A New Normal

Let’s get our heads out of the sand and start making important decisions about how we must conduct our lives in the midst of a pandemic that is NOT going away anytime soon, or ever. Yup, without a unified plan to lockdown – yes – keep everyone home until the coronavirus is dead, this will go on for years. I just had a heart-to-heart conversation with Nicole, my daughter who is an ER doc, about the coronavirus. This is what she believes we’re facing:

The coronavirus is very contagious and it can adapt. Additionally, the science behind designing vaccines is very complex. First you find a part of the virus to mimic in the targeted vaccine. That way when your body comes into contact with that part of the virus, your body already has antibodies to fight it. Next you need to make sure that the antibodies that your body makes to the vaccine will work to help your body fight it when you come into contact with the actual virus. You don’t want those antibodies to actually make your response even worse such that you get even sicker (this happened with dengue vaccine attempts).

We can’t blindly wait for a miracle vaccine to solve our coronavirus problems. To make a vaccine safely, and confirm that it will not cause this increased response that makes it even more lethal via antibody-dependent enhancement, we will need to perform phased clinical trials on real people (likely on 100,000s of healthcare workers who volunteer for this). Most vaccines take years to decades to prove efficacy and safety before they are ready to distribute, especially to millions of people at once. This will take years to roll-out safely/responsibly.

Nicole spends most of her free time reading scientific journals to follow developments in treatments, vaccines, and epidemiology. Your doctors aren’t getting their covid-19 updates from TV news, politicians or social media.

She is now worried about the two possible trajectories for this pandemic:
1. Everyone begins to go back to work and school/college; gather with family and friends at home, restaurants, and other public venues; and travel across city, state, and national borders. The coronavirus continues to spread and COVID-19 kills millions of people around the world. Anyone who is going to get coronavirus will get it and those who are susceptible will recover, suffer long-term lung and blood vessel damage, or die. After these millions of people are infected, whoever is left standing will either be immune themselves or protected by herd immunity.

2. We collectively, in unison, change our lifestyles to prevent spread of the virus. Universal mask wearing, social distancing, hand hygiene, stay completely isolated at home when you have any hint of the sniffles or body aches, etc. This would slow the transmission of the virus such that the healthcare system is not overwhelmed (like NYC in the beginning and like Texas and Southern California are trending towards now), and the people who do get sick will be treated with all of the techniques that are being studied and developed with reliable and reproducible scientific clinical trials (which takes time).

Individual cities or regions or states or countries cannot make decisions about when to lift shelter-in-place orders. This pandemic is global and affects the entire world population. As a planet, we need to protect ourselves and protect others from spreading this deadly virus. That means that until it is contained everywhere, we all need to stay home to minimize nonessential contact, consistently wear masks, and maintain 6-10 feet distance away from everyone.

Stop thinking that your life will go back to the way it was BC (before coronavirus). We will always need to protect ourselves and others from spreading the virus. A new swine flu with pandemic-level characteristics has just been discovered in China this month. There are more pandemics on the horizon, even when this one slows down. Washing hands (or using hand sanitizers when out in public), and wearing masks can become our new normal. Dining outdoors when socializing and staying 6-10 feet apart will be how we meet with and gather with friends and family. Shaking hands will be replaced with nods or fist bumps.

Want to see how I’ve created a place and protocol for social gatherings that respect our need to protect one another? Check out my blog:
Or take a look at my guidelines for safe gatherings.