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Day 32 – April 17, 2020

Today marks one month since I posted my first little chart, with an accompanying short little paragraph explaining it. What’s the date today? March 58th? Seems that way.

Since then, everything has grown… the numbers have grown, the lines on the graphs have grown, and the volume of my little paragraph has as well. It seems to be dealing with a lot more than just numbers, doesn’t it… so… on that note…

Today’s update at 11am from Dr. Henry and Mr. Dix was a thorough presentation explaining where we’re at and where we’re going. The slides of that presentation are available on the BCCDC website, but I’ll give you the summary — we’re doing really well around here, well enough that we can stop comparing the Italy track… we’re not following it… and, looking at the numbers and charts below, haven’t been for a while. And recognizing that we may be seeing a plateau, on its way to a decline — cautious optimism — of many key numbers. New infections, hospitalizations, ICU cases… everything trending in the right direction. We are seeing lower numbers for new infections, even with enhanced testing. For now. We will see next week if the long weekend changed anything.

And it’s key to note that this success has largely been a result of the measures put in place, the timing of those measures, and our compliance with them. And now is not the time to stop. “It’s working” is a lot different than “It worked”. We are still a work in process, and those social/physical-distancing ways-of-life will be around for a while.

Capacity to handle patients is below 50%, and it’d be ideal to keep it there. The absolute certain end to this is a vaccine, and things will be different until then, but it doesn’t mean we’re stuck in our homes forever. The plan for opening things up with a methodical, well-thought-out strategy is in the works, but the last thing we want to do is open things up too quickly. That can drastically change things, and it can happen quickly. One interesting slide, #34, showed the results of dynamic modelling, testing different outcomes given the degree of compliance of social/physical distancing. Short answer — if we keep doing what we’re doing, very good. If we don’t, there are varying degrees of what would happen. Worst case scenario: we all take to the streets today…. In about 10 days, the near vertical growth in cases would quickly overrun our medical infrastructure. That model also implies that a little loosening wouldn’t have a drastically bad effect… but to what extent and how… again, as you can see on that slide, if you hit a tipping point, it’s hard to come back from it. And speaking of that scenario…

There was a story on CNN yesterday with a headline that read “The social-distancing deniers have arrived”. Before clicking on the story, I imagined the picture that’d accompany it… it would be a group of people protesting. I imagined bushy beards, hunting caps, guns, American flags, Trump signs and no masks. I was a little wrong about the masks… a couple of guys had them; the rest, bang on. Oh, and not just guns… assault rifles.

I have a great idea. Get Barack Obama, Joe Biden and Nancy Pelosi to hold a press conference. Throw Bernie in there too. And there, they announce in angry, loud, unified voices… that social distancing is a terrible idea. That this lockdown is ridiculous. “President Trump!”, they should demand, while dramatically ripping their masks off their faces, “End this nonsense! Open every business! Get everyone out on the streets! Now! We demand you open this country, fully… RIGHT NOW!”

It might actually work.

Democrats say Zig, Republicans say Zag. Republicans say Ding, Democrats say Dong. It doesn’t even matter what Zig/Zag or Ding/Dong mean… nobody knows. Nobody cares. We are right, they are wrong. You are with us or you are against us.

Around here, we’ve pretty-much forgotten who’s in power. Premier John Horgan (NDP, if you need reminding) is not around much. I may not agree with everything he has to say, but he and I have something in common; an understanding of what leads to success… a concept that has served me tremendously well all of my life: Surround yourself with excellent people, keep them around, and let them do their thing. Two of those people these days are, of course, Adrian Dix (NDP) and Dr. Bonnie Henry (who knows and who cares). Political affiliations are pretty irrelevant at the moment.

Actually, John Horgan hasn’t been completely M.I.A… he holds a press conference once a week or so and answers questions. There are other issues facing the province, and while I’m unclear what he does all day, some of it has to do with dealing with other provincial issues, and of course, there are many. They haven’t gone away. And some of it is planning how to open up this province (beyond private liquor store hours), hopefully sooner than later, in a way that works and isn’t at odds with the big picture being laid out by Adrian Dix and Dr. Henry. Indeed, he’s letting them run the most important issue of the day, and he’s staying out of the way. It’s working really well, something even the most ardent NDP bashers would grudgingly have to admit. There will be a time and place for partisan politics, and I look forward to it because it’ll mean that things are back to normal.

In fact, the closest thing to partisan politics we’ve had recently was about all of this… Liberal leader Andrew Wilkinson serving up a little softball… “Hey, John Horgan, where are you?” The premier probably could’ve swung at that and hit it over the fence, but he let it go by and watched it dribble to the backstop. Andrew Wilkinson’s question was actually a little more pointed… like, shouldn’t the premier of the province be out in front of the cameras, telling us what’s going on, giving us updates and hope and encouragement, like a real leader… etc. And the answer is simply… no… he shouldn’t. The British Columbian leadership and response to this pandemic has a face (two of them), and it doesn’t need a third.

But behind closed doors, I have no doubt that if one of those two gentlemen needed something from the other — personally, publicly, privately, politically… they’d be listening to each other and talking and working together. If there was ever a time for political partisanship to take a back seat, it’s now. Everyone… from the top on down, needs to be pulling in the same direction. We, around here, are very fortunate.

But just a little south of here… well, that pulling looks like this: it’s a tug-of-war… one side of the rope is 500 trillion little virus balls, all pulling together. The other side is a mixed bag of people… men, women… some are wearing red shirts, some are wearing blue shirts. Some are pulling in the right direction. Some are pretending to pull but are barely holding the rope. Some are pulling sideways. Others are pushing the rope into the ground. One guy is twisting the rope… clockwise… while someone else is twisting it the other way. A couple of people have little hacksaws and are quietly trying to cut the rope without anyone noticing.

It is so incredibly sad and frustrating to watch this slow but inevitable trainwreck. You can’t look away, and wish you could do something… because solutions to the dysfunction exist… but they seem to be well-beyond the reach of the very people tasked to manage it. It shouldn’t be this convoluted. The reasonable voices do exist, of course, but they are drowned out in a sea of irrational, national insanity.

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Day 27 – April 12, 2020

Today is the day we don’t get numbers in B.C. — Dr. Henry and Mr. Dix are taking a well-deserved break, so accurate numbers will have to wait till tomorrow. For now, as usual, I’ve plugged in my B.C. guess for the day — I’ll fix it tomorrow. But assuming a good day locally, it’d make it a good day nationally. Growth rate was down in Ontario for a 4th straight day, and 3 straight days in Quebec.

But while they’re resting, and the numbers people are resting… as many of you are as well… let’s look at things from a much bigger-picture point of view. Like, these days, the earth is also resting.

If you were to believe that the earth is in some way alive and/or conscious, you’d be making the interesting parallel these days that, as a living being, Gaia finally got sick and tired of the virus infesting Her and decided to vaccinate Herself. For the most part, the young people who had nothing to do with wrecking the place would be spared… but the older you are, the more responsible you are for the disregard and destruction and pollution and reckless abandon that have finally made Mother Earth say “Enough”.

Gaia doesn’t have to wipe us all out to heal Herself. She just needs to give us a bit of a wake-up-call, and not much of one as it turns out.

In the grand scheme of things, it’s interesting to note just how irrelevant humanity is to this planet. In a matter of mere weeks, there are changes occurring. The sky is more blue. The water is cleaner. The air is undoubtedly less polluted. People in Punjab can see the Himalayas. People in L.A. can see the Hollywood sign. If there was ever a sign that a little change can make a big difference, there you go. And for all of us thinking we’re wrecking the planet, we are… without a doubt. But if you think this planet can’t fix itself once humanity is gone, that’d be wrong. It can and it will, very easily. Our time on this earth is so irrelevant in Her own grand scheme of things, that… well, let’s explore it. Let’s start by talking about big numbers.

Let’s say you walk out of the bank with $1,000 in cash. It’s a collection of different bills… you’re not sure exactly how many hundreds or fifties or twenties, but it adds up. The teller counted it out in front of you. There’s a Starbucks next to the bank, so you pop in there and get that Pumpkin Spice Latte you’ve been craving. Yes, certainly by October, you’ll be doing this.

The PSL costs… whatever, you’re not paying attention. You give the barista a ten dollar bill and get back a handful of change… some Toonies and Loonies and whatever else, which you jam into your pocket. If someone at that point had asked you how much money you have on you, your answer would be “Around $1,000”. On your way out of Starbucks, there’s a homeless guy there. You fish into your pocket and give him a Toonie. How much do you have on you now? “Around $1,000” is still accurate.

You walk a block and there’s a shiny Loonie sitting on the sidewalk. Quick Karma repayment! You pick it up and put it in your pocket. How much do you have now? Yes, around $1,000… and if you hadn’t picked up that Loonie, the answer would still be the same… around $1,000. That Loonie is little more than a round-off error in your present grand scheme of things of how much you have on you. And that $1,000 is similarly related to a million dollars. If you have around a million dollars, adding or subtracting a thousand doesn’t change anything. It’s still around a million dollars.

I mention all that to create some context and scale between a number we’re all familiar with… a thousand is relatable in many ways. A million less so… we know it’s a lot bigger, but sometimes we don’t realize just how much bigger. And to keep going, when we hear about a billion, we maybe don’t quite realize how big that is. A million is pretty irrelevant when you’re taking about a billion. A million seconds is less than 12 days. A billion seconds is close to 32 years. Indeed, 3 million heartbeats is a few days. 3 billion is your entire life.

Let’s pretend we map out the age of the earth (4.5 billion years) as a long road — the Trans-Canada highway. And let’s walk it. We’ll start at Mile 0 in Victoria — a charming little park at the foot of Douglas St. There are some stairs down to the beach… those would’ve been Terry Fox’s last steps before dipping his artificial leg into the Pacific Ocean, had he completed his Marathon of Hope. Today is the 40th anniversary of the start of his heroic effort, so we’ll begin our walk down there, one foot in the water on our long journey to St. John’s. Each step to the east is one step back in time.

At this scale, each step is 5,800 years. One step out of the water and that’s pretty much all of recorded human history. In fact, by the time you hit the monument at the top of the stairs, that’s about 600,000 years. Humans haven’t been around that long. And we’re still really at Mile 0. The era of humanity is barely a rounding error, as far as the age of the earth is concerned.

Keep walking east, going back in time as you do… dinosaurs died out somewhere near Abbotsford… and only appeared somewhere near Kamloops. Mammals appeared somewhere around Cache Creek. And right around Golden, before you even set foot in Alberta, now we’re at 540 million years ago… that was the emergence of anything more complicated than single-celled life forms. And beyond that, there is a lot more time and distance. It’s all single-celled organisms until somewhere in central Quebec, and then, there ceases to be any life at all. Quite a journey. Canada is a big place. 4.5 billion years is a long time.

The point of all this… as much of a blip in the radar as humanity might be, and as much as the thought of Gaia being this living/breathing thing that Herself is sick… we fight off sickness by being healthier; by allowing our bodies to heal. By giving them the opportunity to do so. A vaccine doesn’t cure you; it allows your body to cure itself. A ventilator allows you to breathe, and it’s the processes beneath that, carrying oxygen-rich blood to your cells… which heal you. Anything that stirs your immune system into action, whether physical or just mental (placebos work for good reason).

So while the earth has temporarily kicked us all into a state of self-reflection and healing, we can see that it doesn’t take much to heal the bigger picture… and it also gives us an opportunity to find some sliver linings to this big cloud, because there are many. I’m as anxious to get back to the real world as you are, but already I can see some changes I’ll make going forward, and I’m sure many of you have as well. We’ve all been learning a lot about ourselves and our habits and what’s important and what isn’t.

I leave you with this… written by Kitty O’Meara, which will read like a prayer for those who are religious, and a like a poem for those who are not. Either way, beautiful words that make you think as you stare out at the sky on this beautiful day… whether out the window or from your balcony or porch or back yard… and yeah, the sky does look more blue, doesn’t it?

And the people stayed home.
And read books, and listened, and rested,
and exercised, and made art, and played games,
and learned new ways of being, and were still.
And listened more deeply.
Some meditated, some prayed, some danced. Some met their shadows.
And the people began to think differently.
And the people healed.
And, in the absence of people living in ignorant, dangerous, mindless, and heartless ways, the earth began to heal.
And when the danger passed, and the people joined together again, they grieved their losses, and made new choices, and dreamed new images, and created new ways to live and heal the earth fully, as they had been healed.

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Day 23 – April 8, 2020

Back in 2007, a friend approached me. He’d started a company some years earlier, and it had reached a turning point. We talked about what it needed to take it to the next level, and I saw enough potential in it to get involved. He was the CEO, he had a vision, and I shared it. OK, let’s do this. As part of it, I also brought in one of my closest friends, and together we built it from a handful of people to an industry leader. In reality, those two built it with their day-to-day hard work. I just threw in my two bits when needed. Early last year, we sold it to a much larger company. A very nice success story.

Yesterday, I had a Zoom call with those two. One of them is the former CEO. The other is the former president, but still runs what used to be our company as a subdivision.

And it wasn’t a great call… just an update to let us know that our acquirer, themselves now facing top-line revenues that were 15% of original projections, had to let a lot of people go, including many of the key people who’d help build our success story. It knocked our piece right back to 2007. The worst part of it was hearing the names… these great, talented people who’d been such an integral part of building this thing… all out of a job.

Also yesterday, I had a very nice chat with a reporter who covers horse racing. She wrote a very nice article which you can see directly below this post. As much as it was a discussion about me and these posts, it also got into a much larger discussion with respect to the horse racing industry and the people it employs… including her. A sports reporter without any sports to write about… now what.

Like so many businesses and industries and people these days, very few have worst-case scenarios designed to deal with zero revenue. A pub might have a great month because the weather was good and the patio was open and jammed with people enjoying the sunshine. Or what could have been a great April and May were not, because the Canucks missed the playoffs. The guys in the offices have lots of fancy spreadsheets where they plug in numbers and run lots of different “What If” scenarios. But none of them ever plug in zero at the top, because zero at the top means you don’t have a business. Unless you’re Apple, and sitting on hundreds of billions of dollars in cash, you’re presently in completely uncharted territory.

Having had that discussion about horses yesterday, I woke up this morning really missing it. This beautiful sunny morning, exactly the sort of day where in that parallel universe — the one where the Canucks clinched a playoff spot a few days ago and are preparing for round 1 — I’d be heading off to the backstretch at Hastings Park, where I’d park myself at the gap, the rising sun behind me to the East, and watch horses, some of them mine. The smell of the barns, the hay, the horses, the mud. The sound of distant hoofbeats getting louder as the horses approach, and then fade away as they round the turn. The sight of these beautiful animals in full flight, sun glistening and steam rising off their bodies. Words don’t do it justice… but if you’ve never experienced it, that might give you some idea.

And then there’s the people, of course. I miss that crowd… the backstretch of any racetrack is its own society, and for lack of a better way of describing it, a “flat” one. Whether you’re the wealthy owner writing cheques or whether you’re the hard-working groom who’s up at 5am mucking stalls, everyone is there for the same reason, that same passion. Anyone can — and does — talk to everyone else, at the same level. An eclectic collection of peers. But there is also a big difference… for me, this is just a hobby. For them, it’s their livelihood, and in some cases, their home. There is uncertainty at every level.

Those of you who think you’re considered to be nothing more than expendable little cogs in a big machine… I assure you, you’re not. Whether you were writing software or serving beers or mucking stalls… and now, for the moment, are not… there is someone, somewhere… in a cramped little office, after a sleepless night, stressed out looking at a scary-looking spreadsheet. That spreadsheet these days has a lot of red numbers. And that guy feels bad. Really bad. Not because he’s not rolling in the cash, but because he knows you have rent to pay and mouths to feed. He wishes he could do more for you, and in many cases, he does. He wants that light at the end of the tunnel as badly as you. He wants you back at work. He wants to have work to give you.

I think if I ever had to go to prison, and were given a choice…. one option is a 10-year sentence. The other, unknown: you might get out tomorrow. Or, you might never get out. Every day, the same thing. Maybe you’re going home today. Maybe you’re not.

Given what I’m experiencing today… indeed, what we’re all experiencing… I think I might go for the 10 years. That’s a dreadfully long time to be locked away, but at least you can wrap your head around it. Set goals, set expectations, figure out how you’re going to fill that time.

I think what a lot of us are feeling these days is the despair that comes along with the uncertainty. Tell us when we can get back to normal goddammit… just tell us. I get it, and I feel it too. I don’t have the answers either, but one of these days I’ll give my version of what I think that finish line looks like… because there is one… the when and how. It’s on the horizon, but nobody is quite sure how distant… yet.

For now, we’re here today, so let’s look at some numbers…

It wasn’t a great day out East, as far as numbers go… but it’s actually not as bad as the first impression might imply. Ontario saw an increase of 550 confirmed cases, which is a jump of 11.6% from the previous day… but the average increase over the last three days there is only 9.3%… and the 3 days before that were 13.1%. And the three days before that were 17.9%. While I’m at it, let’s do the same for Quebec… their 3-day average daily increase including today is 7.9%. Three days previous, 13.2%. And the three days before that, 17.3%. As far as trends go, this is exactly what you want to see. A one-day spike doesn’t necessarily imply a sudden, drastic turn of events. Indeed, here in B.C. we saw 45 new cases… which is the highest one-day increase in 5 days. But then again, it’s only an increase of confirmed cases of 3.5% over yesterday.

Everyone — just listen to your respective chief medical officers. And if you don’t like what yours is saying, listen to ours — she’s awesome, and she’s right. We’re doing it. It’s working. It’s not magic; it’s science. But we’re not there yet. Stay at home, physically isolate, and do your part… we’re getting there.

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Day 20 – April 5, 2020

When the historians who will ultimately document the great pandemic of 2020 begin their work, they will be asking themselves some tough rhetorical questions, many of which will begin with the words, “I wonder why they didn’t….” Indeed, some of those questions are being asked today, in the present tense, and good answers are not forthcoming. When those historians finish their books, most of them will have a chapter titled, “The United States of America”. Often, underneath the chapter name, there is a chapter subtitle… sometimes a little more detail, sometimes a quote. Usually in italics… you know what I mean. This particular subtitle will say:

“I don’t take responsibility at all” — President Donald J. Trump, March 13, 2020

Today is Sunday, “silent day” here in B.C., where the people upon whose words our futures (near and far) may depend, take a well-deserved break. Indeed, as loud as it gets at 7pm every night around here… it gets just as quiet at 3pm on weekdays when the only words you might hear are, “Shut up — Dr. Henry is speaking”. Today is their day off, so my B.C. number is just a guess bases on the averages of last week — I will fix it tomorrow when we get real data. But I’m guessing it’s pretty close.

Until recently, none of us had even heard of Dr. Bonnie Henry… but now, we all want to adopt her. And it’s not just the calm, soothing voice of reason that’s so enchanting… it’s the actual substance of what she’s saying. She’s not making it up as she goes along. She’s not up there to make herself look good. She’s not up there incoherently throwing blame around. She’s surrounded herself with excellent people who she consults on a continual basis. She’s not afraid to admit she was wrong, and, accordingly, she’s willing to course correct… which, if you read back on the evolution of this emerging pandemic in B.C., has happened more than once. She is, in every sense of the word, a leader.

On the day Donald Trump spoke those words, there were 2,300 known cases of COVID-19 in the USA. By that point, Italy was well aware they had a serious problem on their hands. They were at close to 20,000 cases and growing quickly, and they had begun throwing the proverbial kitchen sink at it in every feasible way. Pandora was out of the box, and the trajectory was not looking good. Everybody was paying attention, and everyone was making plans.

In Canada, on that day, there were 198 known cases, 64 of which were in B.C. If we were to map our growth rates to match what’s happened in the U.S., Canada would presently have 29,500 cases (we’re at 15,500) and B.C. would have 9,500 (we’re at 1,250 or so). And Italy, had they continued that same trajectory, would presently be looking at 26,300,000 — an unlikely number for other reasons, but that’s what the math implies if you leave this thing alone to propagate unchecked in an environment that could support that growth.

On March 13th, here in B.C., the only orders that were In place were that travellers returning need to self-isolate for 14 days, and that all gatherings of more than 250 people should be cancelled. Physical distancing as we know it today had not yet been implemented. And as we all know, a lot has changed since then… here, at least… not the least of which are the social distancing orders.

There are places in the U.S. at this moment where none of these sorts of orders are in place, and if they are, they are not being taken seriously or enforced. It boggles the mind to think that while we’re having a quiet Sunday here, there is a church in Louisiana where today 26 busloads of people arrived for services. People want to start talking about how we emerge from this, and it’s a complicated question because the world is a complicated place, where lots of different things are going on in lots of different places. The answer to how and when B.C. emerges from this will likely be very different than Louisiana.

B.C. has a population of 5 million. Louisiana has a similar population of 4.7 million.
On March 13th, B.C. had 64 cases. Louisiana had 77.
Today, we have 1,250 cases. Louisiana has 9,150.

What a difference real leadership can make.

 

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Day 19 – April 4, 2020

When time and good weather allow, you’ll often find me on my bike. I really enjoy it… doing something healthy that gives me the opportunity to get lost in my thoughts without interruption. And since physical distancing doesn’t mean locking yourself in a cabinet, just staying far away from other people, today was a perfect day to do that, and the contents of what you’re reading were generated while cycling around the city, observing people.

And what I saw many of were… masks. A hot topic these days, so just thinking about it as I rode around — here is every argument I could think of, broken down into 4 quadrants of possibilities, and reasons that fit those categories, as wrong or misguided or irrelevant as they may be. A brain white-boarding exercise to see if out of the conflicting arguments, some sort of reasonable course of action can emerge. And many of these reasons aren’t just made up by me, they’re speculative… so put “might” or “could” in front of most of these:

A. Reasons you should wear a mask
– prevents you coughing your potentially infected droplets onto other people and surfaces
– prevents you inhaling other people’s droplets who cough in your vicinity
– shows others you’re taking this seriously

B. Reasons you shouldn’t wear a mask
– there’s a front-line medical worker who needs it more
– increased (false) sense of security
– virus could get caught in it and linger there for a while, increasing your risk of infection
– uncomfortable
– looks silly

C. Reasons everyone else should wear a mask
– when they cough, they’re not shedding virus onto other people or surfaces

D. Reasons everyone else shouldn’t wear a mask
– looks silly
– can traumatize and cause anxiety in other people

There’s this whole “do unto others as you would have them do unto you” thing… but I prefer a slight variation: “don’t do unto others what you wouldn’t want them to do to you” — it’s a subtle difference, but it’s more along the lines of… if what you’re doing isn’t hurting anyone, they shouldn’t care. And, of course, if someone else is doing something that doesn’t hurt you, you shouldn’t care.

That came to mind because I look at A and B, and I suppose you could argue either side. But when you look at it from the other point of view, the answer that emerges is pretty obvious… everyone should be wearing masks, because there’s no good reason NOT to, and there’s the potential benefit to you, if everyone else is wearing one. And therefore, for that to work, everyone should wear one. Not everyone will subscribe to that point of view, which is fine… but the conclusion is, if wearing a mask isn’t hurting anyone and can possibly benefit the greater good, go for it. No one is stopping you.

And when I say mask, I mean anything that blocks you coughing on people and things. Without getting into an N95 discussion — by all means, priority one for those things are the front-line workers — but anything else… surgical masks, cosmetic masks, bandanas, scarves, baggy turtlenecks, whatever. Whereas in the past, reasons under D may actually have been relevant… like, for sure, 6 months ago, someone walking in with a hazmat mask into Whole Foods would have gotten a lot of looks and a wide berth. These days, you could show up wearing a 100-year-old diving suit with those huge metallic helmets that look like an alien — and nobody would bat an eye.

B.C.’s numbers are looking very encouraging. I know I sound like a broken record, but for those who ever had real records, ie vinyl, will recall that the easiest way to break a record was to overplay it. After 10,000 times of listening to Dark Side of the Moon, it began to skip… one particular spot, it’d jump back about 5 seconds. Over and over. Much like the message of physical distancing. I will keep repeating it until we’re all allowed to engage in a 100,000 person group-hug, signifying the end of this thing. Until then, keep at it… it’s making a difference. And, if you need to go out, feel free to cover your face… with anything. It can’t hurt.

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Day 16 – April 1, 2020

I’m going to talk about antibiotics for a moment.

Important point number one: COVID-19 is a virus, not a bacterial infection. Antibiotics won’t work. Secondary complications that can arise, like pneumonia, are… and those would be treated with antibiotics… but if someone has told you that taking some antibiotic may prevent you from getting this virus, or might help treat it, they’re wrong. And if you’re taking some antibiotic for no reason, stop. Which leads me to point number two…

If you’re supposed to be taking antibiotics, there’s exactly one correct way to do it. When the doctor prescribes them, she will look you in the eye and say “Be sure you complete the entire course, till you’ve taken them all, till the container is empty.” That might be 3 or 4 times a day, and it might be a week or two weeks or 3 months. When you pick up the prescription from the pharmacy, the pharmacist will tell you the same thing.

The reason is simple, and we will use a simple example: War. I have an army of 100,000 and you have an army of 100,000, and we battle it out, and since my army is better than yours, I’m down to 20,000 men, but you are down to 50… and we have all you backed into a deserted building and we’re about to surround you and finish you off. But instead, for some silly reason, we decide we’ve already won and we’ll show some mercy, and we let you go. So off go your 50 men, rebuild their army, and in a few months, you come back with a replenished army of 100,000 and destroy me, because chances are that’s a much tougher group than the original 100,000.

Why? Because those last 50 out of 100,000 men were the toughest of the lot. They’re the real survivors, having made it to the very end. They’re the last people you should let go. They’ll go off and recruit and train equally-tough warriors before returning.

So, if you’ve got some bacterial infection, and let’s say you’re supposed to take a course of antibiotics for a week. To begin with, you’re feeling really awful, and you start taking them and guess what, it’s the perfect antibiotic for what you’ve got, and after the third day, you’re feeling fantastic. It’s all cleared up. Awesome. But ugh, taking these pills is so annoying. And you have to stay up so late or get up so early to take one, etc etc. You’ll just go down to two or three a day, what difference can it make. Maybe you’ll just stop.

What you’re basically doing is letting the strongest of the bacteria live on, re-group, and re-attack. Maybe not you, but someone else. And, worse than that, they might mutate a bit, be a bit more resistant to that particular antibiotic… and then, after that cycle has repeated thousands of times, you’re left with our present-day problem of drug-resistant bacteria that require a whole new suite of antibiotics, many of which have yet to be invented.

The relevant connection is to our present-day plight. The COVID-19 is the bacteria, and you and I are the antibiotic.

We’re on “day 3” of that “7-day” antibiotic course. Our social-distancing seems to be making a difference… but we’re not cured yet, and loosening up the treatment can quickly change the outcome. The fact it’s working is all the reason in the world to keep doing it properly.

I actually had another example… it involves the Canucks and the Bluejackets and allowing 4 goals in the 3rd period. But you know what, YouTube is full of videos… cyclists raising their arms in the air in victory as they approach the finish line, only to be passed at the very last minute. Or football players spiking the ball 3 inches before crossing the goal-line, fumbling the ball instead of scoring a touchdown.

The countless examples all point to the same thing, and by now I’m sure you get it: There is no victory until you actually cross the finish line, the game ends, the enemy is extinguished. Etc. Etc. Etc.

Keep taking the medicine… it’s working, but we’re not cured. And abandoning the treatment now could lead to non-victory, whatever that looks like. I don’t know, and nobody wants to find out around here… and for those that are not from around here, look around at the world at places where physical distancing has been implemented correctly, and its effects. And, even more to the point, look at where it hasn’t.

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Day 15 – March 31, 2020

You know that feeling you used to get back in school, when the teacher was handing back tests? The anticipation/dread… moments away from finding out how you did. Maybe you should’ve studied a bit more. Maybe you knew the material, but dammit… you froze, and blew it. Maybe you did ok, but almost certainly you made some stupid mistake.

That 5-second rush of emotion as she calls your name or just drops the marked test onto your desk… just before you flip it over to reveal your grade… that’s the feeling I get every single day when Dr. Bonnie Henry steps up to the mic to begin her update.

I find myself rooting for what I know would be good numbers. I know my charts and I know the math. I know exactly what number indicates the tipping point between this being a green day or a red day… and I find myself thinking the same thing I’d be cheering if I’d just bet zero on a roulette wheel… come on green. Come on.

Today was most certainly a green day, but, as usual, we’re still in this grey zone. Dr. Henry, intelligently, never leans past cautious optimism, and keeps talking about how “we’re two to fours weeks away from knowing”. and “this is a critical juncture”.

There are two parts to that.

Keeping in mind that we’ve been locked-down longer than a week, and that the incubation period is at most 14 days, we’re less than a week away from knowing what that particular impact has looked like. All indications with respect to that are optimistic. There’s no doubt our numbers in this province are trending favourably. For now.

BUT… there are people who will have gotten sick after that cut-off. And the people they’ve infected. And people who’ve arrived since the cut-off, and the people they’ve infected. And the people who are simply not following physical-distancing guidelines, etc. It takes a while for all of that to work its way through.

Along with that comes a serious reality check which is now being brought to light… that if this whole lock-down thing is the right way to do things (and it certainly is), we need to be prepared to do it for quite a while. At least in B.C., there’s zero chance of any of these standing orders being modified before the end of April, but it’s likely to be a lot longer.

Looking at the rest of Canada… there are some possibly-concerning numbers coming out of Quebec, but what’s interesting is that overall, the country’s numbers are doing reasonably well. I’m not close enough to what’s going on in Ontario and Quebec to say anything intelligent about it, other than to point out that Ontario has twice as many cases as B.C.. and Quebec has twice as many as that. Those combined ON/QC numbers are going to strongly influence the national numbers. Kind of like a federal election. Out east, they’re on their own “lock-down period vs. incubation period” countdown, so let’s wait till they’re clear of that before we start making assumptions. There’s green in that column too.

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Day 12 – March 28, 2020

There’s that feeling you get when you sit down in a rollercoaster… first of all, what the hell am I doing, do I really need to be doing this… but once the thing starts moving, there’s no way out, so the impending dread as you start going up that first big hill… click-click-click as the chain underneath pulls the train slowly… wow, this thing is going a lot higher than I thought… click-click-click… this was such a stupid idea… click-click-click… ugh, this is a lot steeper than it looked… click- ohh.. no more clicks. We all know that means…

… and as the train gains momentum and sends you flying down that first huge drop, two things will come to mind… one, this part of it will thankfully be over soon and two, now you have a clear idea just how steep it was. Which serves to illustrate where we are today with respect to the numbers coming our way in the next little bit… there is a finish line to them, a week to ten days… and we once we hit that bottom, we will know exactly how steep things were.

Given where we are today and as per what I wrote yesterday, I don’t think we need to close our eyes and scream and hope for the best. It’s looking better than that. At least, on paper and at least, for now.

In B.C., although we had the largest one-day increase in cases yet, it’s perfectly in-line with our linear growth. Dr. Henry, for now, would like to see that number consistent at 12% which is roughly where it’s been. The average of the last 10 days is actually 11.1%. Today’s number was 11.6%. Yesterday was 9.2%. Nice solid straight yellow line, right in the sweet spot. And might I add, I am tracking total cases as they accumulate, not factoring in recoveries and deaths. The outcomes of these cases is a whole separate topic. But on that note, while we saw an increase of 92 new cases, we also saw 121 cases moved to the “recovered” column. As far as these numbers are concerned, today in B.C., there are less active cases than yesterday.

Canada’s number is bigger, but also consistent and also, slowly, hopefully, for now… going down day by day. Yes, of course the number of cases is increasing, but that rate of increase is itself decreasing. See that column… 4 out 5 days of green numbers. The rate of growth is slowing. For now. Are we still following the U.S. trajectory? Visually, and numerically, we’re not. Not so long ago, and you can still see it on the chart, Canada’s data was almost exactly perfectly 8 days behind the U.S: Feb 29, Mar 1, Mar 2… the U.S. had 68, 75 and 100 cases. 8 days later, Mar 8,9,10 — Canada had 66, 77, 94 cases. Perfect lockstep. And if you eyeball those numbers as you slowly go down the two columns, you see them in lockstep… and then they slowly start drifting apart.

The hope is that we wouldn’t follow them down the hellhole-course they’re presently on, and, for now, we’re not. We’re at 5,655 nationwide cases. 8 days ago, the U.S. was at 24,218. Had we “kept up”, today’s number would be 4x what it actually is. We’re now more than 11 days behind them.

So what does it all mean…

I’d like to address some of the comments that question the usefulness of these numbers in general, how the testing is inadequate, this isn’t reality, this is a useless exercise because the numbers are all bullshit. That the real case numbers are anywhere from 10x to 50x and it’s anyone’s guess. And therefore, blahblahbblah.

So, first of all, the way to solve big problems is to break them in half. Solve each half independently, and once you do, the big problem is solved. And if one or both of those halves is too complicated to solve, break it in half again and solve that. Keep breaking it in half until you have manageable pieces to solve.

The enormity of our present situation requires breaking it into hundreds of pieces, but here are some of the big ones, each of which needs to be broken down into many smaller pieces:
– the actual number of cases out there, factoring in recoveries
– the actual number of cases that require hospitalization
– why are some demographics hit so differently than others
– the testing infrastructure, and the strategy and adequacy of it
– the ability of our medical infrastructure to handle the cases
– the actual number of people dying from this
– the economic implications of allowing this to go on too long
– the herd immunity thing
– the treatment options, effectiveness of therapies, and timelines
– when and where is the vaccine

Without tackling all of that, notwithstanding each of those topics is its own book, and that’s only a small snippet of topics that need addressing, where we’re at right now is trying to solve chunks of a problem with incomplete information. One thing we have to our great advantage is learning from what others have or haven’t done ahead of us. Like one big change that was implemented today here is that the number of patients on ventilators doubled. Because suddenly a lot more people got a lot more sick? No. Because we learned from data elsewhere that putting people on ventilators sooner has a huge impact on positive outcomes. We didn’t know that two days ago, and now we do, and now we use it to our advantage.

Just because we don’t know something is no reason to throw our hands in the air — “these numbers are all crap anyway” — but to tackle this particular aspect…

Knowing the actual number of cases out there would have a profound effect on many aspects… first of all, how many actual new cases are there each day… how many of them will the person never even know, how many will they get sick but not too sick, how many will need a hospital, how many will die. If we could snap our fingers and know all that, it’d be great. One school of thinking that might kick in is that if actually the number is not 10x or 50x but actually 500x, and many of us have had it and never even knew it, and now we’re immune and will be for several months and even if we’re not, who cares, clearly I can fight this thing off so let me get a little sick and impose my herd immunity and get back to work since the actual mortality rate is only 0.2% etc.

Don’t think everyone has their heads stuck in the sand thinking the published numbers are the extent of this. One day, in hindsight, we’ll know those numbers. It’s possible that one day, we will have instant, cheap and available tiny-traces antibody testing. You’ll be able to wander into Starbucks, and along with your chai latte, spit into some throw-away little thing that’ll turn red if you’ve had it, stay blue if you haven’t. But until we get to that point, to a great extent, all we’re doing is buying time. Flattening the curve to suppress the load on our medical infrastructure. Isolating ourselves so we don’t infect others, especially those who are much likelier to get lethally ill. Keeping this thing controlled and contained until we’re certain we can manage it. It’ll likely never go away, and the waves of it appearing in the future will hopefully wind up in the “no big deal” pile.

But for now, the published numbers, the important numbers… the ones that are putting load on our medical system… the 884 confirmed, the thousands of others likely presumed but not confirmed… don’t think they don’t know about it. Don’t think when they tell you to stay home for 14 days, pay attention to your symptoms but don’t come in — that they’re not tracking you. You, who may well have it who think you don’t count — trust me, you do. Not in my numbers, not in their published active-cases numbers, but you’re out there somewhere, included in all of the projections of what might happen and how they’re going to take care of you if you get really sick. Some of you think you have it, but don’t. Some of you have it and don’t know it. Neither of you got tested, so hey what the hell they don’t know what they’re doing this is bullshit… yeah, no. Not at all. They’re not going to waste a test to confirm a mild test. There’s an N% chance you have it, depending on your age and other risk factors. Take care of yourself with the provided guidelines, and you’ll most likely be ok. And if you’re not, critical care awaits you with open arms. As opposed to everyone who thinks they might have it coming in and overwhelming a system that, certainly at the moment, is not prepared to test 2 million people overnight. If you’ve had it, one day you’ll know.

The fact that our hospitals are not overrun… the fact that we’re prepared at present to handle anything but the absolutely worst-case scenario… the fact that were are notably flattening our curve, both provincially and nationally… and the fact that we’re doing that with incomplete information, tackling big, multi-faceted problems… don’t worry too much about absolute numbers and how you feel they don’t reflect reality. They’re serving us well.

Speaking of serving us well, please take a moment to step outside at 7pm tonight (and every night) to cheer the heroes of this nightmare — hope you never need their help, but the army of medical workers of this province and this country, and indeed, around the world… deserve to (loudly) hear our gratitude and appreciation.

None of us like this. They don’t. You don’t. I don’t. But let’s remember… as hellish as it may be, the rollercoaster ride eventually ends.

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Day 1 – March 17, 2020

There’s a table going around showing what’s happened in Italy and the US so far. Here it is, with Canada added in… and a couple of rows of extrapolated data. I added the graphs, and what they show is simple — it’s up to us, ie Canada, to do everything we can with respect to flattening the curve. It’s not too late, because it’s still a straight line… but there’s zero wiggle room. In a perfect world, that red line stays straight, stays well-below those exponentially-growing green and blue lines, and eventually flattens out and goes down to zero. We, today, are where the US was a week ago and Italy was 2.5 weeks ago. And neither of those are trends we want to follow. Listen and follow what we’re being told. They are strict guidelines for a reason; they work.

 

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