Thursday, March 19, 2020

Closing Down (in an abundance of caution...)

Our governor, Michelle Lujan Grisham, had announcements to make yesterday. I've never been fond of her elementary school principal presentation, but I guess she thinks it's effective. The point was to drive home the importance of shutting down much of the state's economic and transportation activity in order to contain the spread of the Outbreak. There was an apparent case of community transmission yesterday. That triggered a raft of new restrictions.

Thus, while not being confined to their homes -- unless they have the virus -- New Mexicans are urged not to travel (especially not out of state), not to gather in groups of 10 or more, and not to work outside the home unless necessary. Many businesses and activities were ordered closed including most that would have more than 10 people on premises at a time. Restaurants can no longer serve patrons inside, they can only provide take out and delivery. Bars must close. Casinos must close. Social distancing is encouraged. Wash, wash, wash. Retailers are directed to put limits on purchases of paper products, soap, sanitizing supplies, and so forth (3 per at one time), and they are encouraged to provide special shopping hours for the old, the halt and the lame.

Schools have been closed for some time. Hand sanitizer has not been available for weeks, so distilleries are making it themselves -- since they have stocks of alcohol, after all, and apparently can get quantities of aloe vera gel -- and distributing it for free to first responders and police. Doctors' offices and hospitals are limiting contact with routine patients in order to prepare for possible corona virus patients. Dentists are cancelling routine appointments. I got a call from my pulmonologist yesterday asking me to postpone my appointment -- if I was feeling OK -- until this situation calmed down, as she would likely not be able to provide more than observational service. The pulmonary function test equipment was being reserved for those in immediate distress.

Yes, I am feeling OK, so I agreed to postpone, and then went ahead and postponed oncologist and rheumatologist appointments until September, when I hope things settle down somewhat, but who knows. I have not yet scheduled semi-annual rituxan infusions that would ordinarily be done in June and December. June will probably be impossible, but we'll see when the time comes.

Ms. Ché went to visit with friends in Albuquerque yesterday and they had a video call with their friend in Delaware. She's self-isolating for two weeks because she believes she's been exposed, though she has no symptoms, then she is thinking of heading to North Carolina to stay with a friend there. Delaware doesn't have a lot of cases, but our friend has been exposed to half of them, and there are many more in New Jersey and Maryland. So far, North Carolina has some dozens of cases, but the number isn't growing fast. Of course knowing the number requires testing, and in many places it is still not available or being done.

A neighbor came over to check on us yesterday while Ms Ché was gone. We keep an eye on one another. It's what you do. We're all in the elders with chronic conditions demographic. One of our neighbors is a long distance trucker who's usually gone five days a week or more. Younger than us, but probably at more risk, we give him a call now and then just to be sure he's ok. Ms Ché's relations in California and Nevada are hunkering down, too, either because of official policy or out of an abundance of caution.

And so it goes.

Stay home to the extent you can, wash and wash, check on neighbors and relations, and be safe.

I've referred to what's going on as a paradigm shift as consequential as those following 9/11 and the financial crash of 2008. I have no idea how we'll come out on the other side, but the signs don't bode well. And yet, there's always the potential for something better in the end, no?

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