{"id":4748,"date":"2021-09-14T08:15:48","date_gmt":"2021-09-14T12:15:48","guid":{"rendered":"https:\/\/dahlman.online\/?p=4748"},"modified":"2021-09-14T08:15:53","modified_gmt":"2021-09-14T12:15:53","slug":"im-not-a-doctor","status":"publish","type":"post","link":"https:\/\/dahlman.online\/index.php\/2021\/09\/14\/im-not-a-doctor\/","title":{"rendered":"I\u2019m Not a Doctor"},"content":{"rendered":"\n

Not Even on TV<\/h3>\n\n\n\n

I\u2019m not a doctor.  I don\u2019t even play one on TV, though there were times over the years where I had to give medical-like aid and advice on cross country trails miles away from trainers or medics.  I am an interested \u201cobserver\u201d, particularly of the intersection of science, medicine and politics.  So I\u2019ve done my best to understand the intricacies of our current national pandemic.  <\/p>\n\n\n\n

It doesn\u2019t take a medical degree, or a doctorate in molecular biology, to understand our current situation.  A viral infection is spreading across our nation.  For many, infection is an inconvenience, like a bad cold. For some it is a serious health issue, with symptoms lasting for months.  And for a few, infection results in hospitalization, intensive care treatment, and even death.  A few is a relative term.  There are more than 680,000 deaths<\/a> to Covid in the United States, at a rate now accelerating to 1000 deaths a day, again.<\/p>\n\n\n\n

This viral infection spreads through the air, person to person.  And like most viruses, this virus goes through mutations.  It is in that mutation process that our nation has reached a political crisis.  <\/p>\n\n\n\n

Genetic Mistakes<\/h3>\n\n\n\n

OK \u2013 so this when an old social studies teacher tries to explain science (I guess that\u2019s better than math).  Viruses don\u2019t mutate because their \u201cevil\u201d.  They mutate because there are \u201cmistakes\u201d in their genetic code when they replicate (that is, make more viruses).  And most of those mistakes mean that the virus with the mistake doesn\u2019t survive.  But the more \u201creplication\u201d, the more opportunity for a \u201cmistake\u201d to be \u201cgood\u201d for the virus (that means, in this case, bad for us). <\/p>\n\n\n\n

So, for example, somewhere in the millions of people (more than 225 million worldwide<\/a>) the original Covid-19 virus mutated to become more infective to humans.  That mutation, the Delta variant, could infect more people, and therefore got the chance to replicate (reproduce) even more, and quickly became the dominant strain. <\/p>\n\n\n\n

We know that the vaccines, particularly the MRNA vaccines from Pfizer and Moderna, are very effective against original Covid-19.  We also know that they are still pretty effective against the Delta Variant.  They are not quite as good at preventing people from catching it, though still pretty good \u2013 only 1 in 5000 vaccinated folks are likely to get a \u201cbreak-through\u201d (the vaccine) infection. And even those that get infected, have much better health outcomes.<\/p>\n\n\n\n

So if everyone in the United States were vaccinated, there would be less infection, less death, and here\u2019s the big one:  less opportunity for the virus to mutate into a more effective killer.  One more time:  if fewer people can be infected with the virus, the virus is denied the opportunity to mutate into something worse.<\/p>\n\n\n\n

Freedom\u2019s Just a Word<\/h3>\n\n\n\n

I have discussions with my non-vaccinated friends.  I\u2019m glad they are still willing to talk, in our polarized society today it\u2019s so easy to not even listen (that goes both ways).  And their consistent statement goes like this:<\/p>\n\n\n\n

\u201cIt\u2019s OK that you want to be vaccinated.  That\u2019s your choice.  But it\u2019s my freedom to make a different choice.  That\u2019s my choice, not yours\u201d.<\/em><\/p>\n\n\n\n

Some even go so far as to put that thought into the language of the pro-choice movement:  \u201cMy Body, My Choice\u201d.  <\/em><\/p>\n\n\n\n

The United States has a long tradition of medical choice.  We allow folks to sign Do Not Resuscitate orders, preventing hospitals from taking extraordinary steps to save their lives.  We also allow those with terminal illnesses to determine when it\u2019s time to stop treatment, and let the illness take its course.  And we even have the Hospice movement, where folks are allowed to die without undue interference from the medical profession, given palliative care to keep them comfortable in their final hours and days.<\/p>\n\n\n\n

But all of those choices have one thing in common.  It\u2019s about the fate of a single patient, making their own decision about their life and death.  Even in the question of abortion, it is the decision of the woman about the fetus she is carrying.  Without opening that debate, it\u2019s still one and one, or depending on your belief, perhaps two.<\/p>\n\n\n\n

Government and Vaccines<\/h3>\n\n\n\n

I am sixty-five (today!!).  On the side of my left arm, between bicep and triceps, there is a small circular scar, hard to even see.  It is a smallpox vaccination.  My generation was one of the last to carry that scar, because by vaccinating everyone, we actually ended the disease.  There was no one left to carry it onto someone else, and it disappeared.  Smallpox was the scourge of civilizations for thousands of years.  It wiped out cities and armies.  In fact, George Washington, a scarred survivor of smallpox himself, required his Continental Army to be vaccinated with cow pox, a similar, less serious illness that provided protection from its deadly cousin.<\/p>\n\n\n\n

The whole point is by vaccinating everyone for smallpox, it ended.  Unfortunately we aren\u2019t likely to be so \u201clucky\u201d with Covid.  We can all get vaccinated, but the virus will probably continue.  But what we can do is reduce the opportunity for Covid variants that might make the vaccines ineffective.  <\/p>\n\n\n\n

But to do that, we have to reduce the spread of Covid.  That requires vaccination.  And here\u2019s where the argument \u201cMy Body, My Choice\u201d <\/em>falls aside.  Because it is your body, but your choice is impacting everyone else\u2019s bodies.  By allowing the spread of Covid, and the opportunity for more variants, you are threatening us all.  We stop Covid variants by vaccinations that work, now, rather than wait for variants that can overwhelm the vaccine.<\/p>\n\n\n\n

Fire in a Crowded Theatre<\/h3>\n\n\n\n

It is your body, but it is our national body.  We require all sorts of vaccinations for highly transmissible diseases , from polio to measles, to mumps and the ubiquitous \u201crubella\u201d.  We have found ways to contain all of those \u201cchildhood\u201d diseases in just my lifetime (I had measles, mumps, scarlet fever and chicken pox; the actual diseases).  By doing so, we prevented countless injuries and deaths.<\/p>\n\n\n\n

Yep, the Covid vaccine is new.  We don\u2019t have long-term, ten-year studies on the impact of the vaccine.  And we don\u2019t have long-term, ten-year studies on the impact of having Covid either.  But we do know that Covid kills people now, and with the wrong variant, could kill a whole lot more.  And we know how to stop it.<\/p>\n\n\n\n

There\u2019s a famous line about the freedom of speech:\u00a0\u00a0you can\u2019t yell FIRE in a crowded theatre.\u00a0\u00a0That\u2019s because the ensuing panic might injure many.\u00a0\u00a0And there\u2019s another famous line:\u00a0\u00a0your freedom of action ends when your fist hits my nose.\u00a0\u00a0When it comes to Covid vaccination, \u201cMy Body, My Choice\u201d means we all are in danger.\u00a0\u00a0Those who claim that are yelling Fire, and punching the rest of us square in the nose.\u00a0\u00a0<\/p>\n\n\n\n

And that\u2019s why it\u2019s different.<\/p>\n","protected":false},"excerpt":{"rendered":"

Not Even on TV I\u2019m not a doctor.  I don\u2019t even play one on TV, though there were times over the years where I had to give medical-like aid and advice on cross country trails miles away from trainers or medics.  I am an interested \u201cobserver\u201d, particularly of the intersection of science, medicine and politics.  So I\u2019ve done … Continue reading “I\u2019m Not a Doctor”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-4748","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nI\u2019m Not a Doctor : Our America - Essays on Politics and American Life<\/title>\n<meta name=\"description\" content=\"Freedom from vaccination means freedom to let Covid mutate. 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