public health

Better Safe Than Sorry

© Can Stock Photo / Subbotina

2020 will certainly go down as a memorable year, between the changes in our every day lives and the economic and market developments. My years as caregiver for a person with an extemely fragile immune system has given me a sense of caution about the coronavirus. (Cathy continues to influence me!)

In the spirit of ‘better safe than sorry’ we are seeking some modifications in our work with you. The median age of our advisory clients is in the area of elevated risk, and many of us have other risk factors as well. Here are the things we can do to limit exposure and illness among us all:

  • Many service matters can be done by phone or email; most forms can be signed electronically. This reduces traffic in 228 Main.
  • Schedule appointments in advance, to minimize the chance to be in a crowded place.
  • One on one consultations can be done by phone at your option; we will soon be able to video conference if you prefer.

Of course I will meet with you in person if you need that. We work with you on vital subjects, and we want you to have what you need. For the present we see no reason to suspend face to face visits.

We are doing what we can in the shop to keep it safe, wiping down public surfaces and shared objects, making hand sanitizer available. Handshakes and hugs need to stay virtual for now, not physical.

The best thing that can possibly happen is for everyone to be laughing at me in a few weeks for the needless over-reaction. I desperately hope for that outcome.

Having some experience with respiratory failure leading to death, I’m just wary of a virus that can produce that in a slight fraction of cases in a period of a couple weeks. Thank you for humoring me on this.

Clients, if you would like to talk about this or anything else, please email us or call.

Flattening The Curve

covid1

We have worked to understand as best we can the coronavirus. There are a lot of aspects to it: the health and safety of our family and friends, public health considerations, economic and investment effects. All this, while sorting through information and misinformation of varying quality.

Which of these are true?

“Most people experience negligible symptoms, or those of a typical case of the flu” or “The virus can cause rapid respiratory failure and death”?

“People who have no other health problems and are below age 60 have little risk” or “It is important for everyone to do what they can to slow the spread of the virus”?

“The experience of other countries should comfort us” or “The experience of other countries should concern us”?

Get your mind wide open, because all of these things contain some truth. Those who are below age 60 and healthy will likely only get mild symptoms with a low risk of death. But healthy people can spread it to at-risk people.

Do you have an elderly neighbor? A young cousin with asthma? Relatives with diabetes or cardiac disease? Are you around people that have organ transplants? Or being treated for cancer? No matter what course the virus takes in the weeks and months ahead, some people with those conditions are probably going to be struggling to stay alive. Not all will survive.

To protect ourselves and others, it makes sense to do what we can to slow the rate of infection. If cases spike up rapidly, hospitals will be overwhlemed, with catastrophic effects on care. (This happened in parts of Italy.) If the rate of infection is more moderate, health facilities have a better chance to stay ahead of the curve. It makes a difference on the death rate.

The experts call this moderating effect of slower infection rates “flattening the curve.” It’s a good thing.

The extremes are not where we want to be: the virus is not going to kill us all, but neither is it a big hoax. Clients, if you would like to talk about this or anything else, please email or call.