Kira Marshall signs the Hero Wall erected on a fence at the corner of Cliffe Avenue and First Street in Courtenay. Photo by Terry Farrell

LETTER – Comox Valley doctor stresses kindness, community support during COVID crisis

“Before you know what kindness really is

you must lose things,

feel the future dissolve in a moment

like salt in a weakened broth.

What you held in your hand,

what you counted and carefully saved,

all this must go so you know

how desolate the landscape can be

between the regions of kindness.” -Naomi Shihab Nye

***

All that matters is basic human kindness.

Infectious diseases exploit social inequality, prejudice and malaise. They exploit fear and hate.

Community is the antiserum. Do not be misguided, the fundamental solutions to HIV/AIDS, tuberculosis, polio, smallpox, and now SARS-CoV-2, have been neither medical nor technocratic. They are social. Solutions build off epidemiological tools we have had since Dr. John Snow’s 1854 cholera mapping. Nursing care, evidence-based hygiene and contact precautions as we learn of the particular disease’s character. Physical distancing when the illness prevalence requires.

Politicians and media will tout novel treatments for COVID-19, vaccines and fancy hospitals. Such offerings play for a narrative of triumph over tragedy, the victor and champion mythology sowed for prospective electoral cycles. They succeed because of the social underpinnings.

Local trumps global. But we must think global and act local.

Food security is our foundation. LUSH and the Comox Valley Farmer’s Market show us how. Food systems are essential services. We can use food to grow community and break social isolation, even when we need to maintain physical distance.

Creativity fuels resiliency.

Relationships build community.

Mid-March it all changed. Life and work would never be the same for me. It was my first Monday back from vacation, scheduled to have 40 of my patients through the doors. Routine physical exams, medication renewals, PAP screenings. Many of these in-person visits were suddenly not indicated – the potential risk of exposure to this unknown new illness outweighed potential benefit. At least for now. All the bricks of normalcy and routine were coming down.

I felt confusion. This first week of different. Even my usual post-work solace of the Saturday morning Comox Valley Farmer’s Market felt fraught with guilt – should I go? It stayed open – something that at first struck me as inappropriate, until I realized the considerable physical distancing changes and cautions taken to try to continue to strengthen the food security of the Comox Valley, in spite of COVID-19.

Seemingly overnight in mid-March, the Comox Valley medical community mobilized – “Slack,” the organizational and social media app, exploded to connect our medical planning and response. Remarkable individuals stepped up, mostly doctors under 50 in their first pandemic, co-ordinating our ICU, emergency, surgical, obstetrics and community responses. There were historical precedents, but no blueprint.

In primary healthcare, we have shifted to a new normal of Telehealth – building off the relationships that family doctors strive to create. There have been challenges and steep learning curves. Meanwhile, living off a boat, my dream of doctoring under sail became an unexpected COVID-19 gift, as Telehealth and electronic prescribing replace dinosaur fax technology. Leadership locally within the Comox Valley Division of Family Practice, and beyond from Doctors of BC and the Canadian Medical Association, has facilitated these steps – trying to ensure patients don’t feel abandoned. And from one wave to another, we shift again, to a new continuum of virtual and in-person care.

As Ed Yong incisively wrote in The Atlantic, “the COVID-19 pandemic is most like a very rapid version of climate change—global in its scope, erratic in its unfolding, and unequal in its distribution […] Our choices are to remake society or let it be remade, to smooth the patchworks old and new or let them fray even further.”

With compassionate leadership, community buy-in and creative solutions in the Comox Valley we have taken important steps through this crisis to strengthen our health and social fabric, taking this crisis as a potential opportunity to come together, even when we must remain apart, remembering the inspired words of Dr. Bonnie Henry, “Be kind, be calm, be safe.”

Dr. Alex Nataros,

Comox

Do you have an opinion you’d like to share? Email letters@comoxvalleyrecord.com

Letter to the Editor

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Float-plane crash near Oyster River leaves pilot injured

The plane crashed shortly after take-off from a private property and had no other passengers on board

B.C. salmon farms challenge activists’ demands for site closures

News reporting also unfair, inaccurate and distorted

BC Liberal Party leader Andrew Wilkinson in Courtenay to campaign with Brennan Day

BC Liberal Party leader Andrew Wilkinson was in Courtenay Tuesday, helping local… Continue reading

Comox Valley Child Development Association introduces Telethon ambassador

Leo Larmand — clad in a headband and multi-colored shorts, standing atop… Continue reading

Collaborative Perseverance Creek land purchase expands Cumberland Community Forest

Submitted to The Record A major land purchase for the Cumberland Community… Continue reading

105 new COVID-19 cases, 1 death as health officials urge B.C. to remember safety protocols

There are currently 1268 active cases, with 3,337 people under public health monitoring

Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

U.S. Presidential Debate Takeaways: An acrid tone from the opening minute

Here are key takeaways from the first of three scheduled presidential debates before Election Day on Nov. 3

B.C. nurses report rise in depression, anxiety, exhaustion due to pandemic

A new UBC study looks into how the COVID-19 response has impacted frontline nurses

National child-care plan could help Canada rebound from COVID-induced economic crisis: prof

A $2 billion investment this year could help parents during second wave of pandemic

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

Search suspended for Indigenous elder last seen mushroom picking in northwest B.C.

Mushroom picker Thomas (Tommy) Dennis has been missing since Sept. 16

16 MLAs retiring from B.C. politics add up to $20M in pensions: Taxpayers Federation

Taxpayers pay $4 for every dollar MLAs contribute to their pensions

‘Bonnie’ and ‘Henry’ among latest litter of service dog puppies

B.C. Alberta Guide Dogs names two pups after provincial health officer

Most Read