{"id":10289,"date":"2021-12-15T09:21:54","date_gmt":"2021-12-15T14:21:54","guid":{"rendered":"https:\/\/blogs.nejm.org\/hiv-id-observations\/?p=10289"},"modified":"2022-01-29T14:42:14","modified_gmt":"2022-01-29T19:42:14","slug":"do-we-need-to-remind-people-that-covid-19-is-truly-awful","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/do-we-need-to-remind-people-that-covid-19-is-truly-awful\/2021\/12\/15\/","title":{"rendered":"Do We Need to Remind People that COVID-19 Is Truly Awful?"},"content":{"rendered":"<p>Last month, I read a deeply harrowing description of what it&#8217;s like to be hospitalized with severe COVID-19. I strongly urge you to read the full thread:<\/p>\n<p>https:\/\/twitter.com\/CRStoli\/status\/1458600993621430272?s=20&#038;t=km6XxJ5IDsQGQKsygjXfWg<\/p>\n<p>Something about the plain, direct language he uses to describe the patient experience hits home here like few other depictions I&#8217;ve read &#8212; it rings true in so many ways.<\/p>\n<p>And many of us in healthcare might forget just how dehumanizing and uncomfortable hospitalization can be &#8212; not just the severe discomfort of being critically ill, but the added insults of daily early AM blood draws, terrible food, scratchy pillows, and loss of privacy.<\/p>\n<div id=\"attachment_10291\" style=\"width: 260px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10291\" class=\"wp-image-10291\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-745x1024.jpg\" alt=\"\" width=\"250\" height=\"343\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-745x1024.jpg 745w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-218x300.jpg 218w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-768x1055.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-1118x1536.jpg 1118w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-1491x2048.jpg 1491w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/peter-scaled.jpg 1863w\" sizes=\"auto, (max-width: 250px) 100vw, 250px\" \/><p id=\"caption-attachment-10291\" class=\"wp-caption-text\">Peter in the captain&#8217;s chair.<\/p><\/div>\n<p>The author is Chris Stolarski, associate director of university communication at Marquette University in Milwaukee, who was kind enough to talk with me further on <a href=\"https:\/\/academic.oup.com\/ofid\/pages\/Podcasts\" target=\"_blank\" rel=\"noopener\">an OFID podcast,<\/a> which is also embedded at the bottom of this post. You can tell from our chat that Stoli (that&#8217;s what everyone calls him) is by nature an upbeat person &#8212; a Groucho Marx fan and music lover, with a particular fondness for old dachshunds. Here&#8217;s his pup Peter, by the way.<\/p>\n<p>Still, Stoli is quite clear that he nearly died &#8212; his hospitalization was a terrifying nightmare, and his recovery far from easy, the illness leaving him with permanent nerve damage and tachycardia. He&#8217;s hopeful that telling his story will convince more people to take COVID-19 seriously and get vaccinated. (He contracted COVID-19 before vaccines were available.)<\/p>\n<p>Why is this still important? Well just this week, The Atlantic published a piece entitled, <em><a href=\"https:\/\/www.theatlantic.com\/ideas\/archive\/2021\/12\/where-i-live-no-one-cares-about-covid\/620958\/\" target=\"_blank\" rel=\"noopener\">Where I Live, No One Cares About COVID<\/a>,<\/em> by Matthew Walther.<\/p>\n<p>In a bemused, and at times openly mocking tone, he cites the ongoing concerns about COVID-19 as the domain of the coastal, urban elites. For him and his family, living in rural Michigan, life has been back to pre-pandemic normal for nearly two years.<\/p>\n<p>Here&#8217;s a typical passage, in which he openly ridicules media coverage of how to gather safely during the holiday season:<\/p>\n<p style=\"padding-left: 40px\">As Christmas approaches, we can look forward to more of this sort of thing, with the meta-ethical speculation advanced to an impossibly baroque stage of development. <em>Is it okay for our 2-year-old son to hug Grandma at a Christmas party if she received her booster only a few days ago? Should the toddler wear a mask except when he is slopping mashed potatoes all over his booster seat? Our oldest finally attended her first (masked) sleepover with other fully vaccinated 10-year-olds, but one of them had a sibling test positive at day care. Should she stay home or wear a face shield? What about Omicron?<\/em><\/p>\n<p style=\"padding-left: 40px\">I don\u2019t know how to put this in a way that will not make me sound flippant: No one cares.<\/p>\n<p>Yes, he&#8217;s an excellent writer. Also yes, he&#8217;s deeply wrong about this last sentence &#8212;\u00a0<em>No one cares<\/em>\u00a0should more accurately really read, <em>I don&#8217;t care.\u00a0<\/em>Otherwise, he&#8217;s guilty of the same echo-chamber bias he&#8217;s leveling at\u00a0&#8220;the professional and managerial classes in a handful of major metropolitan areas.&#8221;<\/p>\n<p>Readers of this site will no doubt be aware that Walther chose to write this piece as cases and hospitalizations due to COVID-19 continue to increase rapidly in most of the United States &#8212; including in Walther&#8217;s state of Michigan:<\/p>\n<div id=\"attachment_10290\" style=\"width: 481px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10290\" class=\" wp-image-10290\" src=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/B2KHL7LDBNDDROUGLOOVLY33EQ.png.jpeg\" alt=\"\" width=\"471\" height=\"284\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/B2KHL7LDBNDDROUGLOOVLY33EQ.png.jpeg 792w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/B2KHL7LDBNDDROUGLOOVLY33EQ.png-300x181.jpeg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2021\/12\/B2KHL7LDBNDDROUGLOOVLY33EQ.png-768x464.jpeg 768w\" sizes=\"auto, (max-width: 471px) 100vw, 471px\" \/><p id=\"caption-attachment-10290\" class=\"wp-caption-text\">Source: Michigan Department of Health and Human Services<\/p><\/div>\n<p>We&#8217;re sadly on the same grim trajectory we were last winter &#8212; and this is before the highly transmissible Omicron variant makes a major push into our country. We might deeply want COVID-19 to be over, but this doesn&#8217;t magically make it happen &#8212; the virus couldn&#8217;t care less.<\/p>\n<p>Not surprisingly, Walther&#8217;s piece triggered the ire of many (raises hand!), in particular front-line healthcare workers who can&#8217;t hide from the disease. Here&#8217;s a particularly good (and angry) commentary from University of Colorado&#8217;s Dr. Josh Barocas, who kindly substituted * for certain letters so I could quote it here on these pages:<\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"500\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">As an ID physician, frontline worker, &amp; public health professional, I think I\u2019ve generally held my sh*t together pretty well over the past two years (not lashing out, being civil) but this garbage <a href=\"https:\/\/twitter.com\/TheAtlantic?ref_src=twsrc%5Etfw\">@TheAtlantic<\/a> article undid me (let me explain)-please read<a href=\"https:\/\/t.co\/oWyLwtKmcj\">https:\/\/t.co\/oWyLwtKmcj<\/a><\/p>\n<p>&mdash; Josh Barocas, MD (@jabarocas) <a href=\"https:\/\/twitter.com\/jabarocas\/status\/1470581260489670660?ref_src=twsrc%5Etfw\">December 14, 2021<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<p>Well said, Josh. Because the answer to the question posed by title of this post is clearly <em>YES.<\/em><\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-10289-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/the_ofid\/content.blubrry.com\/the_ofid\/OFID-38_Stolarski_Nov_2021_ofid.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/the_ofid\/content.blubrry.com\/the_ofid\/OFID-38_Stolarski_Nov_2021_ofid.mp3\">https:\/\/media.blubrry.com\/the_ofid\/content.blubrry.com\/the_ofid\/OFID-38_Stolarski_Nov_2021_ofid.mp3<\/a><\/audio>\n<p>(Transcript <a href=\"http:\/\/static.primary.prod.gcms.the-infra.com\/static\/site\/ofid\/document\/ofidpodcast38transcript?node=16ade7bb33300a1753d3\" target=\"_blank\" rel=\"noopener\">here<\/a>.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last month, I read a deeply harrowing description of what it&#8217;s like to be hospitalized with severe COVID-19. I strongly urge you to read the full thread: https:\/\/twitter.com\/CRStoli\/status\/1458600993621430272?s=20&#038;t=km6XxJ5IDsQGQKsygjXfWg Something about the plain, direct language he uses to describe the patient experience hits home here like few other depictions I&#8217;ve read &#8212; it rings true in [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,5,8],"tags":[],"class_list":["post-10289","post","type-post","status-publish","format-standard","hentry","category-health-care","category-infectious-diseases","category-patient-care"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/10289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=10289"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/10289\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=10289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=10289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=10289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}