The Hero

My father was a doctor. In his small town where we lived he was adored. As a boy I saw Dad as a hero, standing against illness, repairing broken bodies, relieving suffering. One morning a grownup came to the front door, his hand wrapped in a bloody towel. His horse had bit his hand. I looked up and I saw the blood dripping. I called Dad, who took the man into the Surgery and closed the door. After a while the man walked out, his hand in a spotless white bandage. Dad had repaired him. Dad, the hero.
Fourteen years later I entered the Oratory Competition at my city school. I spoke about doctors and I called them ‘society’s noblest sons.’ My father read my speech and said, ‘Darling, I’m afraid that’s not true. Doctors aren’t so noble.’
I had been reading ‘The Story of San Michele’, the memoir of a Swedish doctor who worked in fin de siecle France. A cholera outbreak in Naples saw the young doctor leave the safety of Paris to work among the Naples poor. In the plague hospital the doctor worked alongside a nurse. The nurse was young, beautiful, a nun. With death all about them, the two young people felt the call of their vital flesh. I read the old doctor’s account, modest, intense and arousing. I saw the two walking with eyes open, day after day, into the valley of death. How could I not see them as heroes? I did not alter those words. My speech convinced the judges and I won the contest.
Today the plague rages about us. At the outset, before contagion struck down the many, the principal of my clinic offered to release from duty any clinician who feared catching the virus. I felt shocked. We had worked through AIDS, when any pinprick might mean death. (I did in fact suffer a needlestick injury at the hands of one of my infected patients.) We had worked though the Swine Flu and through SARS. That was our job, our calling. How could I leave and sit it out at home?
Today I sit at home. I have closed the door, closed myself and my wife in, closed the world out. I feel like Noah might have, as, closed in his Ark, he saw the waters rise upon those locked out.
Meanwhile my younger colleagues work on. They all have spouses, aged parents, small children, whom they might infect. With eyes open they work on.
Friends and relatives send me emails, congratulating me, thanking me, for taking good care of myself. My children thank me. Each letter, every approbation for my prudent (read, ‘cowardly’) retreat heaps burning coals upon my head. Praise appals when you know it to be false. No hero, I know heroes when I see them. If in these days of plague, you consult a doctor, if you are treated by a nurse, you will know them too.

Letter to an Old Friend

Friend,

I write to you from quarantine. My wife and I have been ordered to isolate ourselves. 

Old friend, you and I are old. We have passed the threescore and ten years of the Psalmist. A short time ago we were heading confidently full steam ahead for one hundred. So we proposed. So life seemed to promise. But now, this virus.  

Man proposes, Virus disposes. The virus has disposed of thousands. In Spain overnight, three hundred. Overnight in Italy, 800. I’ll write that more plainly. Three hundred persons. Eight hundred persons.At the start of the year all eleven hundred would have been steaming ahead. I imagine them looking confidently to the future as recently as the start of the month of March. By the close of the equinox all were dead. Few will be those who follow their caskets to their burial.

While going about my work in the past weeks I’ve found the most worried people have been those with the least to fear. Young parents have been terrified for their young children. Truly that suffering has been unnecessary. For most people younger than forty, COVID-19 is a milder illness than the ‘flu. I have heard of no deaths of children anywhere in the world. That should bring blessed relief, but although those facts are widely known, the fear for their young extinguishes parents’ peace of mind.

Curiously, we old ones need fear not so much for our young, as from them. The theory runs that children are unhygienic creatures that act as vectors for this novel virus (they certainly do that service for the influenza viruses), and they endanger and infect us older, more vulnerable subjects. That is why I am writing.

If you are over seventy, go inside now, close the door. Shun your children, ban the grandchildren. Ours is the age group in which most of those hundred of persons died. Ours is the sector at greatest risk of the pneumonia that fulminates and kills. Ours is the group who will not receive respirator treatment and Intensive Care when those services are rationed.

This is cautious advice that might later be seen to be over-cautious. As the W.H.O. Chief of the Ebola response advises, ‘Go early, go hard’ when it comes to responding to pandemic. There will be no second chances for us once we catch this catchiest of germs.

My wife and I passed a weekend of grotesque denial of the love between us and our grandchildren. Encounters were fleeting, spatial remoteness was enforced, no-one kissed, no-one cuddled. Time and again, puzzled children approached instinctively, loud voices repulsed them. Astonished, the children felt every instinct of love denied; and the deniers were precisely those wrinkled figures who ever doted and dandled. Suddenly loving behaviour was wrong.

My resolve wavered. My wife, the softest being in our family constellation, commanded austerity. One of my children has a newborn; we cannot visit, cannot cuddle, cannot relieve exhausted parents at 2.00 in any morning. Our daughters, both recovering from surgery, wait on us, rather than the reverse. The fibres of parenthood are warped and strained by fear of a new virus. And it is precisely those deprived adult children who direct us: go inside, stay inside, keep the world away. ‘‘We’d sooner miss out on you both for weeks or months than miss you forever.”

Old friend, I won’t be with you this Friday for lunch. We won’t see each other at the coffee shop in the mornings. Our house of worship is forbidden to us. Seeing each other as faces on a screen is a cold change after years, after decades of warm touch. I don’t know when we’ll be together in those old ways again. I reckon our best chance of those old pleasures again, some day on the far side of this fear and horror, is cold resolve today.

Until then, old friend, until then,

Yours at a distance,  

Howard

Moments of Reprieve

In times far, far darker than ours, Primo Levi called these, ‘moments of reprieve’. The Nazis set up the death camps as places where morality would be inverted. It was dangerous to be good. Every man for herself. We saw that here in the all-in toilet-paper wrestling.

But there’s a softening abroad, a gentling of human intercourse. We wash our hands today, not of each other, but for each other. Commerce has slowed, people have time, give each other time. Working here in the central business district of a great city, I find us breathing our minutes and our days as folk do in a country town.

In the foyer of a giant apartment building, in a far distant town, this notice appeared:

Its author is seven-year old Dash Unglik, of New York City.

Something Old, Something New

Two epidemics: Covid-19 and Community Panic Disorder.

We are feeling our way. This is new territory for all. The last time was in 1919, when the epidemic of Spanish Flu came, burned itself out and left scarsin memory. It’s those same scars, and earlier ones, back to the Black Death and beyond, that we are feeling now. In 1919 we needed someone to blame: that time it was the Spanish, this time the Chinese.


New experiences every day, new government edicts, new behaviours. Our governments are leading, not following public opinion. This blog has never before found anything kind to say about our governments. (I missed an opportunity to praise our leaders for the National Disability Insurance Scheme.) I offer praise now. According to the experts in public health, those appointed to advise government, no-one in power is playing politics with their advice. Government offices send daily bulletins to doctors, bringing us up to date. We are segregating corona suspects from non-contagious patients.We’re doing this methodically and with sensitivity. Contingency planning for various crisis scenarios is advanced. The planning has been rapid, decisive, bold. The War on Drugs has not made us safe; the War on Terror has made us less free; but the War against COVID-19 makes sense to me.

What have we learned? The Coronavirus numbers suggest the following: Infectivity is high, mortality is low. COVID-19 is easily caught and generally safely survived. If you are old your risks are higher.If you are a child or a baby your chances seem better. This is unexpected and so far unexplained.We can expect the numbers of infected persons in our community to mount and to mount further. So far Australians are far, far likelier to encounter a person with influenza than coronavirus infection.

What follows?

I think it’s a numbers game.

Think before you travel.

Don’t go to Iran (corona) or to Syria (bombs).

If your immune system is poor or if you are old, avoid peak hour public transport, avoid mass gatherings, including at your house of worship.

Work from home if you can.

If you develop a fever or flu symptoms, CALL UP YOUR LOCAL DOCTOR before arriving. Don’t just lob.

Don’t read the newspapers. Yesterday the national broadsheet called it the Killer Virus. That is unhelpful and misleading. And of course, irresponsible.

Trust the advice of the Chief Medical Officer.


Be thoughtful about contact with your touching professionals.These are your barber, your manicurist, your physiotherapist, myotherapist, osteopath, chiropractor and sex worker. And your doctor.We professional of touch take the greatest risks and are potentially the most dangerous to you.


Finally, kissing is a high-risk act. Do it only in emergency. Handshaking is forbidden in NSW. Various alternatives have been suggested. One is the mutual forearm grip, where your palm rests on the inside of your shakee’s elbow. Now that we are urging everyone to cough into the elbow recess, this grip offers you the best chance of a handful of fresh snot.

Which Epidemic?

Here are some facts about Australia’s epidemic.
In 2019, Australia had 300,00 proven cases of influenza. The true number of cases was probably in excess of 900,000. (The numbers of cases exceeds the number of tests, because most doctors recognised the flu without sending off swabs for laboratory confirmation. Further, not all flu sufferers saw a doctor.)
Since the start of 2020, there have been 12,713 PROVEN cases of influenza in Australia.

8000 Australians died of influenza in 2019.

In the course of the Vietnam War we lost 521 soldiers killed.
Those are the facts of our true epidemic. In 2019 despite the epidemic, despite the death toll, you could buy toilet paper, you could buy pasta and rice.In 2019 no-one panicked.In 2019 no-one thought of boycotting Chinese restaurants.
In 2019 we had no panic and we had no recession.This year we have a limited outbreak of a viral infection which is less contagious than influenza. Xenophobia comes into full flower.In our formerly happy country we now have an outbreak of racism. Chinese restaurants stand empty.
The swastika flies in Wagga.

Coronapanic

Ever since 9/11, we in the West have lived in a climate of anxiety. I am one who sees much of the anxiety as confected. Leaders have responded to serious events with alarming rhetoric. Our media have obliged with headlines that enhance the ambient anxiety. And unofficial media respond with ungoverned hype. And so we tremble.

The news of the climate ought to alarm our governments more than it does. I think our kids get this right.

The economy has gone to the bathroom and hasn’t returned.

And now this. By this I mean THIS. I mean the Coronavirus outbreak.

No-one but a fool would say there’s no cause for concern. We know that; we’ve heard that from the fool in the White House.

In Anatomy, the corona is the rim around the glans penis (aka the nob). We know who the nob is.

Is there reason to panic? Many have decided they should panic. Supermarkets are crowded, while the shoppers in Collins Street have thinned.

No-one knows how serious the coronavirus epidemic will become. This blog will report on what it sees. In my clinic some patients are seeking advance prescriptions in case medications become unavailable. If/when this becomes common, medications will certainly become scarce

I close with two modest predictions: firstly that panic will feed on panic; secondly, that this blog will pop up on your screens more frequently.

If on a Hot Day you Left your Baby in the Car…


If you smoked heavily inside the house in the same room as your asthmatic toddler…

If you left your loaded firearm within reach of your depressed adolescent child…

If you shot up heroin in the presence of your young child…

If you drove your car with a belly full of grog and your children unrestrained… 

If you engaged in exhibitionist sex in the presence of your children…

If you encouraged your underage child to join you in heavy drinking or drug taking…

If you were unable to control your anger, if you belted your spouse, if you treated your child violently…

you probably wouldn’t be surprised to win the disapproval of the Authorities. 

Any penalty would not astonish. 

If the child were removed from your care you’d get it.

Whyif your face is buried always in your phone while your child needs your presence, your care, your engagement –

–      should you be surprised if Child Protection intervened?

Of course that intervention won’t occur.

Working at the children’s hospital, walking in the streets, travelling on the train, I see a generation of adults outsourcing parenting to the i-pad. 

I see adults, adolescents and children engaging not with each other but with the screen. 

I see human connection attenuated and distorted. 

I see and I worry.

Perhaps I see too much.