OMG, I wasn't aware that care was being denied to older patients? I'm, 65, but 
my mom is 97. If I got her genes, I can look forward to another 30 years. 
Having someone say I don't get treatment because I'm "too old" is ridiculous. 
No doctor can tell by age how many years a person has left. I'm glad they 
rescinded those orders, but what moron approved them in the first place?
Sharon

-----Original Message-----
From: h-costume [mailto:[email protected]] On Behalf Of Lavolta Press
Sent: Wednesday, May 6, 2020 12:26 AM
To: Historical Costume
Subject: [h-cost] Masks etc.

Just because we don't have truly reliable Covid-19 tests (many false 
positives and negatives) for either the active disease or antibodies, 
does not mean we never will.  Or that we don't have some good tests 
developed already.  It's just that disorganization, shoddy production, 
lack of quality control, and in some cases poor test 
administration--even mixups at the lab--have rendered many test results 
unreliable.  Obviously, the tests have to be carefully, well, tested, 
then the reliable ones mass produced, and then administered on a wide 
scale. We can find out how long antibodies last by using a truly 
reliable antibody test and then keeping track of the people with proven 
antibodies. I don't believe that most people in the US who had flu-like 
or cold-like symptoms in the fall actually had Covid-19.

Just because we don't have an effective treatment (other than trying to 
support the patient with oxygen and hoping their body fights off the 
infection) does not mean we never will. Remdesivir (which prevents the 
virus from replicating) has only provided modest improvements in ICU 
patients. I am hoping it is more effective if administered early in the 
disease, before the patient is ill enough to need the ICU. I understand 
that Remdesivir is being tested for early use, also different ways of 
administrating it. And many other drugs are being developed and tested.

I am also hoping that administering oxygen early, with the kind of 
machines used for sleep apnea, will be something of a game changer.  
Treatment is new and as far as I can tell, the epidemic went on for 
weeks before doctors discovered that merely flipping the patients onto 
their stomachs provided their organs with significantly more oxygen.

Just because we don't have a vaccine now doesn't mean we never will. 
There are over 100 currently at some stage of development and even 
testing. Plus there is some hope an old tuberculosis vaccine will help. 
Flu is a coronavirus, and there are effective flu vaccines.  They have 
to be administered annually, but so what? As far as I can tell, there 
are no effective vaccines for the common cold because they would not be 
profitable enough to develop. There will be huge profit in developing an 
effective Covid-19 vaccine, which is a good incentive for drug companies.

So, we will eventually get effective testing, contact tracing, 
treatment, and vaccines.  I don't think masks are any kind of substitute 
for social distancing, but they are useful *in addition to* social 
distancing.  I'll believe the disease is transmitted by aerosols until 
it's proven otherwise. I'd wear an N95 mask if I could get one, but I 
can't, so I have to make do with homemade cloth masks.  And yes, I want 
other people to wear them too. Anyone can have Covid-19 and be 
asymptomatic.

I am not one of the people who claims that no one will get a serious 
case of Covid-19 unless they are old, or younger with an immune system 
problem.  That is clearly not true.  However, deaths are highly 
concentrated in those groups. Though many young, otherwise healthy 
people have died too, and a few very old people have survived. It is not 
clear to me how common long-term damage to the body may be (from things 
like blood clots and organ damage from insufficient oxygen) but some 
people are experiencing damage even after "recovery."  I am healthy but 
I'm 65; my husband is healthy but 68. The immune system declines with 
age.  We're at high risk right there.  Also, deaths are skewed to the 
over-60 group because of triage.  Overwhelmed hospitals in many 
places--even New York from what I hear--are simply refusing to treat 
older patients, and in some cases disabled patients.  So yeah, most of 
those patients die. And the more cases there are in the community, the 
less likely people like me will be to get any treatment.  And the more 
cases there are in the community, the less likely *anyone* will be able 
to get treatment for any other diseases.

So I am all for sheltering in place.  It's really quite comfortable.  My 
husband and I sold our San Francisco house in 2016 and moved to a house 
in the Sacramento area with 4,800 square feet of living space and 1.8 
acres of landscaped grounds. We have fountains, numerous beds of roses, 
covered patio, mature trees, everything.  The price was an exact trade 
for our San Francisco house. It's not a dense area, at all, and we are 
right across the street from a golf course. We can run or walk around 
the neighborhood at any time of day, and not encounter anyone. I work on 
my business. My husband has a to-do list of home improvement projects. 
We both do lots of reading. I sew. We have a very large personal library 
of books and DVDs, many years' worth of them to enjoy for the first time.

We do everything we did before Covid-19 except go out to 
restaurants--which we seldom did anyway.  We can do great cooking at 
home. We aren't going to the dentist for checkups, but we didn't do that 
for fun, and our dentist is open for emergencies (though only for 
emergencies) if we have any.  We don't go to the hairdresser. But I only 
have my hair cut once or twice a year, I always dye my own hair, and I 
can cut my husband's. And we order groceries online from any of four 
local stores and get curbside pickup. They put the groceries in the 
trunk, no contact. The local hardware stores also offer curbside pickup. 
Ever since there was an Internet, we've done most of our other shopping 
online, including for fabric, so that's nothing new.

So I'm not "cowering in place."  Life is just like usual. I'm more 
likely to survive than if I insisted on personally picking out my 
produce in the grocery store--which isn't much fun anyway.

I'm not looking forward to the "second wave" of Covid-19 in the fall, 
because I don't think there will be a vaccine by then. But Governor 
Newsom is doing a sensible job of handling sheltering in place in 
California.  (Though even he approved triage guidelines to deny medical 
care to both older people and disabled people. Those guidelines were 
taken down after several anti-discrimination groups protested, but I 
don't know what is being used instead.) There are a number of other 
states where I really, really don't want to be during a pandemic.  
Because that second wave will come, in fact in some states the first 
wave just won't go away.  Not looking forward to the death counts.  I 
care more about lives than the economy, but a high death toll is also 
bad for the economy.

Fran

Lavolta Press

www.lavoltapress.com



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