A Tale Of Two Realities

This is the story of two 'realities'; one is grounded in the ugly facts of a respiratory illness, RSV, in children; the other, essentially an anti-reality, revolves around shortsighted, reactionary hysteria that does nothing to serve the public good.

First, a tale of a medical emergency involving RSV.

When Weronika Drab’s seven-week-old baby — an otherwise healthy boy with a thick head of dark curls — stopped showing interest in breastfeeding and began flaring his nostrils while catching his breath, she knew “something wasn’t right.” What ensued was a harrowing battle against respiratory syncytial virus (RSV), waged over seven days in the local hospital’s pediatric unit.

The portrait of those suffering severe symptoms of this illness is graphic and heartbreaking. Doctor Ronik Kanani, head of pediatrics art North York General Hospital, describes some of those symptoms:

Quick, rapid breaths, wheezing and using extra muscles to breathe are signs infants or young children are having a hard time breathing, Kanani says, noting RSV can also cause pneumonia.

“You might see their belly moving up and down to help them breathe. You might see muscles sucking in between their ribs to help them breathe. There’s so much mucus and inflammation in their lungs they need to use these extra muscles to get a breath.”

Weronika Drab's baby had such symptoms, so she rushed little Ayden to emergency. 

 Drab recalls the first night in the emergency department as “one of the most terrifying of my life” as she watched her son’s oxygen levels plummet on a nearby monitor and a crowd of nurses caring for Ayden.

She said she remembers one nurse supporting Ayden’s head, while another suctioned sticky mucus from his throat and upper airways.

“I couldn’t do anything,” she says. “He was crying — I’ve never heard him cry like that before — and you could tell he was scared; he was so scared.” 

Ayden spent seven days in the hospital’s pediatric unit. He received IV fluids to keep him hydrated and oxygen support through special nasal prongs in his nose. Nurses would often suction out the sticky mucus that caused him to cough and choke and struggle to breathe.

The story goes on, but I think the picture is clear - respiratory ailments in youngsters can be life-threatening and nothing to be dismissive about. 

And yet dismissive is one of the milder words one could use to describe a faction of people attending a school board meeting in Ottawa, where mandatory masking in schools was to be discussed. First, a couple of brief videos capture the madness of 'freedom-fighters' in attendance:

And here is another, showing these 'freedom fighters' in their full faux patriotism, a patriotism that would willingly endanger the lives of the vulnerable:

New trustee Dr. Nili Kaplan-Myrth introduced the motion Tuesday for masks to be required during all activities except for music and other performing arts or sports where they can't be worn, as well as during lunch or snack breaks.

As you can see from the above videos, it did not go well, to the point police had to escort several people out of the building, and the meeting continued only after removing the public and a CBC reporter. 

In response, Kaplan-Myrth posted on Twitter Tuesday night that she's "disgusted that anti-maskers' tactics prevailed."

"They chanted like an angry mob," she continued. "To those who think that your disrespectful conduct is a 'win,' Ottawa children who get sick are your victims."

And what is the rationale for those so adamantly opposed to masking? Of course, the usual suspects were in attendance with their chants of freedom, etc. But there were also parents there who believe their children should not be restricted in any way:

Salma Al-Shehabi, a mother who presented her perspective virtually with her son by her side, requested trustees refrain from implementing mandate masks, citing the importance of children's ability to communicate freely.

She suggested a solution for parents and children concerned about rising respiratory illnesses in the community would be to turn to online learning.

Al-Shehabi said masking "was a personal choice," citing the Ontario Health Ministry's stance. She also noted Moore appeared maskless at an event last week — only days after he "strongly" recommended masks in indoor public settings.

Blake Maguire, a father of four, explained in person how masking has affected his kids. 

"I've noticed anxiety, I noticed depression, my A-student became a C-student," said Maguire, getting emotional. "They're not good for kids right now."

It appears there was at least one rational parent in atendance:

Carolyn Moffatt, a mother of four students, made a virtual presentation in favour of the mask mandate.

Moffatt, who said she was once a midwife with neonatal ICUs and a policy adviser who worked with influenza guidelines, pointed to the current strain on Ontario's children's hospitals due to a surge of respiratory illnesses.

"Do now what you did then. Help our community now," she pleaded with trustees, asking them to repeat their vote to mandate masks in April amid a sixth wave of COVID-19.

So there we have it: a clear and present danger to young children, met with a rabid resistance by misinformed malcontents and misguided parents. 

Oh, Canada indeed. 

 

 

  

Our Inability to Behave Humanely Or Reasonably

 

H/t Moudakis

Many years ago, I would periodically buy The National Lampoon, the era's  pre-eminent journal of satire. One of its covers has always remained in memory:

Presumably a spoof on the tendency of fund-raising organizations to use emotional ploys to encourage donations, it was also a devastatingly effective reminder of how emotion often strongly affects our decision-making, both for good and ill.

Years of observation and experience suggest to me that the role of emotion or reason in positive decision-making has passed. The only problem is that here in Ontario, our Chief Medical Officer of Health, Kieran Moore, has not gotten the memo.

In his press briefing yesterday, the good doctor appeared to take two tacks: an appeal to reason, based on the rising number of pediatric cases overwhelming hospitals, and an appeal to emotion, as he urged all of us to mask up "for the kids". Indeed, if one cares to look, one can readily find pictures and videos of kids struggling to breathe.

But will that be effective? In his column today, Edward Keenan suggests it will not, arguing that while Canadians are a rule-following people, they are less amenable to suggestions, even when strongly argued:

... in the past, I’ve found myself ignoring warning signs and wandering dangerously close to the edge of the Scarborough Bluffs and then, suddenly realizing I might fall off a cliff, wondering why there wasn’t a high fence to force people to stay away. Maybe a clear warning and an obvious danger — a sheer cliff drop-off, masses of hospitalized children — aren’t warning enough for us, because we’re somehow conditioned to think if something is really important, we won’t be given a choice.

Conducting a social experiment, Keenan donned a mask and went into the Toronto subway system.

In my subway cars, I counted about a quarter to a third of people wearing masks. In the Eaton Centre around lunch time, the number of people masked was more like 15 per cent. Inside City Hall, my observation was closer to 5-10 per cent of people masked.

Most of us say we’d wear a mask if officials say we have to, and a majority of us even say we think they should tell us we have to. But man, it appears most of us won’t do it unless we have to.

What seems reasonable to me is that mask wearing is a measure most of us could easily toggle on and off as needed to head off more severe measures and more severe consequences. What also seems reasonable to me is that if top doctors and public health officials are begging me to consider wearing one because hospitals are getting overwhelmed, then maybe that ought to be persuasive.

The goal, here, obviously, is for as many of us as possible to make it happy and healthy and alive to a time when there’s no real reason to wear masks when we go out. Maybe at some later point, it will make sense to wear masks again, for a while, to again ensure more of us can survive and thrive. Is that too big a burden to accept? And do we need a law to force us to co-operate every time?

Keenan uses reason and reasonable several times in the above. However, as we have seen in the past few years, so many seem to have abandoned that faculty, instead embracing negative emotional reactions to the problems confronting us, up to and including our present medical crises.

Do the right thing, urges Dr. Moore. Are enough of us even capable of that anymore?