You are Who I Love

You, selling roses out of a silver grocery cart

You, in the park, feeding the pigeons
You cheering for the bees

You with cats in your voice in the morning, feeding cats

You protecting the river   You are who I love
delivering babies, nursing the sick

You with henna on your feet and a gold star in your nose

You taking your medicine, reading the magazines

You looking into the faces of young people as they pass, smiling and saying, Alright! which, they know it, means I see you, Family. I love you. Keep on.

You dancing in the kitchen, on the sidewalk, in the subway waiting for the train because Stevie Wonder, Héctor Lavoe, La Lupe

You stirring the pot of beans, you, washing your father’s feet

You are who I love, you
reciting Darwish, then June

Feeding your heart, teaching your parents how to do The Dougie, counting to 10, reading your patients’ charts

You are who I love, changing policies, standing in line for water, stocking the food pantries, making a meal

You are who I love, writing letters, calling the senators, you who, with the seconds of your body (with your time here), arrive on buses, on trains, in cars, by foot to stand in the January streets against the cool and brutal offices, saying: YOUR CRUELTY DOES NOT SPEAK FOR ME

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Siddhartha Mukherjee in The New Yorker:

In the third week of February, as the covid-19 epidemic was still flaring in China, I arrived in Kolkata, India. I woke up to a sweltering morning—the black kites outside my hotel room were circling upward, lifted by the warming currents of air—and I went to visit a shrine to the goddess Shitala. Her name means “the cool one”; as the myth has it, she arose from the cold ashes of a sacrificial fire. The heat that she is supposed to diffuse is not just the fury of summer that hits the city in mid-June but also the inner heat of inflammation. She is meant to protect children from smallpox, heal the pain of those who contract it, and dampen the fury of a pox epidemic. The shrine was a small structure within a temple a few blocks from Kolkata Medical College. Inside, there was a figurine of the goddess, sitting on a donkey and carrying her jar of cooling liquid—the way she has been depicted for a millennium. The temple was two hundred and fifty years old, the attendant informed me. That would date it to around the time when accounts first appeared of a mysterious sect of Brahmans wandering up and down the Gangetic plain to popularize the practice of tika, an early effort at inoculation. This involved taking matter from a smallpox patient’s pustule—a snake pit of live virus—and applying it to the pricked skin of an uninfected person, then covering the spot with a linen rag.

The Indian practitioners of tika had likely learned it from Arabic physicians, who had learned it from the Chinese. As early as 1100, medical healers in China had realized that those who survived smallpox did not catch the illness again (survivors of the disease were enlisted to take care of new victims), and inferred that the exposure of the body to an illness protected it from future instances of that illness. Chinese doctors would grind smallpox scabs into a powder and insufflate it into a child’s nostril with a long silver pipe.

Vaccination with live virus was a tightrope walk: if the amount of viral inoculum in the powder was too great, the child would succumb to a full-fledged version of the disease—a disaster that occurred perhaps one in a hundred times. If all went well, the child would have a mild experience of the disease, and be immunized for life. By the seventeen-hundreds, the practice had spread throughout the Arab world. In the seventeen-sixties, women in Sudan practiced tishteree el jidderee (“buying the pox”): one mother haggling with another over how many of a sick child’s ripe pustules she would buy for her own son or daughter. It was an exquisitely measured art: the most astute traditional healers recognized the lesions that were likely to yield just enough viral material, but not too much. The European name for the disease, variola, comes from the Latin for “spotted” or “pimpled.” The process of immunizing against the pox was called “variolation.”

Lady Mary Wortley Montagu, the wife of the British Ambassador to Constantinople, had herself been stricken by the disease, in 1715, leaving her perfect skin pitted with scars. Later, in the Turkish countryside, she witnessed the practice of variolation, and wrote to her friends in wonder, describing the work of one specialist: “The old woman comes with a nut-shell full of the matter of the best sort of small-pox, and asks what vein you please to have opened,” whereupon she “puts into the vein as much matter as can lie upon the head of her needle.” Patients retired to bed for a couple of days with a fever, and, Lady Montagu noted, emerged remarkably unscathed. “They have very rarely above twenty or thirty in their faces, which never mark; and in eight days’ time they are as well as before their illness.” She reported that thousands safely underwent the operation every year, and that the disease had largely been contained in the region. “You may believe I am well satisfied of the safety of this experiment,” she added, “since I intend to try it on my dear little son.” Her son never got the pox.

More here.

Ed Yong in The Atlantic:

A global pandemic of this scale was inevitable. In recent years, hundreds of health experts have written books, white papers, and op-eds warning of the possibility. Bill Gates has been telling anyone who would listen, including the 18 million viewers of his TED Talk. In 2018, I wrote a story for The Atlantic arguing that America was not ready for the pandemic that would eventually come. In October, the Johns Hopkins Center for Health Security war-gamed what might happen if a new coronavirus swept the globe. And then one did. Hypotheticals became reality. “What if?” became “Now what?”

So, now what? In the late hours of last Wednesday, which now feels like the distant past, I was talking about the pandemic with a pregnant friend who was days away from her due date. We realized that her child might be one of the first of a new cohort who are born into a society profoundly altered by COVID-19. We decided to call them Generation C.

As we’ll see, Gen C’s lives will be shaped by the choices made in the coming weeks, and by the losses we suffer as a result. But first, a brief reckoning. On the Global Health Security Index, a report card that grades every country on its pandemic preparedness, the United States has a score of 83.5—the world’s highest. Rich, strong, developed, America is supposed to be the readiest of nations. That illusion has been shattered. Despite months of advance warning as the virus spread in other countries, when America was finally tested by COVID-19, it failed.

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Robert Reich in Truthdig:

As the coronavirus outbreak in the US follows the same grim exponential growth path first displayed in Wuhan, China, before herculean measures were put in place to slow its spread there, America is waking up to the fact that it has almost no public capacity to deal with it.

Instead of a public health system, we have a private for-profit system for individuals lucky enough to afford it and a rickety social insurance system for people fortunate enough to have a full-time job.

At their best, both systems respond to the needs of individuals rather than the needs of the public as a whole. In America, the word “public” – as in public health, public education or public welfare – means a sum total of individual needs, not the common good.

Contrast this with America’s financial system. The Federal Reserve concerns itself with the health of financial markets as a whole. Late last week the Fed made $1.5 trillion available to banks at the slightest hint of difficulties making trades. No one batted an eye.

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James Kenneth Galbraith in The Guardian:

The first big need is medical supplies, facilities and personnel. That is why we need to finance immediate domestic production of masks, oxygen tanks, ventilators and the construction and staffing of field hospitals, including the conversion of existing structures such as hotels, dormitories and stadiums, and the hiring and upgrading of staff.

Ideally HHS should finance supplies, the army corps of engineers should run construction, and Fema should manage and coordinate. The Federal Reserve should be empowered to buy unlimited debt from state and local governments and both debt and equity from private companies. If Congress cannot agree quickly on specifics, create a government-owned Health Finance Corporation and give it unlimited full-faith-and-credit bonding authority, as was done for the Depression and the second world war.

Maintaining vital civilian supplies, especially food, medicines and fuel, is the second big need. This is a two-part problem. The first part is to make sure that there are goods in the stores and pharmacies, and that gas stations and drive-through restaurants can remain open. The second part is to ensure that those at home have the means to pay, and that local distribution remains orderly.

To keep supplies flowing, there must be higher pay and credible protections for essential workers, such as drivers, stockers, checkout clerks and security guards. Amazon and Walmart are already raising pay. Groceries, pharmacies and service stations must most urgently protect their workers, who are exposed to hundreds of customers every hour, from getting sick. After healthcare, protection should go there. Distribution networks will break if stores can’t stay open or if shoppers won’t go in.

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Chelsea Leu at Bookforum:

As I read, I kept wondering why Sanmao’s persona was so magnetic. Is it simply because she was so unusual, out there in the vast and largely unpeopled desert, likely the only Taiwanese woman for miles around? Part of the draw of Stories of the Sahara is that it promises to satisfy our curiosity—what was she even doing there? But I couldn’t shake a sense of vertigo. I learned of Sanmao’s existence recently, through a teacher who had in turn learned about her from an article in the New York Times. And yet: “Of course we know who Sanmao is,” my parents told me over the phone. They grew up in Taiwan in the 1970s; they were in college when Sanmao began publishing her Saharan dispatches. One of my mom’s go-to karaoke songs is “The Olive Tree”—Sanmao wrote the lyrics. (“Don’t ask from where I have come / My home is far, far away.”) Who was this person, whose stories had traveled—across far-flung borders and multiple language barriers—from my parents’ lives into my own?

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Chantel Tattoli at The Believer:

The Telegraph has branded the monkey-puzzle a “love-it-or-loathe-it tree.” Tony Kirkham, Head of the Arboretum, Gardens, and Horticultural Services at the Royal Botanic Gardens, Kew confirmed as much by phone: “Mhm. We call it the Marmite Tree.” Whether you go for the monkey-puzzle depends on how you feel about a Tim Burton cover of Dr. Seuss’s Truffula. Its spiraling leaves are as sharp as shivs, and some people effuse that the species is a “fantastic product.” “It’s one of those few trees that you can’t climb,” Kirkham noted. (You certainly cannot hug it.) He thinks the tree is grand, and when I mentioned monkey-puzzles to my friend Mitch Owens, AD’s decorative arts editor, Owens told me, “I adore them.” Others report back on the boughs as “savage curlicues,” “a nightmare to work in and around.” On a plant that can reach 160 feet and live 2,000 years, those branches hold forth like topiarian antenna, sending/receiving who knows what to/from who knows what galaxy.

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Daniel Felsenthal at The Baffler:

The cumulative strength of the New Narrative, which consisted of a core group of writers who took government-funded workshops run by Glück and the similarly under-sung Bruce Boone as well as some kindred, famous spirits far from Northern California—Kathy Acker, Dennis Cooper, Gary Indiana, and Chris Kraus—ensured that Glück’s name has remained in certain corners of the American literary edifice over the past few decades. Yet time and a shifting sensibility has relegated his own fiction to creaky personal libraries such as my own. I crack open original editions of Jack the Modernist and Margery Kempe and see the names of lost, idealistic imprints, SeaHorse and High Risk Books, which went down with the sinking ship of American publishing while larger houses bought space on the lifeboats. The paper trail of gay literature—put out by presses little and big—is inherently splotchy: so many people who had reason to remember died of AIDS.

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Jared Lucky in Commonweal:

It is not surprising to find Rusty Reno, editor of First Things, invoking Aleksandr Solzhenitsyn—the Russian dissident who exposed the Soviet Union’s brutal prison-camp system in his masterwork, The Gulag Archipelago. Solzhenitsyn, who survived the Gulag himself, bitterly denounced the inhuman ideology of the Eastern Bloc. But he understood that, left unchecked, the commercialism and venality of the capitalist West was also spiritually corrosive. At bottom, he argued, the West shared many of its materialist assumptions with Eastern Communism. This twinned critique has long endeared him to thoughtful conservatives in the United States. It is frankly shocking, however, to see Reno make use of Solzhenitsyn to undermine recent measures taken to combat the spread of the coronavirus. Reno sees a perverse “sentimentalism” at work in the quarantine restrictions and social distancing that have become so prominent in recent days. He thinks state and local authorities who urge us to refrain from much of life’s usual business are really saying that “death’s power must rule our actions.” Satan, he tells us, has been pleased to watch churches bow to the “false god of saving lives” by canceling religious services. And if we want to understand why some things are more important than preserving life, Reno suggests that we look to Solzhenitsyn, who “resolutely rejected the materialist principle of ‘survival at any price.’”

I am no expert on Solzhenitsyn, but I have long been moved by his books—and I recognized this quotation. In fact, it appears in The Gulag Archipelago in the imperative form: “Survive! At any price!!” Solzhenitsyn is describing the mentality of zeks, or Gulag inmates, arriving at camp. This mantra is the “natural splash of a living person,” a spontaneous instinct for self-preservation. But for many zeks it hardened into “an awesome vow.” And “whoever takes that vow, whoever does not blink before its crimson burst—allows his own misfortune to overshadow both the entire common misfortune and the whole world.”

Zeks faced a terrible choice. The most human, natural goods—of life, food and shelter—could only be taken from their fellow inmates. Of course this was the very purpose of the Gulag system, a hellish machine carefully calibrated to degrade and destroy human life. Solzhenitsyn is clear: “‘At any price’ means: at the price of someone else.” Reno, meanwhile, castigates the media and local authorities for seeking to manipulate us with the “fear that we’ll die redoubled by the fear that we’ll cause others to die.” He takes particular exception to the suspension of public Masses, but his pique really appears to be directed at the general inconvenience of quarantine: “Were I to host a small dinner party tonight, wanting to resist the paranoia and hysteria, I would be denounced.”

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Kai Kupferschmidt and Jon Cohen in Science:

Drugs that slow or kill the novel coronavirus, called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), could save the lives of severely ill patients, but might also be given prophylactically to protect health care workers and others at high risk of infection. Treatments may also reduce the time patients spend in intensive care units, freeing critical hospital beds. Scientists have suggested dozens of existing compounds for testing, but WHO is focusing on what it says are the four most promising therapies: an experimental antiviral compound called remdesivir; the malaria medications chloroquine and hydroxychloroquine; a combination of two HIV drugs, lopinavir and ritonavir; and that same combination plus interferon-beta, an immune system messenger that can help cripple viruses. Some data on their use in COVID-19 patients have already emerged—the HIV combo failed in a small study in China—but WHO believes a large trial with a greater variety of patients is warranted.

Enrolling subjects in SOLIDARITY will be easy. When a person with a confirmed case of COVID-19 is deemed eligible, the physician can enter the patient’s data into a WHO website, including any underlying condition that could change the course of the disease, such as diabetes or HIV infection. The participant has to sign an informed consent form that is scanned and sent to WHO electronically. After the physician states which drugs are available at his or her hospital, the website will randomize the patient to one of the drugs available or to the local standard care for COVID-19. “After that, no more measurements or documentation are required,” says Ana Maria Henao Restrepo, a medical officer at WHO’s Department of Immunization Vaccines and Biologicals. Physicians will record the day the patient left the hospital or died, the duration of the hospital stay, and whether the patient required oxygen or ventilation, she says. “That’s all.”

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Osmosis: in which molecules of a solvent pass through
a membrane to achieve equilibrium.

Osmosis

Example: I place my hand in a pool of salt.
Some stays. Some seeps into my skin.
Everything goes exactly where it’s supposed to.

Example: Prudencia Martín Gómez leaves Guatemala at 18
to surprise her husband in California.
Like most beings, most of Prudencia’s body is water.

When Prudencia is found
60 miles from the US-Mexico border,
a pile of clothes, limbs, and a puddle of wet sand,
is she the corpse?
or was she
the water?

If Prudencia is water,
and the desert is
a ground, then Prudencia went
exactly where she was supposed to.

If migration is a pipe
and employment is a sponge,
then Prudencia went
exactly where she was supposed to.

Some would like to build a wall,
and water always seeps through,
but much does not.

Most days, water dries in the bed of a pick-up truck
clutching a seven-year-old daughter.

Read more »

Justin E. H. Smith in The Point:

Though mild, I have what I am fairly sure are the symptoms of coronavirus. Three weeks ago I was in extended and close contact with someone who has since tested positive. When I learned this, I spent some time trying to figure out how to get tested myself, but now the last thing I want to do is to go stand in a line in front of a Brooklyn hospital along with others who also have symptoms. My wife and I have not been outside our apartment since March 10th. We have opened the door just three times since then, to receive groceries that had been left for us by an unseen deliveryman, as per our instructions, on the other side. We read of others going on walks, but that seems like a selfish extravagance when you have a dry cough and a sore throat. This is the smallest apartment I’ve ever lived in. I am noticing features of it, and of the trees, the sky and the light outside our windows, that escaped my attention—shamefully, it now seems—over the first several months since we arrived here in August. I know when we finally get out I will be like the protagonist of Halldór Laxness’s stunning novel, World Light, who, after years of bedridden illness, weeps when he bids farewell to all the knots and grooves in the wood beams of his attic ceiling.

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A. M. Carter in Medium:

I had a bone marrow transplant in 2017. Most people don’t really know what that is. In the simplest possible terms, it means that my doctors gave me a new immune system, by replacing my sick bone marrow with healthy bone marrow from my sister.

The transplant process is basically a blood transfusion, but instead of blood cells, I received new immune cells from the bone marrow, which then took over my body and made it their new home, thus giving me a new immune system that worked normally.

In order for the transplant to work, I had intensive chemotherapy to kill off my original defective immune cells. For a month before and for many months after my transplant (until the new immune cells fully took over), I did not have a functioning immune system. This means I was vulnerable to EVERYTHING.

Many transplant patients get weird infections that most people have never heard of. Many common viruses, that healthy people easily clear without a single symptom, become deadly in a person with no immune system to fight them.

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AIMEE NEZHUKUMATATHIL, “Naming the Heartbeats” from Anjuli Fatima Raza Kolb on Vimeo.

Theodore Schleifer in Vox:

Bill Gates rebuked proposals, floated over the last two days by leaders like Donald Trump, to reopen the global economy despite the Covid-19 coronavirus outbreak, saying that this approach would be “very irresponsible.”

Gates did not mention Trump by name, but the American president has said that he may decide to relax some of the country’s “social distancing” in order to jumpstart the country’s shut-down economy. Gates, the country’s leading philanthropist, has been among the most active tech leaders in using his resources to try and contain the virus.

“There really is no middle ground, and it’s very tough to say to people, ‘Hey, keep going to restaurants, go buy new houses, ignore that pile of bodies over in the corner. We want you to keep spending because there’s maybe a politician who thinks GDP growth is all that counts,’” Gates said in an interview with TED Tuesday. “It’s very irresponsible for somebody to suggest that we can have the best of both worlds.”

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Adam Gopnik in The New Yorker:

It happened slowly and then suddenly. On Monday, March 9th, the spectre of a pandemic in New York was still off on the puzzling horizon. By Friday, it was the dominant fact of life. New Yorkers began to adopt a grim new dance of “social distancing.” On a sparsely peopled 5 train, heading down to Grand Central Terminal on Saturday morning, passengers warily tried to achieve an even, strategic spacing, like chess pieces during an endgame: the rook all the way down here, but threatening the king from the back row. Then, when the doors opened, they got off the train one by one, in single, hesitant file, unlearning in a minute New York habits ingrained over lifetimes, the elbowed rush for the door. In the relatively empty subway cars, one can focus on the human details of the riders. A. J. Liebling, in a piece published in these pages some sixty years ago, recounted the tale of a once famous New York murder, in which the headless torso of a man was found wrapped in oilcloth, floating in the East River. The hero of the tale, as Liebling chose to tell it, was a young reporter for the great New York World, who identified the body by type before anyone else did: he saw that the corpse’s fingertips were wrinkled in a way that characterized “rubbers”—masseurs—in Turkish baths. Only someone whose hands were wet that often would have those fingertips. On the subway, in the street, nearly everyone has rubbers’ hands now, with skin shrivelled from excessive washing.

At the other end of the day, in Central Park late at night, the only people out were the ones walking their dogs. Dogs are still allowed to have proximity, if only to other dogs. They can’t be kept from it. The negotiations of proximity—the dogs demanding it, the owners trying to resist it without being actively rude—are newly arrived in the city. Walking home down the almost empty avenues, you could see the same silhouette, repeated: dogs straining toward dogs on long-stretched leashes, held by watchful owners keeping their distance, a nightly choreography of animal need and human caution.

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“A war footing is a matter of standing on one leg on a ledge of the Grand Canyon
in a ruthless wind imagining wings and immortality being superseded by wisdom.”
………………………………………………………………………………………… —Adrian Barbarino

As I lay with my head in your lap, Camerado

As I lay with my head in your lap, Camerado,
The confession I made I resume, what I said to you
…….. in the open air I resume:
I know I am restless, and make others so;
I know my words are weapons, full of danger, full of death;
For I confront peace, security, and all the settled laws,
…….. to unsettle them;
I am more resolute because all have denied me, than I could
…….. ever have been had all accepted me;
I heed not, and have never heeded, either experience, cautions,
…….. majorities, nor ridicule;
And the threat of what is call’d hell is little or nothing to me;
And the lure of what is call’d heaven is little or nothing to me;
Dear camerado! I confess I have urged you onward with me,
…….. and still urge you, without the least idea what is our
…….. destination,
Or whether we shall be victorious, or utterly
…….. quell’d and defeated.

Walt Whitman
from Leaves of Grass

Amy Maxmen in Nature:

Hospitals in New York City are gearing up to use the blood of people who have recovered from COVID-19 as a possible antidote for the disease. Researchers hope that the century-old approach of infusing patients with the antibody-laden blood of those who have survived an infection will help the metropolis — now the US epicentre of the outbreak — to avoid the fate of Italy, where intensive-care units (ICUs) are so crowded that doctors have turned away patients who need ventilators to breathe. The efforts follow studies in China that attempted the measure with plasma — the fraction of blood that contains antibodies, but not red blood cells — from people who had recovered from COVID-19. But these studies have reported only preliminary results so far. The convalescent plasma approach has also seen modest success during past severe acute respiratory syndrome (SARS) and Ebola outbreaks — but US researchers are hoping to increase the value of the treatment by selecting donor blood that is packed with antibodies and giving it to the patients who are most likely to benefit.

A key advantage to convalescent plasma is that it’s available immediately, whereas drugs and vaccines take months or years to develop. Infusing blood in this way seems to be relatively safe, provided that it is screened for viruses and other components that could cause an infection. Scientists who have led the charge to use plasma want to deploy it now as a stopgap measure, to keep serious infections at bay and hospitals afloat as a tsunami of cases comes crashing their way. “Every patient that we can keep out of the ICU is a huge logistical victory because there are traffic jams in hospitals,” says Michael Joyner, an anaesthesiologist and physiologist at the Mayo Clinic in Rochester, Minnesota. “We need to get this on board as soon as possible, and pray that a surge doesn’t overwhelm places like New York and the west coast.” On 23 March, New York governor Andrew Cuomo announced the plan to use convalescent plasma to aid the response in the state, which has more than 25,000 infections, with 210 deaths. “We think it shows promise,” he said. Thanks to the researchers’ efforts, the US Food and Drug Administration (FDA) today announced that it will permit the emergency use of plasma for patients in need.

More here.