
And we’re on to March, having survived Leap Day. Hopefully this one will be a harbinger of better times than the last one was, arriving just as the pandemic was seeding itself worldwide, outside of China leading to several years of topsy-turvydom which certainly led my life in some unexpected directions. I posted a photograph of the roof of the Castel San Angelo in honor of Leap Day but I don’t think anyone got the joke. Well I thought it was funny. (For those of you scratching your head, the last scene of Puccini’s Tosca takes place on the roof of that building in Rome. After her lover Cavadradossi is executed by firing squad, Tosca leaps from the battlements to her death in despair). There is an old story about the last scene in Tosca, probably apocryphal, about a production done on a limited budget somewhere in the Midwest. The supernumeraries hired to play the firing squad were, for some reason, not rehearsed. On the night of the performance, they were told to go on stage, shoot the person that was singing and then follow someone off stage. Of course, at the dramatic end of the opera, the firing squad shot Tosca rather than Cavaradossi and then decided to follow her offstage, filing up one by one to leap off the battlements after her. Live theater… there’s nothing like it.
My very long ‘to do’ list is starting to come under control. The one thing I haven’t been able to fit in yet is some hours doing some review question CME needed to maintain my boards in geriatrics. Fortunately, I have until the end of the month so there’s plenty of time. I just need to open them up and do a few so I feel like it;s in process and then things will feel better. Today’s ‘to do’ involved spending four hours waiting at the Toyota dealership so Hope could have her complete 30,000 mile check up. It cost a small fortune but I have been told she’s good to go for another 30,000 miles or so. At that point, she’ll be about eight or nine years old so I’ll consider trading her in on a newer model.

Covid is back in the news again with the CDC’s dropping of a specific quarantine requirement during the recovery period, bringing the recommendations for Covid in line with those for flu and RSV. Basically, you’re good to go once you’re 24 hours past fever/symptoms. From what I can tell this was just a bending to the reality that society was pretty much ignoring quarantine recommendations and, if that was going to be the case, it doesn’t really offer any additional public health protections to keep people locked away for additional days. This change seems to have caused a social media ruckus on both sides. On one side, those who advocate for protecting everyone from a virus which remains a serious unknown quantity, especially with the spreading on Long Covid, are upset by a relaxing of restrictions, quite correctly pointing out that there will be additional cases because of this. On the other side, a lot of bloviation regarding this proves that the virus wasn’t dangerous and that we shouldn’t have shut down, and that the vaccines are killing millions and other such nonsense. Calm down everyone. Here’s where we stand.
Covid-19 isn’t going anywhere and will be part of our world as long as any of us is around. There is now substantial immunity, both due to natural immunity from prior infection and from vaccine. This plus the evolution of the organism has apparently made it less virulent with recent strains. (There’s no guarantee this will last). This winter, it was killing about 2,000 people a week which falls to about 1,000 people a week as the weather warms up. After three years where it was the third leading cause of death in the country behind only heart disease and all cause cancer, it looks like it’s going to settle in at about 50-60,000 deaths a year, putting it at roughly the same death toll as colon cancer or pancreatic cancer and well ahead of breast cancer. In comparison, Flu usually only kills 15-20,000 a year so those who say it’s no worse than flu don’t know what they’re talking about.

It looks like we’re going to fall into an annual fall Covid vaccination to go along with the annual fall flu shot and that this should suffice for most of us. There is some data to suggest that the very elderly over 85, nursing home bound or the physiologically frail receive second booster in the spring but the jury is still out. Are the vaccines and boosters dangerous, yes there are some rare cases of myocarditis and neural issues that have been linked to the vaccines but the rates are about 1/1000 – 1/10000 the rates that an infection causes these issues so I’m going to continue to be boosted going forward. I’m in the minority. Only about 15% of American adults took the most recent booster this past fall. If the virus mutates rapidly into something unpleasant, we may be screwed.
We’re still not sure about Long Covid and what it is and who has it and who doesn’t. But there’s a lot of scientific study going on world wide to try and figure this out. Got to remember that Covid is a whole body, not just a respiratory disease. There’s a lot of data being published currently regarding the neurologic implications of Covid infection and Long-Covid. Covid interferes with the blood brain barrier and can cause neural inflammation. A bad case of Covid seems to knock about six points off your IQ. It’s unclear if that comes back or if additional infections knock off more in cumulative fashion. Every Covid infection you get, increases the chances of Long Covid so the best way to stave it off is primary prevention – don’t catch the disease in the first place. Wash your hands. Avoid sick contacts. Don’t spend too much time in enclosed spaces with poor air circulation with thousands of your closest friends. Fortunately, a lot of public buildings are starting to be retrofitted with better air flow systems which is one of the best prevention measures we have. Should you mask? It’s unclear but I would if I was immune compromised or had other conditions which would make me more prone to complications should I develop the disease.
I have two more short writing projects to complete and then I can peruse the streaming channels for a movie. If I have energy, MNM will be unleashed again.




























