Alberta
LISTEN: My date with self-isolation amid the Covid 19 scare – J’Lyn Nye Interview
I was happy to join J’Lyn Nye today on 630 CHED to discuss this. Here is a link to the interview.
It’s funny how these things go. I don’t buy lottery tickets so it’s only fitting that I would be one of the 4.5 million Albertans who may have come into contact with one of Alberta’s now 14 confirmed cases of Covid 19 (Coronavirus Disease). You can do the math if you’re an oddsmaker, but the odds are improving that you too will come into contact with this virus.
It started with a phone call late yesterday afternoon (March 9th) from a nurse in the contagious disease unit at AHS. She informed me that a person who had tested positive for the virus had been at a place of business in Leduc at the same time I had been there for an appointment.
After asking a number of questions about how I was feeling, she told me that they’d like me to “self-isolate” for 14 days. During that time, I should take my temperature twice a day and if I develop any symptoms, to call and they’d arrange for a test. There really is no treatment at this point as a vaccine is yet to be developed and will likely be another 12-18 months away from widespread use.
So here I sit. Do I self-isolate? Do I go about my business? I’m a healthy guy. I’ve only had the flu once in my lifetime that I can remember, so what are the chances that I might test positive for this? Again, I’m not an oddsmaker, and certainly not a doctor. In fact, it’s not like the flu at all so that’s a useless comparison. The chances are probably slim. So I look at my calendar. Reality is that I’m lucky. I operate a digital media platform and literally 100% of my work can be done online if needed. I work from home 80% of the time, leaving the house for various business appointments and social events. Luckily my calendar is light with nothing that can’t be moved or dealt with online.
There is one niggly thing though. A recording session this coming Sunday with a band I sometimes play guitar with in Central Alberta. By Sunday, I should be virtually good to go, that being day 12 after my potential contact. It took a lot of schedule bashing to pull everyone together to do this session. Maybe I should just risk it and not tell anyone. And then I think about that … none of my bandmates are getting any younger, in fact, if I’m facing reality, we’re probably all in that age sweet spot where we’re most-susceptible.
Ok, decision made. Postpone the session. Schedule is now clear except for a couple of sundry tasks that can be accomplished with limited help from some friends.
But … then I think about if I worked at a job where I don’t get paid unless I show up to work. Maybe I’m a contractor. Maybe I have a family and am the sole income earner, or I’m a single parent working two part time jobs. I’m not sure I would make the same decision. I mean, seriously, I feel fine. Not even a sniffle. Would I stay home? Or go make some money to pay my monthend bills? I’m happy I don’t have to make that decision.
“… Another thing I’ve thought quite a bit about is toilet paper…”
I’ve now had 18 hours to process all of this and think it through. I must admit, I’ve never really thought that much about how a disease spreads, other than notionally knowing it happens through various forms of contact, and I think is more prone to spread in certain environments; heavily populated, warm, humid conditions, etc. A scientist I am not.
My date with self-isolation has given me a very real opportunity to reflect on my own travels and interactions since having potentially being exposed to the virus eight days ago. With this newfound time in my schedule, I’ve had a chance to think this through. Since yesterday afternoon, I’ve taken myself out of circulation. I have eliminated my risk to others. With luck I won’t test positive, and everyone in my circle will be spared from self-isolation. I will pull out a guitar and work on the material for the session we postponed. Overall, I’m starting to feel pretty good about my decision.
“…I wonder, can our system possibly get on top of this? It feels like a hopeless task, yet we have to try, right?…”
But what if, just what if, I become Positive Confirmation #8 in the province? Suddenly, everyone I’ve been around since March 3rd becomes of interest. Is Arnie at risk? I attended the Power of Success show last Thursday in Edmonton with Arnold Schwarzenegger and Friends. Lucky for them I couldn’t afford the Platinum ticket that would have given me the opportunity shake Arnie’s hand and get my picture taken with the man himself. I’d certainly have been within 2 meters, and I know we would have had a proper and firm handshake.
“…There will no doubt be businesses that close as a result of this- some for good…”
Oh. Something else … the long-term care home I where I visited my Dad and his wife this past Sunday? That could get messy, considering I also spent time with his doctor, one of the few in the area.
Or the auto repair shop I limped my sick car to yesterday morning after taking out both rims on the right side Sunday when I tangled with one of the ridiculously large and dangerous potholes at 110 kph on Highway 43. (That’s a whole other rant!)
The list goes on. As I think of the permutations and potential for chaos, it’s sobering. How quickly this can spread here is yet to be seen. It doesn’t spread through the air like measles, but it does spread through contact, or droplets generated by a sneeze or cough, and can live on surfaces we touch. Washing hands and cleaning surfaces is critical to helping stop the spread, and that’s just basic common sense anyway.
“However, it can spread person to person by larger droplets, like from a cough or sneeze, or by touching contaminated objects, then touching your eyes, nose or mouth,” says Dr. Deena Hinshaw, Alberta’s chief medical officer of health.
I wonder, can our system possibly get on top of this? It feels like a hopeless task, yet we have to try, right? Maybe geting on top of it isn’t possible. But can we slow the spread with a precaution like I’m being asked to take? Yes we can. But what else has to happen if we’re to make the mitigation effort as effective as possible?
There will no doubt be businesses that close as a result of this- some for good. Think about it. If I go for a coffee everyday at my favourite coffee shop, but because my employer has asked us all to work from home, that coffee shop owner is going to miss out on my $3 bucks a day. And let’s say that happens for 2 weeks. That’s ten cups of coffee, or $30 dollars. I’m not going to go in on the first day back and buy ten cups of coffee. No, I’ll buy one. That money is lost. Multiply that by 100 customers a day and the numbers can add up to a point where many small businesses can’t survive.
There needs to be programs to help them recover. Maybe there are already. What about for the wage earner who has to take time off work to self isolate and make the community safer for everyone else. Is there a program to help them reover their lost wages? How long will that take to put money back in their wallets should they make the sacrifice for the safety of the community? If we’re serious about mitigation, we will need to really think about how to deal with the downstream consequences.
This isn’t survival of the fittest. We need those employers and their employees to get through this and be there when this passes, or we’ll be in even worse shape.
Another thing I’ve thought quite a bit about is toilet paper.
Although this is a new virus and research is only starting to be evaluated, it appears to affect respiratory function more so than gastronomic function, though again, it’s pretty early to know for sure. But best I can tell, there is no way that I need to have a year’s supply of toilet paper on hand. I can see having more than normal, just in case things get out of hand. But to be hoarding it for some weird survivalistic reason, especially against a backdrop of short-term supply shortages exacerbated by recent rail blockages seems … well, just completely irrational to me. Settle down, there’s more coming! And hey, if you’re sick enough to go through that much toilet paper, there may be even more wrong with you and you’ll probably be in a hospital. Show a little kindness for the butts of your neighbours. Like that old joke “…Dick’s a hoarder. Don’t be a Dick…”
Seriously, take a moment and give this a bit of thought. This can change pretty fast, like it did for me. A phone call. And then you don’t go out again for up to 14 days. So think in terms of a 3 week supply of things you’ll need. If you’re alone and have nobody to help you, then you’ll need to be even more diligent in planning.
I’ll let you know how it goes. Hopefully I’ll see you in a couple of weeks!
Here is a link with helpful tips that will help you make an appropriate plan.
From the Government of Canada:
If COVID-19 becomes common in your community, you will want to have thought about how to change your behaviours and routines to reduce the risk of infection.
Your plan should include how you can change your regular habits to reduce your exposure to crowded places. For example, you may:
- do your grocery shopping at off-peak hours
- commute by public transit outside of the busy rush hour
- opt to exercise outdoors instead of in an indoor fitness class
Your plan should also include what you will do if you become sick. If you are a caregiver of children or other dependents, you will want to have thought ahead to engage backup caregivers.
You should also think about what you will do if a member of your family becomes sick and needs care. Talk to your employer about working from home if you are needed to care for a family member at home. If you, yourself, become ill, stay home until you are no longer showing symptoms. Employers should not require a sick leave note as that will put added pressure on limited health care services.
Your plan should include shopping for supplies that you should have on hand at all times. This will ensure you do not need to leave your home while you are sick or busy caring for an ill family member.
Your plan should build on the kits you have prepared for other potential emergencies. For more information on how to prepare yourself and your family in the event of an emergency, please visit getprepared.ca.
Read more on Todayville Edmonton.
This article was originally published on March 10, 2020.
Alberta’s government is launching a public engagement to gather input about legislation and policies around assisted suicide, also referred to as medical assistance in dying (MAID).
Medical assistance in dying is a process that allows an eligible person to receive assistance from a medical practitioner in ending their life. To be found eligible, a person must be suffering from a serious and permanent medical condition.
Alberta’s government is reviewing how MAID is regulated to ensure there is a consistent process as well as oversight that protects vulnerable Albertans, specifically those living with disabilities or suffering from mental health challenges. An online survey is now open for Albertans to share their views and experiences with MAID until Dec. 20.
“We recognize that medical assistance in dying is a very complex and often personal issue and is an important, sensitive and emotional matter for patients and their families. It is important to ensure this process has the necessary supports to protect the most vulnerable. I encourage Albertans who have experience with and opinions on MAID to take this survey.”
In addition to the online survey, Alberta’s government will also be engaging directly with academics, medical associations, public bodies, religious organizations, regulatory bodies, advocacy groups and others that have an interest in and/or working relationship to the MAID process, health care, disabilities and mental health care.
Feedback gathered through this process will help inform the Alberta government’s planning and policy decision making, including potential legislative changes regarding MAID in Alberta.
“Our government has been clear that we do not support the provision of medically assisted suicide for vulnerable Albertans facing mental illness as their primary purpose for seeking their own death. Instead, our goal is to build a continuum of care where vulnerable Albertans can live in long-term health and fulfilment. We look forward to the feedback of Albertans as we proceed with this important issue.”
“As MAID is a federally legislated and regulated program that touches the lives of many Albertans, our priority is to ensure we have robust safeguards to protect vulnerable individuals. Albertans’ insights will be essential in developing thoughtful policies on this complex issue.”
The federal Criminal Code sets out the MAID eligibility criteria, procedural safeguards and reporting obligations. The federal government has paused MAID eligibility for individuals with a mental illness as their sole underlying medical condition until March 2027 to ensure the provincial health care systems have processes and supports in place. Alberta’s government does not support expanding MAID eligibility to include those facing depression or mental illness and continues to call on the federal government to end this policy altogether.
Related information
Despite falling into disrepute in recent years, “follow the science” remains our best shot at getting at the truth of the physical sciences.
But science, if we are to place our trust in it, must be properly defined and understood; it is at its essence an ever-changing process, a relentless pursuit of truth that is never “settled,” and one that is unafraid to discard old hypotheses in the face of new evidence.
And it is in this light—in the unforgiving glare of honest science—that Alberta Premier Danielle Smith’s three new legislative initiatives around gender policy are properly understood, notwithstanding the opprobrium they’ve attracted from critics.
Bill 26, the Health Statutes Amendment Act, proposes to prohibit the prescription of puberty blockers and cross-gender hormones for the treatment of gender dysphoria to youth aged 15 and under. It would allow minors aged 16 and 17 to begin puberty blockers and hormone therapies for gender “reassignment” and “affirmation” purposes only with parental, physician, and psychologist approval. The bill also prohibits health professionals from performing sex reassignment surgeries on minors.
Bill 27, the Education Amendment Act, seeks to enshrine parents’ rights to be notified if their kids change their names/pronouns at school, and it gives parents the right to “opt in” to what sort of gender and sex education their kids are exposed to in school.
And Bill 29, the Fairness and Safety in Sports Act, is designed to protect females in sports by ensuring that women and girls can compete in biological female-only divisions, while supporting the formation of co-ed opportunities to support transgender athletes.
Each of these initiatives is entirely reasonable, given what we know of the science underpinning “gender care,” and of the undeniable advantages that a male physique confers upon biological males competing in sports.
The notion that the trifecta of puberty blockers, cross-gender hormones, and revisionist surgery is a pathway to good health was a hypothesis initially devised by Dutch researchers, who were looking to ease the discomfort of transgender adults struggling with incongruence between their physical appearance and their gender identities. As a hypothesis, it was perhaps reasonable.
But as the UK’s Cass Review exposed in withering detail last spring, its premises were wholly unsupported by evidence, and its implementation has caused grievous harm for youth. As Finnish psychiatrist Riittakerttu Kaltiala, one of the architects of that country’s gender program, put it last year, “Gender affirming care is dangerous. I know, because I helped pioneer it.”
It’s no accident, then, that numerous European jurisdictions have pulled back from the “gender affirming care” pathway for youth, such as Sweden, Finland, Belgium, the Netherlands, and the United Kingdom.
It makes perfect sense that Canadians should be cautious as well, and that parents should be apprised if their children are being exposed to these theories at school and informed if their kids are caught up in their premises.
Yet the Canadian medical establishment has remained curiously intransigent on this issue, continuing to insist that the drug-and-surgery-based gender-affirming care model is rooted in evidence.
Premier Smith was asked by a reporter last month whether decisions on these matters aren’t best left to discussions between doctors and their patients; to which she replied:
“I would say doctors aren’t always right.”
Which is rather an understatement, as anyone familiar with the opioid drug crisis can attest, or as anyone acquainted with the darker corners of medical history knows: the frontal lobotomy saga, the thalidomide catastrophe, and the “recovered memories of sexual abuse” scandal are just a few examples of where doctors didn’t “get it right.”
As physicians, we advocate strongly for self-regulation and for the principle that medical decisions are private matters between physicians and patients. But self-regulation isn’t infallible, and when it fails it can be very much in the interests of the public—and especially of patients—for others to intervene, whether they be journalists, lawyers, or political leaders.
The trans discussion shouldn’t be a partisan issue, although it certainly has become one in Canada. It’s worth noting that Britain’s freshly elected Labour Party chose to carry on with the cautious approach adopted by the preceding administration in light of the Cass Review.
Premier Smith’s new polices are eminently sensible and in line with the stance taken by our European colleagues. None of her initiatives are “anti-trans.” Instead, they are pro-child, pro-women, and pro-athlete, and it’s difficult to see how anyone can quibble with that.
Dr. J. Edward Les, MD, is a pediatrician in Calgary, senior fellow at the Aristotle Foundation for Public Policy, and co-author of Teenagers, Children, and Gender Transition Policy: A Comparison of Transgender Medical Policy for Minors in Canada, the United States, and Europe.
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