Like that song from the early aughts
Since I could hold my head up high
And it's been a while
Since I first saw you"
Sciencey blog with emotions, sometimes too personal, it's venting ;)
I got reminded a few weeks ago about a time when I realized that words matter and "mainly repeating things being told in a theoretical context" might hurt someone.
I was a 20 year old living in a dorm during second year of uni. It was a dorm where we shared one kitchen on 12 rooms (each room had its own bathroom) and we also shared a 'common room' with the TV. This was obviously in the dark ages where there was less internet, modems and no wifi, and TV had a cable package that we all shared to keep the costs down.
We lived together for years, 10 of our rooms with the same people, with two rooms being more transient students. Nowadays probably called "non-traditional" students. It was the Iranian exchange student who cooked food for all of us in the fall - when he made dinner he made enough for 12 people - as long as you wanted to eat at 10pm since it took time to make the rice correctly. (My goodness the rice was amazing!)
And then there was the woman who moved into the dorm room next to the TV room with her fiancee. They were born in former Yugoslavia, and this was post 1996 with the war and the siege of Sarajevo (1992-1996) the capital of Bosnia & Herzegovina. I had been exposed to the war in my middle school and high school with having class mates from different areas of former Republic of Yugoslavia. Meaning we had students in the class with grandparents and other relatives in the different parts of the then civil war (e.g. Serbia - Bosnia-Herzegovina - Croatia ) and also Kosovo, which meant all of us youngsters needed to talk and get to some sort of agreement on how to address one another as it was very bad "back home for their extended families". (this is a VERY shortened version on what happened in the class)
By some reason I had forgotten some of this when I got to university. Maybe I was living high on my "I'm taking philosophy 101 and 201 and have high standards". Maybe I was just young and not thinking things through?
Anyhooo, one night were were having dinner together and during the meal somehow we ended up talking about "things that we shouldn't do" and I piped up; "Burning books is BAD", you should never burn books".
And the woman from the room next to the TV-room looked at me, with a specific facial expression and apologetic stance and said to me "I'm sorry, I burned out books in small cooking fires for food when we were in Sarajevo. We couldn't get out of the apartments and get wood due to the snipers, so we used what we could for cooking food and warmth".
I don't think I've ever been more aware of context. I looked at her and felt so bad for making her feel bad. And said in somewhat of a sheepish voice, although she had been perfectly civil and visibly sad they had done this, "I obviously didn't mean when it's a matter of survival. It's more of a theoretical conversation from my class".
And felt like a fool. Burning books if you're stuck in a place and need to prepare food and warmth is not an issue. And I shouldn't have made her feel bad about it.
Still thinking about it to this day, more than a quarter of a century ago, that I feel fortunate this happened. It was a great moment of showing me the meaning of remembering "my experience in life is NOT ALL people's experience" and that there's so much value of knowing people from everywhere with all sorts of experiences. Like all the non-me people I've met moving around the world, changing jobs, volounteering in places and traveling and talking to random people - I always learn something new and it's always something that makes me more humble. Here's to learning more things every year of our lives!
I wasn't planning on doing this but after a few days of hearing news from all over the place (thanks to being involved with someone who listens to Fox and "christian radio", I've gotten a view from there as well as the European sector that I cover on a regular daily basis and then the NPR and "liberal media" we both listen to....).
Anyhooo..... since part of what I'll be writing here shouldn't be an issue on anyone - regards republican or democrat - since it is fact.
The facts are as follows:
SARS-CoV-2 replicates in upper lung or lower lung, but most often is detected in respiratory part of the back of the nose (nasopharyngeal part).
The PCR tests are designed to find the RNA in the swabs that are put in our noses - or sometimes the back of the throat - and will pick up virus and parts of the virus to show detection when run through the test.
The quick test - is having a high degree of certainty when positive (that means there is presence of virus in you) but the degree of false negatives is pretty high. This means that the Limit of Detection (LOD) as I previously wrote about, will be higher than 0. There's also a pure biological reason that the rapid test is having a low detection level of people "who might be infected but test negative" since there virus need to replicate to a point of detection. None of the test on market - understandably so - can say that they know you are infected the same day or day after (or even up to day "before you have symptoms") - since there LOD is not as sensitive as that.
Short explanation is this: you meet your friend and hug them. They are infected with SARS-CoV-2 and breathe when they say "Happy to see you". You get some of that breath, and viral particles, in your breath that you take into your lungs/upper respiratory tract (back of the nose/throat). The virus is all happy getting cells to infect and starts getting to work.... that means multiplying.
Depending on how well the virus is multiplying inside your cells, the number of cells and number of viral particles and RNA in your system (cells in the nose/lungs, bloodstream or stool) will vary. That's why some people show "positive" on the testing after 2 days after exposure, or others don't show it until 10 days. Either of them could be sick, have symptoms, and get others sick - it's all individual. That's why the guidelines say 5-14 days for quarantine.
As I explained to my parents - both over 70 - when I went to see them. I had a high risk event when flying, and I said "I want to wait 10 days before meeting you outside" (I'd still wear a mask since I'm the potential spreader at that point). The key facts for me are the scientific articles that say "after 11 days of quarantine without symptoms from a high risk/positive covid19 encounter, 97% are non-positive") .
When I re-entered USA to go to home to my house, I lived in my guest room for 9 days - monitoring my temperature and symptoms - since it was important to me not getting anyone else potentially infected, and then I got a PCR test on day 8 since if my flight was the potential spreader moment. The test would pick up me as infected after 8 days even if I was symptomatic due to the viral replication rate as reported.
I feel like this aspect has been lost in the discussion. The test will NOT pick up on you being exposed today, yesterday, day before yesterday and maybe not day before that. Why? Because there isn't enough virus in you to get a positive in the test. the Swab is only so good. The swab doesn't go everywhere where the virus might be. The amount of virus is not what the Swab need it to be to pick it up.
This is what's mentioned in the discussion as "wait to test until 4 days after exposure" and quarantine until then. It's also why "going to work every day without social distancing even if you test every day will keep you safe from potential infections" (since you don't know who met someone infected the night before since the test will show up as negative that morning after....).
Everyone with a basic biology degree should know this.
Anyone having an infectious disease degree or knowledge knows this. Anyone with a pandemic preparedness knows this.
That's why I'm so confused seeing the "Rose Garden Event" from last Saturday since people are not only kissing and huggin (outdoors), they are also gathering indoors without any social distancing. It's confusing on a Risk level, and on a "protection level"
The only conclusion I can draw from this is that; people in the WH really didn't think Covid19 was an issue from the President, not any of the people surrounding him, since otherwise they would've taken precautions like social distancing, mask wearing indoors and no people cheek kissing and then talking to the president.
Again, I feel like repeating - "What do I know? I'm just a PhD in microbiology with a speciality of virology and pandemic".....