A friend just pointed me at this site that matches people who want to be vaccinated with otherwise-unclaimed doses, and avoids the problem of people queuing outside in the cold for those doses.

They ask for your zip code*, date of birth, what industry you work in, and whether you have any of several medical conditions. The FAQ says I might hear from them, but only if I am in a group that is eligible for vaccination, and nobody who is higher priority, lives near me, and has signed up and is available.

The site is called Dr. B. Probably nothing will come of this, but it's free, and I see no reason not to sign up.

*Yes, it's US-only.
I had a little bit of sore throat yesterday, and a bit of cough a little while ago, and my temperature is slightly above normal. Any other year, I'd be thinking "just a cold" and going on about my business unless I was uncomfortable. Now, I have to assume that I might have the coronavirus, and even a mild case can be contagious.

Even if I feel entirely well tomorrow and thereafter, the self-isolation now goes to April 12th.

ETA: On the one hand, I'm not in the group they're counting as "older adults" for things like those early shopping hours. On the other, that exercise room I only got to use once before the coronavirus seemed relevant is in the Belmont Senior Center.

Also, since [personal profile] adrian_turtle didn't get sick, and warn me of possible exposure, until a few days after I saw her, I did have a few interactions with people other than [personal profile] cattitude. Not a lot, but I did go into one shop on the way home from visiting her, and I think at least two in the intervening week.
My local hospital is asking people who have, or can buy, N95 masks, exam gloves, and other personal protective equipment to donate them to the ER. I have half a box of gloves and no other PPE, but I do have a bit of money and an Amazon account, so I ordered two boxes of nitrile gloves for delivery to the Mount Auburn ER. Estimated delivery date is April 4, which is better than not at all.

The person who posted gave a couple of area locations that have some of those things in stock, useful for those who have cars and aren't self-isolating. If anyone else has spare money and wants to help, your local hospital probably needs masks, gowns, etc. right now.
It's a little weird to realize that the best thing I can do right now, possibly for myself and certainly for other people, is a lack of action. Stay home almost all the time, and avoid coming within two meters of anyone except [personal profile] cattitude if I do go outside.

It seems as though "doing nothing effectively" isn't a good translation of the Taoist concept of wu wei, but Chinese or not, it's what most of us are being asked to do.

To those of you with essential jobs who are going out and doing them during the pandemic: thank you.

We're pretty well supplied for not going out for a week: I'll run out of yogurt and have to eat cereal for breakfast, and Cattitude might run out of cold cuts and breakfast on hard-boiled eggs, but this is barely a nuisance. I probably have another dairy milk for my tea, and if not there's soy milk.
redbird: closeup of me drinking tea, in a friend's kitchen (Default)
( Mar. 20th, 2020 05:48 pm)
I will be self-isolating from now until March 28, because Adrian is sick with what the doctor thinks is probably coronavirus, and I saw her last weekend. So, a fortnight from this past Saturday.

This isn't going to make a lot of difference compared to what I was already doing; I am very glad we are now in an apartment with a little bit of back and side yard, which will be handy if I want to be outside and not worry about passing someone on a sidewalk.

[personal profile] cattitude and I have a reasonable stock of food and other consumables, with the exception of one medication, which Carmen mailed the prescription for after our tele-medicine session on Tuesday.

Adrian is also well-stocked with food and relevant medicines, and isn't in any of the high-risk groups, so I am not terribly worried, but I wish I could take care of her.

[personal profile] cattitude and I went for a walk around the neighborhood this afternoon, before Adrian talked to her doctor and then to me. I am happy to report that I have now seen dandelions and periwinkle, and a very pale cherry tree that is just starting to bloom.
I do not have to go to Davis Square tomorrow to see my doctor and get a refill on the Ritalin prescription. They called this morning and asked if I would like a phone consultation and then she would mail the prescriptions. I said "yes, please." I had been planning to call and confirm that appointment, just in case, but they called me first.

Normally, seeing Carmen in person would be better because I could also have followed up on my wrist pain and asked about the second dose of the hepatitis B vaccine. Right now, not having to take two buses to get there, plus time in the waiting room, is clearly better. It didn't occur to me to ask for a phone consult, because usually she wouldn't be allowed to prescribe a controlled substance this way. But these are not normal times.

I'm still going to keep a close eye on the remaining pills until I get the refill, but I have enough to get me to the weekend.

I have finally found a list of what "underlying conditions" increase the risk from COVID-19. This is from the US Centers for Disease Control. (I'm not sure how far I trust them about the number of cases, but for the moment I'll take their word for this.)

Appendix A: Underlying medical conditions that may increase the risk of serious COVID-19 for individuals of any age.

  • Blood disorders (e.g., sickle cell disease or on blood thinners)
  • Chronic kidney disease as defined by your doctor. Patient has been told to avoid or reduce the dose of medications because kidney disease, or is under treatment for kidney disease, including receiving dialysis
  • Chronic liver disease as defined by your doctor. (e.g., cirrhosis, chronic hepatitis) Patient has been told to avoid or reduce the dose of medications because liver disease or is under treatment for liver disease.
  • Compromised immune system (immunosuppression) (e.g., seeing a doctor for cancer and treatment such as chemotherapy or radiation, received an organ or bone marrow transplant, taking high doses of corticosteroids or other immunosuppressant medications, HIV or AIDS)
  • Current or recent pregnancy in the last two weeks
  • Endocrine disorders (e.g., diabetes mellitus)
  • Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders)
  • Heart disease (such as congenital heart disease, congestive heart failure and coronary artery disease)
  • Lung disease including asthma or chronic obstructive pulmonary disease (chronic bronchitis or emphysema) or other chronic conditions associated with impaired lung function or that require home oxygen
  • Neurological and neurologic and neurodevelopment conditions [including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability, moderate to severe developmental delay, muscular dystrophy, or spinal cord injury].

This is from a longer set of guidelines on which events and gatherings to postpone or cancel.

The French minister of health is advising people who have, or think they have, coronavirus to avoid anti-inflammatory drugs because they can reduce the body's immune response. So, if you need/want to reduce a fever, he advises paracetemol (=acetominophen = Tylenol). What the article doesn't mention is that it's often better not to reduce a relatively mild fever, because the fever is part of how the body fights infections.

I tend to be a bit nervous about acetominophen, because it's relatively easy to take more than is safe while thinking you're following the package instructions. So, the standard warnings: watch out for pills with more than one active ingredient, and don't mix acetominophen and alcohol. And, if you're like me, keep a record of how much you take and when. And of course consult your doctor, pharmacist, or other qualified health care provider for advice.
I'm glad I got my MRI Wednesday and my drug infusion Thursday; MGH announced yesterday that they were cancelling all elective surgery and procedures for the next three weeks, and other local hospitals are likely to do the same. (The timing was sheer luck--I booked that infusion months ago, and on my way out they handed me my next appointment date, in September.)

We're waiting for nothing to happen in the sense that each of us individually can hope that this outbreak will pass us by, and that there's no defined endpoint: no point at which the experts, or the people making decisions, will announce that we can go back to our normal lives.

I went to [personal profile] adrian_turtle's last night, as usual. I stopped for groceries on the way there, and saw the Stop and Shop staff busily restocking shelves of canned goods. They were very low on root vegetables, but I found the yams, and there was plenty of cabbage.

Adrian and I had a good time, despite worrying about the coronavirus news. (There's no reason to think either of us is infected, this is a broader concern.) Before leaving her place this morning, I called Quebrada bakery and confirmed that they were open. I decided I could stretch social distancing as far as standing in front of a counter to order and pay for pastries. The buses were uncrowded and still on their relatively frequent schedule. Nonetheless, my plan is not to go anywhere beyond walking distance until Tuesday, when I have a doctor's appointment. (More routine follow-up stuff, but I do need to see her.)

I spoke to my mother just now; she has a ticket to fly back to London tomorrow, after which she will be self-isolating for two weeks. Given that she buried her sister two days ago, she probably wouldn't have wanted to do much even if the world had been proceeding as normal.

I guess I will be doing more Duolingo French. I can keep up with my exercises, since I do them at home anyhow, and it would do no harm to at least tidy my desk.
Washington state is requiring insurance companies to allow one early refill on any prescription during the virus outbreak. I just called the Massachusetts governor's office to ask them to require that here.

A possible script:

"Hi, my name is $your name. I'm a constituent living in city/town, and I'm calling about the coronavirus outbreak.

"I'm asking the governor to please follow Washington State's lead, by requiring insurers to allow one early refill on any prescription medication, unless that would threaten the patient's safety, until this epidemic is over."

I put "state" in there to make it clear I'm talking about the Washington state government, not anything in D.C.
I am dealing with two health issues that mean I have to think about hand-washing. I can't just remember to wash my hands, I have to remove my wrist brace first. (The brace is washable, but I can't wash my hands properly with it on.) And then apply more lotion to my fingertips, because all the hand-washing is hard on my already-fragile skin, and tiny open wounds are both painful and a possible source of infection.

I realized that one thing I can do to touch my face less is to use lip balm in a tube (chapstick) rather than the little jar of the stuff I like better. This way I don't have to remember to apply hand sanitizer first, if my lips need that help while I'm on a bus or train, or just left the supermarket, or otherwise haven't washed my hands in the last little while. (I don't normally worry about this, but these are not normal times.)
[personal profile] liv explains what alcohol is, and isn't, good for in the context of COVID-19. Most of this is valid for other viral and bacterial infections; a little of it is specific to coronaviruses (i.e., MERS, SARS, and a few of the viruses that cause the common cold).
redbird: closeup of me drinking tea, in a friend's kitchen (Default)
( Mar. 1st, 2020 09:24 pm)
The World Health Organization is issuing daily coronavirus situation reports, addressed to researchers, doctors, and the general public. The first page is an executive summary: updated numbers of cases, risk assessments, and four short paragraphs about what's in the rest of the report.

Today's report includes a page on clinical management of patients with COVID-19, more detailed surveillance data, an article on preparedness for healthcare professionals, and recommendations and advice for the public. As of 1 March 2020, they're saying "If you are not in an area where COVID-19 is spreading, or have not travelled from an area where COVID-19 is spreading, or have not been in contact with an infected patient, your risk of infection is low."
redbird: closeup of me drinking tea, in a friend's kitchen (Default)
( Feb. 29th, 2020 09:58 pm)
Because we have some money to spare, and neither a car nor driving licenses, [personal profile] cattitude and I placed a large delivery order with Instacart this evening, for delivery tomorrow afternoon.

Almost all of it is things we will use, buying them now rather than next week, month, or possibly season: the next bottles of things like dish soap, vinegar, and olive oil that we will use, and not in the "it will come in handy sometime" way. We did add a few things we don't normally buy that are likely to be useful if we're stuck at home because of a quarantine, or for that matter a blizzard (it's Feb. 29th and this is New England), like frozen orange juice, frozen peas, and a half dozen cans of condensed soup.

We're paying for the convenience, of course: a dollar extra on this item, and 75 cents on that, adds up; but our time and energy are worth something.

I also made sure we are well supplied with spices, to add some variety if we wind up eating lots of rice and beans.

There have been times I would have hesitated to do this, for lack of either spare cash or storage space; right now we're okay on both.

ETA: We are stashing extra paper towels and toilet paper on the (enclosed but unheated) porch.
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