How Does This End?

It is difficult to imagine how this pandemic ends. Does it play out regardless of what we do? How do we make sense of a world that is so vastly different? As health care providers, knowledge is power, but it also gives us more anxiety and more awareness of the dangers around us. Nurses COVID Article

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We Watched and Planned ...

My husband and I began watching the Covid-19 numbers in early January. I remember sitting in our living room during a typically dark, cold Minnesota Winter day and discussing how it was going to go down. We debated going to the "big city" the first weekend of February for fear that it had already made its way to the United States. My husband plotted graphs and looked at the exponential growth, and he made predictions about what might happen if it did get out of China. We bought extra food, essentials, and began to save money. We talked late into the night about the potential scenarios that might unfold.

And, Waited

I watched, in horror, as it began to make its way around the world, and everything that we talked about in late-night conversations started to materialize. My husband and I wished that we could be wrong. The lack of PPE and the rate of health care worker infection weighed heavily on our minds. We were already homeschooling and had begun stocking up, so when things shut down, we were already reasonably prepared. Few things changed in our daily routine, except the loss of a once a week preschool for our youngest, church for all of us, and an evening kids club and date night for the two of us. We are both in the high-risk category, so we hunkered down and waited ... and waited ... and waited ...

Now, the Uncertainty

I was fortunate (or unfortunate enough to be high risk) to be able to be off work for a while. I am headed back in a few weeks after spending an amazing, once-in-a-lifetime Summer with my husband and three young kids. I am anxious about how I will assimilate back into nursing. I am apprehensive about how I will feel coming home to my family after 12 hours of potential exposure. I am still fairly worried about the PPE situation. I have little trust in the government agencies who are guiding our direction in this pandemic.

At the end of the day, however, I am just weary. I am tired of seclusion, but also feel safer in it. I am tired of thinking about the future outcome for myself, my family, our finances, my world, OUR world. I am tired of the uncertainty. I am sad for my children and how this is all going to affect their future.

Questions Unanswered

How long do we do this?

How long do I go without seeing any extended family for fear of exposing them, or us?

How long do I hesitantly go out in public, debating whether I should wear a mask when no one else is?

How long do we keep our already homeschooled children away from social networks and peers?

How long do we stay home from church, our community lifeline?

How do we prepare financially, mentally, spiritually?

How do we, as a collective body of healthcare providers, ensure that the career we chose is honored and protected?

I did not sign up to go to war. I signed up to care for people, show compassion, educate, and advocate, but not at the cost of my own life. My family, indeed, never agreed to be exposed to the dangers that I may face when I go to work. How do I justify the costs for them?

These are all rhetorical questions and each of us has our own set of questions, all with no concrete answers. How does this end? I suspect it will play out regardless of what containment measures are put into place. It only takes one moment of weakness to be potentially exposed.

What are your questions? Your answers? How in the world does this end?

Specializes in NICU, PICU, Transport, L&D, Hospice.
1 minute ago, damiorifice said:

Oh my, I can’t see how. Subjectively differentiated perhaps, but you don’t display any gross disconnection from reality. Differences make us stronger. It reminds us we are not all just clones of one another, busy little drone bees. Each persons unique feelings and views deserve appreciation, whether or not we personally agree with them.

Every person has value. Every opinion or thought does not have value.

Specializes in NICU, PICU, Transport, L&D, Hospice.

All dogs bark. Not all dogs bark appropriately or when you need them to.

Specializes in NICU, PICU, Transport, L&D, Hospice.

This ends for Americans when we double down on educating the public on basic distancing and masking practice and then demanding compliance which begins to allow the spread and allow us to prepare for influenza season...or it ends because the health system is overwhelmed, way too many working class Americans are buried or permanently harmed by an out of control virus, and the economy collapses from feckless and corrupt "leadership". That's one either or possibility.

It certainly isn't going to end soon by hiding the numbers and putting politics before public health.

Specializes in Critical care, tele, Medical-Surgical.
5 hours ago, damiorifice said:

We don’t have anything that even remotely resembles fascism in this country. We have a representative republic with three well defined, separate, and balanced branches of government that keep each other in line. To claim otherwise is less than rational.

I agree that we don't have fascism. We DO have Antifa. Twice I've seen them break windows, loot, and start trash can fires in Downtown Oakland, CA when nurses were protesting for safe staffing and another time to keep a hospital open. They wore black clothing, ski masks, and brought their own rocks and frozen water bottles to throw.

Specializes in Psych, Addictions, SOL (Student of Life).
10 hours ago, Nurse SMS said:

You must have missed the armed protesters in Michigan.

This is a false argument as the people who protested the economic disaster that followed city, state and county closers were largely peaceful. They did not riot, steal, destroy property or openly sanction the killing of law enforcement officers and just plain white folks caught out in the open. Let's not forget that Michigan is an Open Carry state and as such people are within their rights and breaking no laws by openly carrying a firearm in public.

The rioters on the other hand, set out to purposely injure and kill people, vandalize property, loot business and keep sick folks from reaching hospitals. Not to mention the numerous police officers injured or killed while engaged in trying to keep the peace. There was nothing legal about their actions. The right to peaceful assembly is one thing. We had several of these assemblies near where I live and I wholly support them.

We don't have to like or even respect each other to understand the basic principle of rights and responsibilities. The be honest I hate wearing a mask. No matter what anyone says it's uncomfortable and frightening for my mental health and autistic patients who need to see you face as part of any exchange. Still I don my mask when I am at work and when there is reason to believe that I might come within 6 feet other other human beings I don't live with. I am more infuriated about people who wear the mask wrong, or go around in vented N-95s or wearing gloves in the store which they throw on the ground in the parking lot, than I am about the rare person I meet who actually refuses to wear a mask.

Specializes in NICU, PICU, Transport, L&D, Hospice.
5 minutes ago, hppygr8ful said:

This is a false argument as the people who protested the economic disaster that followed city, state and county closers were largely peaceful. They did not riot, steal, destroy property or openly sanction the killing of law enforcement officers and just plain white folks caught out in the open. Let's not forget that Michigan is an Open Carry state and as such people are within their rights and breaking no laws by openly carrying a firearm in public.

The rioters on the other hand, set out to purposely injure and kill people, vandalize property, loot business and keep sick folks from reaching hospitals. Not to mention the numerous police officers injured or killed while engaged in trying to keep the peace. There was nothing legal about their actions. The right to peaceful assembly is one thing. We had several of these assemblies near where I live and I wholly support them.

We don't have to like or even respect each other to understand the basic principle of rights and responsibilities. The be honest I hate wearing a mask. No matter what anyone says it's uncomfortable and frightening for my mental health and autistic patients who need to see you face as part of any exchange. Still I don my mask when I am at work and when there is reason to believe that I might come within 6 feet other other human beings I don't live with. I am more infuriated about people who wear the mask wrong, or go around in vented N-95s or wearing gloves in the store which they throw on the ground in the parking lot, than I am about the rare person I meet who actually refuses to wear a mask.

The "economic" protesters were protesting the very mitigation strategies that kept Michigan's cases from going through the roof. Remember "liberate Michigan" when the POTUS was encouraging rebellion against masking, social distancing and stay at home orders against his own staff recommendations.

This isn't about rioting or property loss, or carrying weapons to intimidate. ..this is about how a pandemic ends when politics promotes noncompliance with common sense mitigation.

Specializes in NICU, PICU, Transport, L&D, Hospice.
1 hour ago, herring_RN said:

I agree that we don't have fascism. We DO have Antifa. Twice I've seen them break windows, loot, and start trash can fires in Downtown Oakland, CA when nurses were protesting for safe staffing and another time to keep a hospital open. They wore black clothing, ski masks, and brought their own rocks and frozen water bottles to throw.

We have people in leadership who use the language and tools of facism.

https://www.newyorker.com/news/news-desk/studying-fascist-propaganda-by-day-watching-trumps-coronavirus-updates-by-night

10 hours ago, toomuchbaloney said:

The "economic" protesters were protesting the very mitigation strategies that kept Michigan's cases from going through the roof. Remember "liberate Michigan" when the POTUS was encouraging rebellion against masking, social distancing and stay at home orders against his own staff recommendations.

This isn't about rioting or property loss, or carrying weapons to intimidate. ..this is about how a pandemic ends when politics promotes noncompliance with common sense mitigation.

My guess is a bunch of old rich politicians sat around a table, crunched the numbers, and decided the deaths were outweighed by the economic value of the young continuing to work, and they knew that they personally could isolate until it all blew over. Plus they get the added bonus of wiping a group off social security and Medicare that sucks up a lot of resources. Hence the lack of guidance, and outright intentional encouragement of spreading the virus.

It is a horrible thought, but to me that seems likely what happened.

Specializes in NICU, PICU, Transport, L&D, Hospice.

That offered scenario should only be altered to say a bunch of Trump advisors and appointees decided that it might be a Trumpian idea. There aren't many old politicians making decisions in this administration. There are some young appointees, like Mr Miller who certainly add a real flavor of Despotism to the team.

On 7/16/2020 at 1:42 PM, A Hit With The Ladies said:

The former is the foundational ideology of socialism

Utilitarianism.

Socialism is based on each person's contribution, not on benefit to the community.

On 7/16/2020 at 11:37 AM, A Hit With The Ladies said:

You don't have to buy it. I don't engage in ad hominem personal attacks, anyway.

By the way, you should bring up your "face masks is common-sense" argument up with Fauci, since he's flip-flopped his story since March:

https://www.cbsnews.com/news/preventing-coronavirus-facemask-60-minutes-2020-03-08/

Let's stop obsessing with one single doctor, who you're quoting completely out of context, and start with some peer-reviewed research

https://www.sciencedirect.com/science/article/pii/S0163445320302358

Specializes in Emergency Room.

With a little bit of research, Fauci states that he recommended against mask wearing in March because of the very real risk of taking masks away from health care providers. Whether correct or not, he was concerned about that and was humble enough to come back and say that we should, in fact, be wearing them.

I do not really understand the mask issue in terms of shortages, but that is a topic for another post. Our hospital has changed nothing about their policy on masks. We are still reusing them as before. Is there still a reported shortage?

Anyway, I digress. I have not found any articles that are recent and dispute the validity of mask wearing as a transmission prevention strategy.