Category Archives: Health

The Symbol of 2020: The Mask

The mask is the COVID-19 pandemic’s defining symbol, and probably will be the defining symbol of 2020. In America, the medical mask used to be confined to operating rooms and hospital dramas. It is a public health device but also has revealed itself as a mask in several different perceptions. It has become a political symbol: an object signifying a person’s politics and their relationship to truth itself. A bare face is what registers as a choice. 

To its supporters, mask-wearing is a visual expression of civic duty, an affirmation of scientific authority, and a show of respect. To its critics, it is a sign of weakness, emasculation, and deceit. Many Americans accept the medical benefits of masks, and for those who do not, their rhetoric corresponds with racist ideas about Asian cultures where wearing a mask in public has long been normalized. 

Among the maskless ranks is R.R. Reno, the editor of the conservative religious journal, First Things, who tweeted, “Masks = enforced cowardice,” and Donald Trump, who said, “Somehow, I don’t see it for myself.” Brett Hume tweeted a picture of Biden wearing a mask on Memorial Day saying, “This might help explain why Trump doesn’t like to wear a mask in public. Biden today.” It was a childish thing to say. “This macho stuff,” Biden said after Trump retweeted a jab at the candidate’s own mask. “It’s cost people’s lives.” For people who refuse to wear masks, the implication is that people who choose to wear masks are not just protecting themselves — they are attacking the president and his supporters. 

Ironically, in 1918, when the Spanish flu pandemic coincided with World War I, many Americans wore masks as a symbol of their patriotism, and their effort to curb the spread of the disease to protect soldiers who were about to enter the battlefield. San Francisco, along with other Western cities such as Seattle, Juneau, and Phoenix, passed laws requiring masks in public. Violators could be ticketed, fined, and imprisoned. Even so, protests against wearing masks were plentiful in 1918. San Francisco saw the creation of the anti-mask league, as well as protests and civil disobedience. People refused to wear masks in public or flaunted wearing them improperly. Some went to prison for not wearing them or refusing to pay fines. Within weeks, however, as the number of cases and deaths decreased, recommendations and even regulations to wear masks were relaxed and then eliminated. Because of this, cases spiked again around Thanksgiving, and another surge occurred into the New Year. These second and third waves were the deadliest. However, in many places, there was no appetite to enact another set of mandates. Removing those orders, and then trying to re-implement them a second time, proved to be exceedingly difficult. By then, the patriotic fervor that influenced compliance had waned.

Historians and scientists at the University of Michigan and the Centers for Disease Control and Prevention have studied the efforts of trying to contain the Spanish Flu of 1918. Comparative analysis of data from several American cities during the 1918-1919 influenza pandemic provide incontrovertible evidence of the effectiveness of the kind of restrictions we are living with today. Cities that imposed expansive closure orders early and maintained them for the duration of pandemic conditions suffered significantly lower death rates than those cities that did not. While protestors in 1918 fought against the hated mask, their act of gathering, which was entirely legal at the time, was helping to spread the disease.

Wearing masks is a collective declaration of a serious disease recognizing that behavior of an entire population must change. In this sense, the seeming omnipresence of masks in historical photographs from 1918 reinforces the message that preventing transmission is a community effort requiring substantial behavioral change. Wearing masks means accepting that community welfare supersedes individual preferences. It should not be a political issue. Instead, wearing a mask should follow the maxim that is found in many religions and cultures often known as the Golden Rule: treat others as you want to be treated. 

One of the sanest voices in the government’s response to the pandemic, Dr. Anthony Fauci, has called for a cautious approach to reopening the US and implored Americans to wear face masks in public. Fauci said, “I want to protect myself and protect others, and also because I want to make it be a symbol for people to see that that’s the kind of thing you should be doing.” He went on to say that while wearing a mask is not “100% effective,” it is a valuable safeguard and shows “respect for another person.” His comments are at odds with Trump’s push to have America quickly return to normalcy.

Trump seems unwilling to fight the coronavirus rationally instead claiming it will disappear “like a miracle.” It’s as if taking the disease seriously is an indictment of his presidency. By dismissing the threat and banishing its visual cues, Trump also shields his own reputation and protects his personal vanity. While everyone who refuses to wear a mask might not be pro-Trump, they all have two things in common: selfishness and ignorance.  These two traits seem to be glorified by part of the American public, and that is just not acceptable.


Headaches and Insurance

On Tuesday, I had an appointment with the Headache Clinic at Dartmouth. I first went about six months ago, so for the past six months I have been taking monthly Emgality injections, which are very painful, by the way. Anyway, before I started taking the Emgality, I was having a headache seven days out of the week. Since the medicine kicked in, it took almost two months to begin working, my headaches have dropped to about four a week. Obviously, this is an improvement, but not the kind of improvement the clinic wants to see. In my appointment on Tuesday, the nurse practitioner who does all the follow-up visits talked to me about switching to Aimovig and/or Botox injections. Aimovig is another auto injector like Emglaity, but supposedly easier to use, not that Emglity was hard to administer. She asked which I would prefer. I have never been too keen on the idea of injecting poison into my body, so Botox is not something I really wanted to consider. Also, it’s thirty-one shots in the head, and I don’t like needles. However, I am getting desperate. I have dealt with headaches my entire life, and I just want some relief. I asked the nurse if I would be taking Aimovig and Botox or just one or the other. She told me that they would prefer that patients try both at the same time. Though research is being done on the combined effectiveness and not much information exists about this yet, it is believed that they work well together to prevent migraines. Here comes the caveat: very few insurance companies will pay for both treatments at the same time. She advised that I call my insurance provider and ask if they would cover both simultaneously.

Let me begin by saying that I hate insurance companies. They are crooked and cheap. They are always trying to cut corners and not pay for treatments advised by doctors. While my friends in other countries will say that the United States needs universal healthcare, and I am not going to argue with that, the US government is so colossally incompetent and corrupt that I am afraid it would actually be worse than the current situation. Considering that a large number of people were stupid enough to elect Donald Trump, how can I have faith that they would ever support truly universal healthcare? I just don’t believe it is possible in the greedy, capitalistic economy of the United States.

Now that I have given my rant about insurance companies, I will tell you what happened when I took the nurses advice and called my insurance company. Right off the bat, I got am idiotic computer giving me vast amounts of useless information that I did not ask for. So, I finally asked to be connected to an operator. I was given their pharmacy department. Finally, a live person! So I told her about my neurology visit and what had been recommended and asked would they cover both treatments. That’s when I began to get the runaround. I was told by the customer service representative that they had not received a preauthorization  request for the Aimovig and therefore could not tell me if they would cover it or not. I already knew they would probably cover one or the other, but I wanted to know if they would possibly cover both. The reason I knew they would cover Aimovig or Botox is because when I was first prescribed Emgality, their reason for the initial denial was that I had not tried Aimovig or Botox first. Then she proceeded to tell me that Botox is a medical procedure and does not fall under her department, and I would have to talk to a representative from the medical department. So, she transferred me over there. I went through my explanation again. Again, I was told that he could not tell me if Botox would be covered because they had not received a preauthorization request. So I explained to him again that I was not asking if they would just cover Botox, but would they cover both treatments simultaneously. Again I was given the spiel about the Aimovig was covered by the pharmacy division and Botox was covered by his divisions, and he had no way of knowing if they would cover both since they would have to be requested separately. He told me to have the Headache Clinic request a preauthorization for both treatments.

At this point, I gave up on talking to the insurance company since they were obviously not going to tell me anything. So, I did as he suggested and called the Headache Clinic. This is when I got really annoyed. I was given a clerk to speak to and explained what I was calling about. I told her I needed them to request both treatments before they could tell me if both would be covered. She took down the message, and then had a nurse call me back. This was not the nurse practitioner I had spoken to earlier that morning. The nurse reviewed my chart and told me that it did not mention the Botox treatment and therefore the nurse practitioner must have decided against that course of action. I tried to explain that before she would order the Botox and the Aimovig simultaneously, that she wanted me to talk to the insurance company. I was basically told the since it was not in the chart, I needed to forget about it for now. When I tried explaining again, she finally said she would make a note of my call and ask the nurse practitioner, who would call me back. Do you think I have gotten a phone call back? No. While I like the people at the Headache Clinic, they are really bad about returning phone calls.

As it stands now, it appears that I will only be taking the Aimovig. Here’s what worries me, I was told by the pharmacy that by changing medications, it would take two to three months for the new medicine to begin working. If they had been able to schedule the Botox, the effects would be immediate and the botox would be working its magic while I waited for the Aimovig to begin working. I had been told that a Botox appointment would not take long to get scheduled because with the pandemic, they had a lot of appointments open. I am writing all of this because I had a major debilitating headache yesterday and was really hoping for a treatment that would work. Now, I wait.


Not Enough Sleep and the TSA

I’ve been sleeping pretty good, when I fall asleep. However, it takes me a while to fall asleep and when I do I wake up long before my alarm goes off. On Saturday, I woke at 4:30 am, and Sunday, I woke at 5:30 am. Both days I’ve awoken with terrible migraines and just wasn’t able to fall back to sleep.
Hopefully, I feel better when I wake up this morning. After five or six cancellations, I finally have an appointment to do my fingerprinting and background check for my TSA Pre Check. I’ll have to go to Burlington. There is a center closer to me, but they’ve been the ones canceling on me. Finally, they notified me that the local center was closed until at least June 1 because of COVID-19. So I rescheduled for Burlington, and it looks like they will keep this appointment. It’s only supposed to take ten minutes. Hopefully, that’s the truth. Honestly, I’ve never known of the TSA to do anything quickly. I’ve been waiting on an appointment since January. But, once this is over, I can go through the TSA lines a bit quicker. 
You’d think as small as Burlington and it’s airport is, that you could go through fairly quickly, but the wait is always nearly an hour. In Burlington, you have to get to the airport at least two hours early, but it helps if you’re even earlier. When I fly out of Montgomery, Alabama, I’ve never had more than two people of in front of me at the security check, which is probably why they don’t have TSA Pre Check there.

Migraines Again

For the past several days, I’ve had a migraine that waxed and waned in intensity. It seems to be worse in the evening. Maybe today will be better, but as I was deciding what to write about last night, I just couldn’t think straight. (LOL, I’m gay, I never think straight.) Headaches often make my mind foggy and hard to concentrate, that’s how it was last night. I just couldn’t think of anything to write about.

An inspirational quote for today:

You never know what’s around the corner. It could be everything. Or it could be nothing. You keep putting one foot in front of the other, and then one day you look back and you’ve climbed a mountain.

– Tom Hiddleston


Sleepless Nights

First of all, I want to thank everyone for their thoughtful comments on Monday’s post. Y’all have some amazing stories.
For the past several nights, I’ve almost dreaded going to bed. Even with my CPAP, which helps so much in getting a restful night’s sleep, I’ve been waking up all through the night. I just haven’t been sleeping well. I’m not sure what’s up. I’ve been having some anxiety issues, which could be a contributing factor. Several times a day, I feel a sinking feeling in my chest like I am on the verge of a full on panic attack. I’ve experienced this before, but it’s been quite a while. All of this is also causing my headaches to increase again.
I know I’m not the only one, but I’m ready to return to normal. However, unlike those jackass “protestors,” what George Takei called the “Flu Klux Klan,” I don’t want to try to return to normal until it’s safe. And that’s not going to happen until we have enough testing. When we can better track this virus COVID-19, we cannot return to the old status quo. We have to be diligent and patient, and above all, vote that asshole president out of office in November. The United States has needed leadership, and we aren’t getting that from the top.
Even when this quarantine is lifted, we will not return to normal until there is a vaccine. However, with enough testing, in addition to social distance and personal safety, we can at least begin to return to normal. Things will be different for a while, but if we return to the old status quo too soon, we will have the same issues that the post-WWI world had with the Spanish Flu.
If we lift the restrictions too soon, the spread of COVID-19 will spread again and again and will possibly be worse until there is a vaccine. Even then, we will have to battle the anti-vaxxers who will resist a vaccine and continue to spread the virus. As I said in Monday’s post, my mother was a public health nurse and was a firm believer in vaccines. Because of this, I only see pure stupidity and danger in anti-vaxxers. As a teacher, I caught whooping cough because some idiot didn’t vaccinate their child. My vaccine as a child had worn off but that shouldn’t have been a problem if people had vaccinated their children.
As you might be able to tell, I’m in quite a mood.

Home

I had planned to be home Monday for work, but I’ve found myself at home today. Yesterday, I had another migraine and a sore throat. I’ve had the sore throat for a few days. Both are on the same side, so I think the sore throat is at least partially affecting the migraine. Anyway, I went home at 10 am yesterday and called my doctor. I had to wait for a callback, but eventually his nurse did call me back. After consulting with her and after she talked to my doctor, they agreed I probably had a small viral infection and it should clear up in a few days. I haven’t had a fever and they don’t believe it’s coronavirus or anything serious at all, but I’m probably contagious, so they ordered me to stay home today.


Another Headache

Yesterday, I had a headache that continued to get worse as the day went on. My head hurt so bad that my pillows felt like rocks. Nothing seemed to help. The Emgality that I take once a month is helping with the overall number of headaches I have a month, but it is not 100 percent. I hope I wake up this morning without a headache.


Wash Your Hands

It’s Friday the Thirteenth, and to be honest, I don’t have much to say. I just want to remind everyone that with the coronavirus spreading rapidly, please wash you hands for at least 20 seconds. As one meme I saw said, “Wash you hands like you just masturbated with silicone lube and you need to get it off your hands.”


Feeling Off

I’m not exactly sure why, but I was feeling a bit off yesterday. I’d write more, but I’m just not feeling up to it.


Super Tuesday

As I went to bed last night, MSNBC was predicting that Biden would come out of the night on top of the delegate count. I hope I wake up this morning to find out that this prediction was correct. I could have voted for Pete Buttigieg, he was still on the Vermont ballot, and it was tempting, but I chose to vote for Joe Biden hoping that others would do the same and he would get some of the delegates from Vermont. I didn’t want Bernie Sanders to take them all.

This morning, I have a physical therapy appointment very early. I can’t remember if I mentioned this before, but as I was moving the last of my stuff out of my old apartment, I fell and hurt my back and shoulder. My back has mostly healed, but my shoulder is still giving me problems. Because I am right-handed and this is my right shoulder, by the end of each day, my shoulder is in a great deal of pain when I head to bed. I’m hoping my physical therapist can help me out with this problem. She is really good, and she’s done wonders when she’s worked on me before. We’ll see.