Category Archives: Health

Kenney on COVID

What is the Kenney position on COVID? I listen to him from time to time on the COVID updates. Most of the time I find him balanced, reasonable, and thoughtful. The one noticeable verbal slip was couple of weeks ago when he suggested that Alberta was going to have the best summer in its history. I just don’t have the problem with Kenney that  so many others do. He’s a good orator and his convictions are supported by his policy. He has not infused (yet anyway) any of his social policy biases into legislative proposals which was frankly my biggest concern when he became the Premier of Alberta. I ‘m insufficiently versed on alleged shenanigans during his rise to the leadership of the UCP.   

He handles media questions quite well in the context of COVID. Every province has been at the mercy of poor federal handling of COVID from the outset. It’s become apparent from his comments today that dozens of municipalities in Alberta have flagrantly disavowed restrictive measures and it is in this context that Alberta faces infractions by its citizenry. It’s become obvious that our legal system with all its intricacies and high power prosecutors have much to account for right now with the lack of enforcement and conviction around laws which have been ignored by hordes of people across the province. In lieu of the Bowden rodeo on the weekend, I had expected more on the topic of justice and COVID from the premier today. He has referenced another announcement upcoming tomorrow.    

I have witnessed indifference from law enforcement in Alberta pre-pandemic. I’m sensing that fellow Albertans are now also asking the question as to why people can flagrantly break the law with no consequences. I predict that there was no police officer nor Alberta Health Services marshal recording license plate numbers at the Bowden Rodeo over the weekend.  

Medical Associations and COVID

It’s evident that there is a problem in supporting health care workers during this pandemic as reflected in the slow vaccination rate and stress reported by doctors and nurses. Quebec doctor Karine Dion has committed suicide. It’s hard to fathom that the Canadian Association of Emergency Physicians is reporting that five to eight per cent of doctors have contemplated suicide in the last year alone.

I’ve always contended that professional associations have been protectionist in the way they administer their power. In Canada, it’s very challenging to obtain credentials as a doctor. When living in residence at University, I recall two pre-med students on my floor studying excessively in order to score the grades they needed in order to fulfill entry requirements. I recall a story by one of these two students lobbying a professor strenuously for the most infinitesimal amount fearful that one missed mark could break the threshold required.

Naturally, having a limited supply of doctors and refusing to acknowledge credentials from new Canadians arriving from abroad, the profession on behalf of their members casts increased negotiating power with governments. The calamity of a pandemic exposes associations to a particular shortcoming of their inward posture of protectionism.

One might reasonably ask…”how difficult can it be to administer a vaccine shot”? What kind of credentials do you think are necessary? In the very rare event of something going wrong with a vaccination, would it not be reasonable to assign a back up resource who is a professional association member?

You have a tremendous number of Canadian who have studied in the health sciences but are at home cocooning when they could be contributing toward the resolution of this big problem. I suggest that the lack of mobility of deploying more manpower quickly rests with a lack of resolve by governments and potential push back from associations.     

Ideal X Country Skiing in Calgary

While churning out the loops today within the city limits, my thoughts were on those bound by C19 protocols up on the mountains and the inevitable line ups. Today I came upon a skier thankful that I had done the heavy lifting nine days ago in order to set the track. If you had the right wax on today – you were flying with plus 3 degrees and old snow. I think the party of snow shoers I stumbled upon today were thinking today that they had taken up the wrong sport. Their snow shoes of course are nicely suited to nature’s wonders in the outback.

In our pursuits, there’s no denying the effectiveness of good planning. My bases stripped and replaced with good glide wax prior to the onset of snow. Youtube instructional videos of course work perfect for getting in tune for the season.

My first X country ski season was 1975 in a place called “Cantung”. You wouldn’t have heard of it. I fact, it’s now a ghost town in the North West Territories. I had attended school with about 25 total students all in the grades one to seven and believe it or not there were X country skis a plenty for all of us. We all went out together in colder conditions than you are used to. Big kids buddied with the smaller kids and the technology wasn’t what we have today. There was excitement as we clamoured for our gear.

Fast forward to today and it appears that motivation is lacking for affordable sport. Oh sure….on New Year’s day…people are out skating in masses in the C19 context but what about on a weekday evening where there’s good light and good weather when our day to day responsibilities are in force? Folks are too troubled or too addicted to their X box with spare time unfortunately.  It could prove costly iwth respect to longevity.   

X Country Skiing within Calgary’s City Limits

Cardiopulmonary Physiology and The Year 2020

We’ve all heard the stats. It’s the old people dying of COVID-19 and not the young ones. In particular it’s old people with underlying health conditions which make them more susceptible. Let’s examine cardiopulmonary physiology briefly in the context of COVID.

The medical profession has been mute with respect to prevention other than recommending measures to prevent contact with the virus. In fairness, the WHO has come out and said inexactly “keep exercising”. Given the statistics which indicate young and healthy individual do better, I ask myself…in the context of COVID-19 attacking the lungs mostly….what is it that a person can do to improve their pulmonary health? You guessed it – exercise.

Edward L. Fox and Donald K. Mathews have written on the subject of exercise physiology in their book “The Physiological Basis of Physical Education and Athletics”. The 2020 question becomes, will physically trained individuals handle the COVID-19  virus better than sedentary individuals. Relevant topics covered by Fox and Mathews are “anatomical dead space and alveolar ventilation”, and “lung volume”. The authors proclaim that trained individuals possess higher lung volumes. We are left in 2020 to derive a correlation between increased lung volumes and better oxygenation upon viral threat. The alveoli becomes a key term in the context of oxygenation given that this anatomical structure has been described as an exchange port for transmitting oxygen to capillaries. Authors stop short of proclaiming an increase in oxygen transport efficiency from expanded alveolar capacity due to any training effect in spite of showcasing positively correlated statistics. This has been the question which has “plagued” me since the onset of COVID-19 harkening back to my coursework in exercising physiology as a university student.

In summary, I encourage readers to exercise. If you are a swimmer in Calgary right now you may not be aware that you are treated to your own lap lane at the Respol Centre with an advanced booking even in the context of the new November 23rd regulations. Cross country skiing season is right around the corner and I’ve prepped my skis in anticipation. 

If you work at your health, you’re most likely to be rewarded. If you are not among the risk groups and you regress into a protective cocoon through COVID-19 fear…..instead of being a “sitting duck” you could become a “sitting couch potato”.    

COVID Conundrum

There are all these opinions, some credible action but then a lack of leadership. The puzzle pieces aren’t quite connecting. Governments have more power than they are really willing to deploy in the context of the problem. The underlying premise is not to overwhelm the health care system with patients who may come to need a respirator and hospital bed for survival. This seems like a worthy goal to me. New York experienced acute stress on their system in the early going and Governor Cuomo reacted with strong leadership with his lockdown. He sought federal help and did receive it. The matter was overt, vivid, and humbling for New Yorkers.  

In the state of Ohio today, there are 541 seriously ill patients from COVID-19 in intensive care as reported by the New York Times. The population of Alberta is about 37% that of Ohio. If you are in intensive care it means that you are poised to die without the intervention of continual care. People are dying of the virus and deaths are preventable in absence of transmission. It’s difficult to be argumentative with these facts. 

The economy needs to function and governments have power. Governments communicate with you and they are doing so regularly on the topic of COVID-19. Medical officers speaking on behalf of governments may not offer a powerful voice when communicating facts and therefore not drive a message with force. Medical people have intellect but not necessarily a powerful communication style to help reinforce words. This is certainly the case in Alberta.

If resources become very thin, doctors will make decisions with respect to who gets a ventilator. It will be their ethical duty. You may not be one of the lucky ones if you are gasping for a breath because of COVID-19. Therefore, you should do what’s asked of you. It’s not difficult and it will be temporary if we all comply. There is no conspiracy to strip you of your livelihood. There is no socialist agenda  – but there will be if the political pendulum keeps moving leftward (Canada).

What if things get really bad? You could lose your autonomy. The government could conclude that you lack the moral authority to make good decisions with your behaviour and consequently if you are tested positive for the virus be extracted from your family and warehoused with other COVID-19 positive people until you become symptom free. Your government actually does have this kind of power over you but has never during your lifetime needed to proclaim it.

Responsible citizens are quietly complying with ordinances and going about their business with a duty to their fellow man in the context of being part of a large solution.  I bet you are one of these people and I acknowledge you.