two weeks ago. If the present trends continue, the numbers will continue to dwindle down… and restrictions will be lifted and restaurants will open and some semblance of normalcy will slowly start crawling into sight… and perhaps we’re at the point where taking everything into consideration, we can measure it in weeks, not months. In the next few days, we’ll start seeing some tentative plans of how things might look sooner than later; we might see some positive, welcome changes shortly after the long weekend.

As much as it’s impossible to please everyone, the fact is… that B.C.’s handing of the P.1 (Brazilian) variant has been top notch. Understanding how it spreads, the restrictions and physical distancing and restaurant closures and gym closures and targeted vaccinations… have prevented what likely would’ve been a far worse outcome. Seeing some of that data that they like to keep to themselves likely would’ve helped explain some of those decisions that for many seemed too drastic. It wasn’t too drastic; it’s what was needed… and it’s what’s optimistically paving our way out of this.

Cautious optimism is certainly better than reckless pessimism… of which there’s still plenty around. Looking forward to that disappearing too. We’ve all had enough.

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