Covid-19: A View From Assisted Living

When it became obvious that the Covid-19 corona virus would become a national disaster I began this Post as a periodic email to my children and grandchildren. When informed by my elder daughter that nobody—especially grandchildren—reads emails anymore, this is what has emerged.

The most recent update is here at the top. (If you’d like to start at the beginning, click here for the March 17 update.)

I’d love to hear from you in the Comments (scroll to the bottom of the post).


Update 11: Sunday, May 31, 2020
Hi All:

Here is a link to Youville’s May 29 update.
They are announcing that if we should leave Youville for “an extended stay” we will be subject to fourteen days of quarantine upon our return. I’m assuming that this definition does not include local medical appointments; but I think it needs some clarification.

Here are links to Covid-19 updates at neighboring assisted living facilities at North Hill and Brookhaven.

And here is a link to a timely piece, “The Virus,” by Ruth Daniloff, a fellow Youville inmate.

Again, as for me, there is really nothing new.
“Tomorrow, and tomorrow, and tomorrow, creeps on this petty pace from day to day.”

I do wonder about my own vulnerability to the virus, not so much as to who I’m with and where I am, but more as to what I am—a product of good fortune and chance. I suppose that reaching age 95 says something good about general health, but it definitely speaks ill of the statistical chances in regard to surviving the infection.

Does it mean anything that I haven’t had a chest or head cold in ten years? Have I had them all? So, that I’m now immune to all of them? Will the new virus respectfully take heed?

They say that a vitamin D deficiency plays a role. I was discovered to have such a deficiency 50 years ago and have been taking pills ever since.

They say that maintaining lung capacity is important; the reason that, every day, I exercise to breathlessness; hoping that in the ICU with “proning”—if it comes to that—I might make it. Sometimes I try to review in my imagination what days and nights of struggling would be like and how I might be able to respond.

I continue my personal view of these current nation-wide “openings” that they will prove to have been a mistake—if not a disaster—the results of which will be hidden for another few weeks. The U.S. total infection arc continues upward, only barely less steeply than ten days ago.

In the states—especially those in the south and central U.S.—many of the total case trajectories are yet becoming steeper: more and more cases per unit of time as time passes. Their peaks may be months in the future.

The national rate of increase has eased slightly from around 20,000 cases per day, but I expect that, owing to reckless national gatherings having become common again, it will strengthen substantially. It’s not that there will be a “second wave,” it’s that the first and only wave will be bigger.

By mid-June or July we will know whether the “reopening” will be sustainable.

I sure hope that something will allow us to be social beings again.

XXX,
Dad (aka Bill)


Update 10: Thursday, May 21, 2020
Hi All:

Massachusetts cautiously “opens” but there is to be no significant change here at Youville.

Here is a link to Youville’s May 21 update.
Anything I could tell you about what’s new at Youville is included in this update.

And again links to Covid-19 updates at neighboring assisted living facilities at North Hill and Brookhaven.

As for me, there is really nothing new. After a few weeks, which will give us time to see what’s going to happen, I will again look into reinstating medical appointments.

We try to sit in the sun for a while but others are so far away that conversation is impractical, especially with hearing aids.

20052001_ChatelaineThe quality of the food has remained good all along, although sitting down to dinner—alone in ones apartment—is fraught with minor inconveniences like no syrup for the pancakes, no butter for the mashed potatoes, and the impertinent expectations of a kitty-cat.

My personal view of these current nation-wide “openings” is that they will prove to have been a mistake, the results of which will be hidden for another few weeks. Already today news out of Florida suggests that after having opened last week they may be forced to close again.

It no longer makes sense to characterize the change in the infection rate by its doubling time, which has lengthened to a month, because now—owing to sequestering—the case rate of increase appears to be more nearly linear than exponential.
OWD 5-21The national rate of increase is now around 20,000 cases per day, and will stay that way until it increases again as reckless “reopenings” become common.
I expect that by mid-June we will be able to see whether the reopening is sustainable.

Sources:
Here are two interactive websites that show national and state-by-state data:
1. Our World In Data—The one I have been using for the past several updates.
2. USAFacts—A new one showing state-by-state data that I just found this morning (5/22). Louisiana is interesting because it hints at the up-tick I expect for the rest of the country.

XXX,
Dad (aka Bill)


Update 9: Monday, May 11, 2020
Hi All:

The City of Cambridge has tested us, yet again–for the third time! Go Cambridge!
My result was negative. Also they tested us for coronas antibodies but we’ve not heard back on that.

Here is a link to Youville’s May 8 update.

And again links to Covid-19 updates at neighboring assisted living facilities North Hill and Brookhaven.

Well it’s really a super serving of the “Same old, same old.” What can I say?
Some people have been lifted from fourteen-day quarantines and others have returned from surviving the infection itself. There seems to be a bit more distancing sociability going on, but following speech filtered through masks is tough—you don’t realize how much of speech interpretation is visual, especially with hearing aids.

The weather continues cool and inhospitable and so no one is yet out on the patio.

Here is an example of the current tonsorial state:

Img_1756
Bill

The doubling time continues to increase having now reached thirty-one days.  At last post it seemed to me that the total infections might reach four-million by July. If the current count doubles two more times from now—each in thirty-days: to July 11th—it will indeed have exceeded four-million by then.
It is hard to know which course of action will win out. The country in general seems to favor social distancing, but Trump’s “open the economy now” scenario may gain enough strength to cancel the effects of general distancing. We will know the answer by the end of June; watch the doubling time.
OWD 5-11

Here is the logarithmic plot:
OWD 5-11L

XXX,
Dad (aka Bill)


Update 8: Friday, May 1, 2020
Hi All:

Yet again the City of Cambridge has come through with continuing concern for its citizens. As of Wednesday (4/29) all Cantabrigians are required to be masked when on the street. What an opportunity for lovers of intrigue!

Here is a link to Youville’s April 27 update.

And again links to neighboring facilities North Hill and Brookhaven.

AuCordonBleu
Au Cordon Bleu in my kitchenette

At mealtime a knock on the door precedes the appearance–in the kitchenette–of a plastic shopping bag:

Gloves on!

Soup: In paper container; pour into coffee cup; microwave (30sec on high); container back in bag.
Entree: In plastic doggie-box; transfer to dinner plate; nuke as required; container back in bag.
Coffee: In paper cup; transfer to coffee mug; paper cup to trash.
Shopping bag: Finis! Out the door.

Gloves off!

Banana: Wash with soap.
Milk carton: Wash with soap.

Bon appétit! (keeping Châtelaine at bay the while!)

Sewed two more masks to pass some time. Always hoping not to break the thread. Threading the needle is an exercise–almost–of geezer impossibility. And invokes speaking sternly to the machine.

The family has made two forays into Zoom world with mixed results, owing to having to patch video and audio in from my cell phone–my PC/monitor (for the purposes of viewing the Gallery) having no camera or microphone. Lots of talk-over and frantic waving.

I spend time on Twitter watching the cats and baby elephants go by; marveling at the examples of Why Women Live Longer Than Men–it’s akin to the Darwin Award; and pleading with the @NYTimes to give up its sloppy, Trumpy ways. If you’re on Twitter you should be following @EricBoehlert’s new presence at PressRun.media, as he holds the feet of the wayward Press to the fire.

For history buffs here is an excellent timeline of the pandemic of 1918-1919–the similarities are sobering.

What’s worrisome now is the occurrence then of three infection peaks of which the second was the worst. The end of World War I enabled a resurgence of influenza as people celebrated Armistice Day on November 11 and soldiers begin to demobilize.

In 1918-19 my father was stationed in France with the AEF. But on November 14, 1918 his father (my grandfather)—botanist and mycologist George Francis Atkinson—died of that second peak of flu while on a mushroom specimen gathering expedition near Mt. Rainier. (It is my impression that my father was given leave to attend the funeral in Raisinville, Michigan—which would have meant at least a month’s absence from his unit in France.)

Also near the second peak in New York City, on November 16, 1918 my mother boarded a steamer for France to spend a year working with the YMCA running a soldier’s canteen, and then with the Red Cross in reconstruction in the war-torn Champagne region.

Fortunately both Elsie Church and Kerr Atkinson spent the winter of 1919 in different rural regions of France where the virus never penetrated.

What to say about the current Covid-19 crisis? The national doubling time is now about 25 days and increasing 😃. But out in Trumpworld the dynamics may turn out be dramatically different. On that path, I’m reluctant to think, the doubling time could decrease again; the national case total then approaching four million by July. We’ll see.

“Be well, do good work, and stay in touch.”–Keillor
XXX,
Dad (aka Bill)


Update 7: Tuesday, April 21, 2020
Hi All:

The City of Cambridge has tested all of us a second time, this time including an antibody test. I have tested negative.

Today Youville House has issued its latest official update of April 21.

MSNBC’s Rachel Maddow had a segment on the independence–from Trump–of some savvy smaller U.S. cities. I’m trying to encourage her to do one on our own super Cambridge.

Youville has built a transparent barrier around the welcome desk to protect the receptionist.

Our isolation from one another is virtually complete. We are encouraged not to visit.
The meals staff has changed from rigid trays to plastic bags; perhaps considered safer because disposable.

If I may dabble in simile I can say that the efforts of our staff are Herculean. Day in, day out–while the rest of us loaf (ha, ha) in our rooms.

April has been unusually cold and wet (snow recently) so we’re looking forward to the first seventy degree day for sitting outside.

I’m reading that practicing strong breathing, through breathing exercise, may have a positive influence on covid-19 outcomes. April is my third anniversary here at Youville and I am blessed to have an apartment on the same floor as the exercise machines, one of which is easy to use for arms and legs. The Internet lately (for a couple of years maybe) has promoted the idea that short, intensive workouts may, in the long run, be more generally beneficial than longer, less strenuous ones. And, since I dislike exercising as much as the next guy, this seemed worth trying. I set the machines’s stiffness to the maximum (15), maintaining a pace of more than seventy strokes-per-minute for seven minutes*–I do the last ten seconds at 80spm. This is enough completely to exhaust me, breathing so hard I can’t talk, but I feel that it has had a salutary effect on my lung capacity. I’ve been doing this every day now for three years.
*Once around the machine’s “quarter-mile” track.

But not everyone here is as fortunate as I am. Those already with heart conditions and compromised lungs can’t take advantage of this idea.

I have friends in retirement communities in Needham, at North Hill and in Lexington, at Brookhaven, each of who are reporting covid-19 cases.

OWD 4-21
The doubling time has increased significantly from six to eleven days, but bear in mind that the testing under Trump as been an abysmal failure and that the unknown number of actual cases is many times the published figure. And that, owing to the recalcitrance of some GOP state governors, the doubling time may shorten again as their new cases flood the record.

And so–hang in there.
XX,
Dad (aka Bill)


Update 6: Saturday, April 11, 2020
Hi All:
Big news! The City of Cambridge has arranged for every inmate of a nursing home or a retirement community to be tested for covid-19. In fact, two burly fellows in full PPE have just left me after having stuck a long thin swab up my nose.
There is no information yet as to the availability of the results.
Note (4/11): I have since found out that there were not enough test kits to include the Youville staff; and that these additional tests are expected to be available on Monday.

Now everyone here is masked. It began with staff and, just a day or so ago, expanded to everybody.

Masks2
My mask effort

Earlier I had made a mask on a corrugated pattern but it was awkward to make on my sewing machine and was made of some old napkins I had which are too “see light thru” to be of much use.I found a simple mask pattern on-line which used two layers: tight weave cotton bandana outside and cut up fleecy long johns inside. No light see-through the two layers. They look good but are only OK as the fit is not the best and I couldn’t find anything good for the ear loops.

Well, it killed a couple of days anyway.

All Youville all social programs have been cancelled. Staff roams the halls wiping door handles, delivering meals, and checking in on us. They work hard and I hope they will be safe.

My friends at North Hill, a retirement community in Needham, MA, tell me of similar restrictions.

Occasionally the Internet has slowed into uselessness. This was true on Sunday.  At first I accused my browser but it was confirmed by my granddaughter in SF. Everybody is WFH, watching YouTube, Zooming, and taking university classes on-line.
It’s been much better since Monday.

I don’t walk well enough to take advantage of the coming nice weather outdoors.

On a political note everyone seems to be blaming Trump for this. This is all very well as a proximate stance, but misses the main point: The true failure is that of our Senate who have the power, if not the will, overnight to alter our calamitous course.

It is time to see what my eight doublings (since March 20) have wrought.

OWD 4-11
Instead of  64 million we have only 0.5 million.
This is because the case doubling time has increased significantly–a very good thing–and indicative of the efficacy of  social distancing which in no way should be relaxed or ended for many, many weeks.

Love,
Dad (aka Bill)


Update 5: Wednesday, April 1, 2020
Hi All:

The only significant change here at Youville is that our kitchen staff is now fully masked and gloved when in the common spaces distributing and retrieving trays.
The onus on gathering menu preferences has been transferred from staff to us; a huge relief for them I am sure.

People seem pretty upbeat and are putting a brave face on things, although I see so few to talk to day-to-day that this may be a misconception.
While keeping our distance we are free to move about in the building and to step outside for “air” or to walk.

However dire the prospect overall there are this week some inchoate signs of change.

OWD 4-1
My guess for April 1, Wednesday (250,000 U.S. cases) was too high; we’ll have to wait all the way to Saturday for that.

Img_1734
Obligatory cat pic: Châtelaine

Since March 21 the case doubling time has increased (a good thing) from two days to almost five but there is nothing strong to indicate that this trend will continue.

Since, in fact, the total number of cases in the U.S. is much, much larger than this, and is essentially unknowable owing to the national failure in testing ability, we may actually know almost nothing about the future actual doubling times.

Love,
Dad (aka Bill)


Update 4: Wednesday, March 25, 2020
Hi All:

As you see I have transferred this post from email to my website.

Youville has closed its hair salon, a good move, so that all the men now can look like Einstein, and the women like Raquel Welch.

The food stays really good; last night: kudos to the Chef for his medallions of pork.
New plastic dinner trays have replaced the papier mâché. I think this is a good plan; much easier to wash, wipe, and to keep clean.

And they’ve just marked the floor at Reception so that we can’t lean in too closely to the person at the desk.
Meds are still available from Skendarian, the local connection, and we have hard working Connie who is our driver and does our shopping–stuff we need as for pets and the outer man.

We see almost nothing of one another these days, except maybe in the exercise room where some gravitate to the machines–which are now provided with alcohol wipes.

I’m fortunate in having access to the world through my computer; I can’t imagine such solitary confinement without it. Many here were born too soon to become part of the computer age and must be content without it.

We seem largely to be hopeful here inside although outside things are not looking much better:

My 64,000* U.S. infections guess of the last post for the 25th was not met so that there is, as yet, faint hope that the country’s case load has begun to slow, in spite of the fact that the nation has not yet done as much as it should to slow the rise. It is painful to accept that there are, in fact, hugely more U.S. infections than today’s published number indicates owing to the lack of testing and the irresponsibly slow response of our Government.

*By the evening of the 25th the number was 64,000.

QWD 3-25

You can see that the doubling time has slowed from two to three days and, if this trend continues, that in six days there will be two more doublings to 110,000 cases. We can hope by then that the doubling time has lengthened still further, a good thing.

For the more scientific of you here is the semi-log(arithm) plot in which equal doubling intevals plot as a straight line, the slope (steepness) of which indicates the doubling time. My own feeling is that this conveys less well to the layman the truly alarming nature of the growth rate.
QWD 3-25 Log

“Be well, do good work, and stay in touch”

Love,
Dad (aka Bill)


Update 3: Friday, March 20, 2020
Hi All:
Things are stabilizing here at my assisted living facility in Cambridge, Mass. People are getting used to the draconian lockdown derangements. We are already pretty much restricted to our digs. Outside visitor ban; even the U.S. mailman is denied entry. All staff and aides are queried and have their temperature taken at the door. Compulsive hand washing [wringing?] abounds.

Social programs have been cancelled and the dining facilities closed. A system of delivering meals to the apartments—initially a bit chaotic— is smoothing out.

Very few of us now are out and about in the public spaces. We miss talking to people. Only one person at a time is permitted in the elevators. Basically I’m just plunked here at my computer.
The staff is knocking itself out to help us and to ease the following of the rules. For them this is a dedicated and dangerous business because they themselves have no way properly to do in-house self-isolation.
Theoretically we seem pretty safe here, but it’s early days and the prognosis for us and the U.S. is not good.
I think many have not really grasped the vastness of this crisis. Few seem to understand the exponential growth function. Especially not the psychopath Trump, his feckless enablers in the GOP, or the Nation at large.
The latest yesterday from Rachel Maddow at MSNBC:
Covid-19 Update 3
With a bit of extrapolation: Today 14,000 cases. The case doubling time seems now to be about 2.2 days. Probably owing to the hordes of the unidentified infected among us.

This is much faster than estimated as recently as a week ago. Originally 9 days.

By April 1 (10 days) four doublings, 250,000 cases.
By April 11, four more doublings: 4 million cases (1% of US population).
By April 21: four more doublings: 64 million (18% of US population). If at 3%, 200,000 dead. Four times the US 50,000 of the 1918 pandemic [in which my grandfather George Francis Atkinson–a prominent mycologist and botanist–died at age 64].
You don’t want even to think about May.
We are still essentially without testing and will be for many weeks; flying blind. Hard to imagine a more colossal (Presidential cum GOP) failure, but there it is.
Let’s see what the case number is on March 25th, five days from now.
Two doublings, to 64,000, would confirm this particular prediction. We may then be able to see whether our one week old (and only partial) national isolation mandate is having an effect.
At least I don’t have to worry about my taxes.
I can’t tell you how weird and unsettling this all seems.
Call me alarmist. I don’t mind.
XX,
Dad (Bill)

-o0|0o-

Update 2: Thursday, March 19, 2020
Hi All:
OK. yesterday, the house instituted a new rule: Only one in an elevator at one time. I thought it would be chaos, but no, our lockdown has sufficiently reduced local circulation so it’s not a problem. The Feds have banned postal personnel from entering the building so staff is now laboriously sorting mail into our cubbies.
Chatelaine
Chatelaine: mistress of the castle (foreground) Irving Porter Church: my grandfather (background)

Cat company is good, but with its hazards. Food delivery to the apt. has proved a boon to Châtelaine and a problem for me. She is aggressively into everything that arrives through the door; I have to fight her off.

On leaving a recent long-scheduled Doctor appointment at Tufts Boston, the receptionist said that I needed another appointment.
  “In six weeks.
      “In six weeks? Are you kidding?
  “No. A bone scan in six weeks.
The woman at the next station caught my eye; she was appalled. She knew.
  “Don’t you realize,” I said, “that in six weeks the US medical system will be on the verge of collapse?”
Blank stare.
I wished them both well and shuffled on home.
Covid-19 Update 2
I can spend the next few days doing taxes. At least something to do.
Love to all,
Dad

-o0|0o-

Update 1: Tuesday, March 17, 2020

Hi All:

I’m surprised and impressed with my assisted living facility. Now for the past week no visitors to residents from outside; staff and outside support personnel temperatures taken on arrival.

Today they eliminated all group activity and closed the common dining facility. All meals to be ordered in writing and delivered to individual apts. Worrisome only if paper plates, utensils, cups are not handled carefully. They’re starting out with the usual hot meals.

But I imagine it will morph gradually into cold and packaged food only (cereal, canned stuff, milk, juice, etc.). We all have small fridges and microwave ovens.  It seems a bit ad hoc and chaotic today but I think they’ll get the hang of it soon.

It will be interesting to see how the “one person in the elevator at a time” rule works out. I’m still able to negotiate my two flights of stairs–but slowly.

I have a new and friendly shelter kitty cat (Châtelaine by name–the mistress of the castle).

We’re all looking forward to its being warm enough to use the patio.

Alas, it will be unseasonably soon; a harbinger of our other existential crisis.

As Garrison Keillor was wont to say: “Be well. Do good work. And stay in touch.”

XX,

Dad (GPBill, Bill)

-o0|0o-

13 thoughts on “Covid-19: A View From Assisted Living

  1. Thanks Greg. I fear that the U.S. is opening too soon and in a reckless manner because we never adopted a National, rational approach to the danger. Our leader, Trump, is deeply responsible for this failure.
    Hoping to muddle through,
    Bill

    Liked by 1 person

  2. Hi Bill, Over the years I have visited your rowing model site for information, understanding and inspiration. I did so again tonight and noticed you were commenting on your COVID19 experience.

    You remain interesting and inspirational.

    I live in Brisbane Australia. In Australia we moved early to lockdown quite severely and we have flattened the curve. Now we are cautiously lifting restrictions but there is a long way to go. We are watching the US experience with much interest..

    Please take care and remain safe.

    Kind regards Greg.

    Liked by 1 person

  3. I appreciate your updates.

    2 of my children and their families came by the front window. my windows look out on the front yard of Youville and being on the 2nd floor front of youville . So this happened on Mother’s Day. So I saw 1 family (my older son)with 2 grandsons, and the youngest son with his wife and my only grandaughter, Blueberry.

    So all in all, it was not such a lonely Mother’s Day after all.

    Like

  4. Hi Bill, I have been enjoying your updated wed site immensely. I had not checked in for a bit over 20 years! I looked up your grandfather = what a guy! I found a biographical sketch of about 50 pages on his life written under the National Accedemy of Sciences by a Charles Thom. Are you familiar with that? I know you from the rock climbing community and am a member of the Tucker Chalet Group

    Dick Traverse

    Liked by 1 person

  5. Good to see you for a moment on the 2nd floor. My younger son has escaped to Vermont until the end of April with plans to work from home while in Vermont.

    Your cat is exceedingly beautiful. Is she still in training?

    I run into Mary Lou in the morning. She also brings Judith Herman things from downstairs on occasion/

    Like

  6. Your daughter linked this from her posts on Persist Brooklyn that had been a Brooklyn for Warren site on an a platform called Slack.
    I think your Chatelaine is so gorgeous. Lucky you. Is there a song rendition by K.D. Laing that addresses a Lady Chatelaine too?
    Wonder whether you will be okay with me linking this on twitter?
    They were celebrating puppies yesterday. Seems people are supporting each other in social mitigation of transmission now.
    Mel Brooks’ son is 47 and named Max Brooks. On Fresh Air with Terry Gross public radio interview, Max says Mel is 93. He is behind a door and Max doesn’t go in and you hear Mel telling him to go home. It is a comic public service announcement you may like. N.Y.S. has other psa’s done by Ben Stiller, Danny DeVito, and Robert DiNiro .
    I have limited internet use because there’s a digital divide, but if you have access, maybe you will look at twitter. Some lack of civility there though. And short form.
    Wish you a Garrison Keillor sense of perspective.
    Regards, Madeline Bassin

    Liked by 1 person

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