Covid

Covid in Ketchum

Thursday, April 16th, 2020

We follow the Idaho Mountain Express online to maintain indirect contact with Joe and his family who are sheltering at home in the middle of the highest per capita infection rate location in the country. The news there doesn’t tell us much about what’s really going on and neither do his reports but Jan came up with a long article in Buzzfeed, a national outlet, that gave us a fuller picture–both about the course of the spread and through a number of interviews with rich and poor victims, about the range of human impacts.  This quote stayed with me and dominated my morning quiet time in the bathtub and while meditating:

The infectious disease doc came in and said, “You have COVID, and I don’t think you’re going to survive, because you only have 61% of your lung capacity.” They asked him, “Do you still want to have this DNR [do-not-resuscitate order]?” He said yes. “Do you want to be put on a ventilator if needed?” He said yes.

Meanwhile, my dad was gradually improving. He said it was so hard to be alone, with the only people he came into contact with wearing full protective gear. He said it felt like they were scared of him. But he’s a tough cookie. He couldn’t get out of bed or go to the bathroom for nine days, but when they let him out, he took a shower, and came home — that was March 29 — and surprised everyone on the family Zoom call. It was my parents’ 51st anniversary. My mom was just totally taken aback and so happy.

https://www.buzzfeednews.com/article/annehelenpetersen/coronavirus-covid-19-idaho-blaine-county-sun-valley

My most persistent concern over the last several years has been the dual business of departure and legacy.  The “Better End” talk I wrote for the Sangha and the updating of our estate and advance directive documents last year addressed the first.  The effort I’ve put in to scanning photographs and retroactive updating of my blog with uncatalogued writings and documents address the second.  But both tasks are far from finished, the opposite of the kind of closure they intend. The ongoing Pandemic adds to my age and health status to make completing them more urgent, and the lockdown should provide the opportunity to get it higher on my list of priorities, but so far that urgency has issued only in procrastination pressure rather than action.

The questions, answers, and subsequent outcome of the old man in the Buzzfeed article captures my confusion about the  advance directive.  At the moment of actual decision he reaffirmed his DNR, but rather than abjuring any heroic artificial lifesaving efforts, as included in my directive, he asked for the ventilator, which then saved his life and brought happiness to his family. This goes against the news that I read lately indicating that those embattled ventilators have the desired effect only in a small  proportion of cases. When writing the directive, I didn’t envision Covid 19, but rather something like a stroke or heart attack after which any recovery would only prolong infirmity. But since then I’ve been diagnosed with coronary heart disease, suffered a (tiny) stroke and a syncope and agreed to the installation of a pacemaker.  And life is good. So if I become infected how will I answer those questions?

Old Man Ouchies

Tuesday, April 28th, 2020

After weeks of feeling grotesquely privileged by April days of growing gardens, walks on the beach, leisurely prepared meals, low anxiety about getting stuff done, luxurious entertainment by TV, music and books, against a backdrop of news offering suspense and amusement, last night and early this morning provided a brief dose of the darker reality.

A phone conversation with Peter, my  younger brother stand-in, detailed his excruciating post-operative condition after successful surgery removing slow-growing tumors from his kidneys.  He’s had four botched catheterizations and is now sending urine to a bag, since his urethra is blocked.  This makes for continuing pain that the painkillers cant control and required an emergency trip to a urologist in Courtney from which he’d just returned after several days in a Vancouver hospital.  Prognosis uncertain.

My last night brought repeated awakenings with more pain than usual in hands, shoulders, back and knees.  I applied Jan’s cream, took more Tylenol, tried cannabis oil, and went back to bed exhausted after morning bath.  There I  half-dreamt that these were early symptoms of infection with the virus and visualized being set up in our guest room, wondering which exposure–Costco to get the Mac and Cheese for the Homeless Shelter or not wearing  a mask when seeing Claire and Greg–had led to it.  It was only after a third cup of coffee and two more Tylenols that I returned to a semblance of the new normal–readiness to go to the farm to carry out today’s ambitious plans for harvest and planting with Shane and Tree and meeting with Josh and Shea to measure the layout for her planned outdoor farm school.

On the Edge

Wednesday, July 22nd, 2020

July 21

I hear the toilet flush every few minutes.

At dinner tonight, Jan seemed out of sorts and only picked at the meal I’d prepared. She said she’d been having intestinal discomfort all afternoon. When I’d finished, she asked if I could clean up the kitchen so she could lie down.

I went back to the bedroom after I was done and she told me she had bad diarrhea and that she’d looked it up.  That was an initial symptom of Covid 19.  Of course it could be just a stomach flu or food poisoning, since she’d had so little contact with people and was always masked and distant, but who knows.  It was best for me to sleep in my study.

I went back there and read that though not well known, this is a relatively frequent first symptom, especially among the elderly, and that  sometimes it signals a very mild case though sometimes its a prelude to the more serious respiratory symptoms. We will call Dr. Hanson in the morning and try to set up a test.

In the morning I have an appointment to meet Jeff W. at the farm and receive a check for $25,000, the first of two installments of a donation to City Farm by Larry C., whose promise has made the last two weeks some of the most joyful in my life.  They have been filled with plans and prospects and exchanges with all the people associated with the Farm about how this donation, and the possible additional support it can leverage will allow for a campaign to make the place live up to its vast potential within the next two years.  During the same time we have taken on a dynamic new tenant and received word from another quarter of a donation of the money and work to add a 40 tree orchard, along with promises of weed abatement from our neighbors and the City, the commitment of Jen, a highly capable consultant to lead business plan strategizing and a commitment from Josh to help organize a charette for ambitious site development. Also the announcement we were  awarded a  grant from the City Human Relations Commission and the submission of an application for a renewal of our Sprouts Foundation grant.  Also contact from Cheryl at NRCS indicating that she will put in for several EQIP grants for appropriate Farm Projects.  As a result of the concerted efforts of Tree, Shane and me, the vegetable garden has come to full fruit and blossom such that everyone who shows up is astounded. The closest to this I can compare was the news in 1988 that I was hired for the tenure-track job at Cal Poly, a logical, wished-for and seven-year-deferred opportunity to take control of my future and build some long term accomplishments. I’ve been working full time as a volunteer at the Farm an equal amount of time hoping just for this to happen.

But accompanying the excitement has been a  undertone of foreboding.  With the sadness and fear that’s come over the world since last February, how is it possible that I could be so blessed?  With the  powerlessness felt by so many, how can I dare to feel so empowered?

It’s still possible that Jan’s condition could be a false alarm. But unlikely. If not, the grand new changes will be overshadowed by others.

I remain in this space: https://www.stevenmarx.net/2012/06/biopsy/

July 22

Jan sleeps all day and doesnt eat. I make an appointment for COVID test for both of us, for the next day at the Vet’s Hall.  Last time our results were negative.

I’m at Farm on and off.

July 23

Jan wakes up feeling better, but still strange.  We drives separately to the Vets hall for the test. No results available for 4-6 days.  Neither our primary physician nor her nurse is available. Jan sets up protocol whereby we approach only at 6 foot distance, both masked.  She has me set up table beside bedroom door where I leave her food and other stuff.  We communicate mostly by text and email.

I write a thank you letter to Larry outlining plans for use of his donation, ready to send as soon as the check is deposited. Jeff meets me at the farm with the check, I deposit it and send letter, and correspond with Connor about the Tuffshed barn. Jan’s students are submitting their masters’ theses about which she and they have fretted for months. She’s deeply gratified by the results.

July 24

I finalize the Tuffshed order–alot of poor communication with the salesperson. Corey gives me a hard time when I tell him we’ll need his front acre starting January 2021.

I pick 12lbs of peaches at Cal Poly.

I experience slight dizziness, which get me scared.

July 26 8:00 a.m.

Jan organized a Zoom birthday party for herself yesterday and led it from the bedroom, still in quarantine.  Attended by Joe, Amy, Abel, Ethan, Mark, Sonia, Travis, Hana, Dahlia, Claire, Lucas, Gregg and me.  Claire supplied balloons, bday cake and banner.  A lovely time, but a little anxious.

I woke this morning to an email with my test results: negative.  Big relief, especially after hearing yesterday’s Sci-Fri podcast about the long term after-effects of infection.  I’m impatient to hear Jan’s.  She sleeps for another two hours, gets up but her results not sent. We maintain distance.

July 27

At my bathroom run at 2:30 A.M. I see light under the bedroom door where Jan is quarantined.  I dont knock but wonder what’s happening. When I come out at 5:00 she’s still asleep, but as I drink my coffee in the arm chair her door opens and hear her glittering voice: “I got the results.  They’re negative.”