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7.14.2020

The carceral state


This, too, is part of the carceral state. (Google it if you don't know what that is. That's what we here in these United States live in. If you don't think so, I think you can thank your white privilege for that.)

I recommend reading the whole thing. But I'll pull out some salient points below.

The short story here is that this teenager had had previous interactions with the criminal justice system for stealing a fellow student's cell phone (which she subsequently returned and expressed remorse for taking--the other student's parent wanted to press theft charges) and having fights with her mom (which had escalated to the physical).

Then, she violated the terms of her parole for not doing online schoolwork in April 2020. (Remember April 2020? When there were lots and lots of cases of Covid-19 in Detroit? Also, in many other places? I honestly barely remember April, other than calling Hatzalah, benching gomel online, and observing Pesach.) She has ADHD and a mood disorder (for which she has an IEP in school, but did not when school moved to online-only) and 
said she felt unmotivated and overwhelmed when online learning began April 15, about a month after schools closed. Without much live instruction or structure, she got easily distracted and had difficulty keeping herself on track.
So, she went to juvenile detention ( = jail for kids).

Jail, you say? Isn't jail or any congregate setting a terrible idea during a pandemic?

Indeed!
In Michigan, Gov. Gretchen Whitmer issued an executive order in March that temporarily suspended the confinement of juveniles who violate probation unless directed by a court order and encouraged eliminating any form of detention or residential placement unless a young person posed a "substantial and immediate safety risk to others."

So, what threat did she pose?
In her ruling, [Judge Mary Ellen Brennan, the presiding judge of the Oakland County Family Court Division] found Grace 'guilty on failure to submit to any schoolwork and getting up for school' and called Grace a "threat to (the) community," citing the assault and theft charges that led to her probation. 
"She hasn’t fulfilled the expectation with regard to school performance," Brennan said as she sentenced Grace.

Wait, was she really not doing schoolwork at all? And for how long? Was she doing much less work than her classmates who were likely also overwhelmed and finding the "new normal" difficult?
Grace’s teacher, Katherine Tarpeh, responded in an email to [Grace's court-appointed caseworker] that the teenager was "not out of alignment with most of my other students."
In fact, the whole thing was "based on a comment her mother made to her teacher, which Charisse testified she said in a moment of frustration and was untrue."

Was this an ongoing problem? One lasting months? No.
Grace and her mother testified that she was handling her schoolwork more responsibly — and that she had permission to turn in her assignments at her own pace, as long as she finished by the end of the semester. And, Charisse said, Grace was behaving and not causing her any physical harm.
Do white children go to jail in Michigan for stealing a fellow student's cell phone or fighting with their parents, followed by falling behind on their schoolwork? No, not really. Kids of color "are more likely to be arrested, less likely to be offered any kind of diversion, more likely to be removed out of the home and placed in some sort of confinement situation."

Racism is integrally bound up in the carceral state.

I recommend reading at least until you get to the letter that Grace sent her mother from juvenile detention. Prepare some tissues. It's devastating.
 
Done with this and have emotional energy to educate yourself some more? You can read this, about face-down restraint at Illinois schools. Also part of our carceral state!

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3.03.2019

What do I believe?


In light of the fact that someone recently asked me what I believe, here are some of the things that I believe today (in no particular order), on March 3, 2019:
  1. That God speaks to me through the text of the Torah.
  2. That the Rabbis who wrote the Mishnah, Midrash, and Talmud were creative geniuses to whom I am eternally grateful.
  3. That worthwhile relationships require hard work.
  4. That children are both amazing and impossible, often at the same time. 
  5. Taking care of children, teaching them, and raising them to become respectable, responsible adults requires untold sums of patience, hard and boring work, inspiration, and perspiration. (This is true even for proponents of free-range parenting.)
  6. That things (habits, manners, ways of being in the world) that weren't modeled for us as children are more difficult to acquire in adulthood.
  7. That human bodies come in all sorts of shapes and sizes and that no one shape or size is better than any other shape or size.
  8. That the things that we love the most often cause us the most pain: our family, our friends, our romantic relationships, our communities (Jewish or otherwise), our religion... The list goes on. It is very long!
  9. That everyone (everyone!) can benefit from both individual and group therapy.
  10. That nature is both beautiful and cruel.
  11. That the ability to feel deep gratitude is an enormous blessing.
  12. That we improve at things through practice.
  13. That all of us struggle with things that are often/always/sometimes invisible to others.
  14. That time spent outside in nature, standing still in appreciation or meandering while lost in thought, is never wasted.
  15. That the myriad, unending series of individual choices that we all make in life are constrained both by things that we understand and know and things that we don't know or understand.
  16. That the Torah contains beautiful wisdom and really, really challenging verses.
  17. That the Talmud contains beautiful wisdom and really, really challenging pericopes (that's the fancy English word for sugyot).
  18. That the Midrash contains beautiful wisdom and really, really challenging passages.
  19. That it's normal to go through periods of feeling energized and excited by things (concepts, communities, hobbies, practices) and then distant from and alienated from them. Even bored by them. Things wax and wane. That's how it goes. Sometimes, we push through and continue our practiced commitment to them even during periods of waning interest or outright alienation, and sometimes we don't. And that's okay!
  20. That there are multiple authentic ways to practice Judaism and that different ways work for different people. Maybe even for the same person at different times of their life.
  21. That racism and sexism (among other -isms) are ubiquitous in the United States today (and probably elsewhere, but that's where I live). They are sometimes insidious and sometimes really blatant and in your face. The impact each one of us every single day.
I am quite sure that there are many more things that I believe, but that's what I have for you today!

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6.04.2017

Hand, Foot, and Mouth Disease in Adults: Getting Better? (Part 4)

Here is Part 1.

Here is Part 2.

Here is Part 3.

Now you're up to speed!

On Day 5, Sunday, January 1, I woke up suddenly feeling like my throat hurt marginally less. I was still getting new spots on my feet and hands and torso, although I didn't think so earlier in the day:
Thanks for all of your commiseration and concern, friends and relatives! Throat is finally starting to feel better today and I'm not seeing more new hand-foot-mouth(-and-rest-of-body) spots, so I don't think it's going to get any worse, which was my main concern. I feel very lucky that I seem to have contracted a mild case of hand-foot-mouth/coxsackievirus. I'm planning on continuing my regimen of sleep + liquids + analgesics until I stop feeling cruddy. I have enough food at home now, since I went out for groceries last night. Continued wishes for a speedy recovery/refuah sheleyma to anyone else out there who is sick (with something mild or serious) or otherwise feeling cruddy. Also, if I seem to be complaining a lot about a mild illness, just know that I'm doing so in the service of challenging prevailing gender stereotypes surrounding mild illnesses. (Edited to add: Also, that I hope I always sounded like I knew that it was small potatoes in the grand scheme of things in life. Because I did.)
I observed that blister on left middle finger had flattened into a flat-but-thick, red spot:
Day 5, left hand spot had gotten larger and flatter
Day 5, left hand spot had gotten larger and flatter
The original two blisters on my left sole had undergone a similar transformation, although the one that was on/near my arch was drier (despite applying moisturizer), maybe because the skin there was thicker:
Day 5, left foot
Day 5, left foot
New blisters/sores were still emerging and filling with fluid, especially on the heels of both feet, as you can see on my left foot, above. (Three small things on my heel.)

The small red spots on the backs of my hands, now accompanied by a similar scattering of small red spots on the palms of my hands, mostly stayed small and red and not really raised:
Left hand, Day 5
Left hand, Day 5
Left hand, Day 5
Left hand, Day 5
A few of them got slightly larger, but never really got raised or filled with fluid. I really felt very lucky about all of this.

New blisters/sores were still emerging and filling with fluid, especially on the heels of both feet, but I was so happy that my throat was no longer in agonizing pain that I didn't really care:
Immune systems, properly functioning, are splendidly amazing. I am never as grateful for my beautiful, strong, healthy body as I am when recovering from an illness. Take that, you nasty, sneaky string of RNA enterovirus (aka coxsackie, the virus that causes Hand, Foot, and Mouth Disease) that set up shop throughout my body and reproduced willy-nilly for 4 days! In other words, sure, I may be sweaty and tired and have no appetite, but I can *swallow* with very minimal pain despite not having taken any ibuprofen in ~5 hours! I am very excited! In related news, my not-very-many-but-somewhat-inconveniently-placed sores are flattening and becoming callus-like. ברוך רופא חולים!

On Day 6, Monday, January 2, I woke up and my throat hurt more, again. I think it's because I'd been taking less analgesics since the improvement of the day before.

I noticed more new sores on Day 6, after thinking on Day 5 that the "getting new sores" part of this thing was over. I'm not sure if I was actually getting new ones on Day 6, or if they were just getting larger and so I was starting to notice them. Unclear.

I wrote all of this, up to here, on January 3, 2017. Then I saved it as a draft.

I am now coming back to it on June 4, 2017, five months later. I no longer recall the rest of what happened, really, although I have photos that I took, somewhere, which I may post as an addendum to this post at some later point. Basically, after this, I slowly got better and felt mostly okay by Day 8.

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1.03.2017

Hand, Foot, and Mouth Disease in Adults: Getting Sicker (Part 3)

Here is Part 1.

Here is Part 2.

I made a post-hoc judgment call and decided that Day 1 of coxsackie/HFMD was on Wednesday, December 28. (That's described at the end of Part 2.) That's when I started to feel awful, even though it took another couple of days to get spots.

I woke up on Day 2, Thursday, December 29, feeling less hot and maybe slightly less achy all over my body. I took Tylenol as soon as I got up, on an empty stomach. The idea of eating was kind of repugnant to me. I was a little bit nauseated and not at all hungry. I...think I ate some yogurt that day? I spent most of the day in bed. I forced myself to get up every few hours to drink a glass of water. After the yogurt, I took some ibuprofen.

I posted this to Facebook:
Raise your hand if you are currently at home, sick in bed with some kind of mild illness that makes you feel awful. I know I'm not the only one. This is a post for complaining, even though we all understand that being sick in bed is not the world's worst thing, it happens to everyone, we are all grateful that our lives are generally good and we have roofs over our heads and beds under them, and access to appropriate medical care, food, and water. For those people who are sick and can't be in bed because you need to work or take care of your kids, you have all of my accolades. If you don't feel like complaining, there is no need to complain. Scroll on by! For those who are sick, I hope that you all get a lot of sleep and feel much better very soon!

I was very tired, but not at all sleepy, if that makes sense. That night, I wasn't hungry, but wanted to take ibuprofen on a not-empty stomach. So I very painfully ate some chicken and rice that my sister had sent home with me (thank you!), and (painfully) took more ibuprofen. The ibuprofen helped my sore throat a tiny bit, but not much. Tylenol did nothing at all for my throat.

I didn't feel hot or cold again until the evening, when the alternating sweaty and shivering thing happened again. I think it's called "fever and chills," but I don't know if I had a fever above 99.5˚F. It didn't feel good, though I think moderately better than it felt on Wednesday night! I think maybe Tylenol or ibuprofen helped this a little? I don't know.

The main feature was now my very sore throat and total exhaustion/lethargy/malaise. I still had no spots.

I woke up on Day 3, Friday, December 30 with a very painful sore throat, at 7 am. I think my throat woke me up. Drinking water made me want to cry, but I got up and choked down a glass of water and some Tylenol. I didn't think I could choke down yogurt. I didn't want eat anything at all. The thought felt repulsive.

I thought I might have strep throat, since my throat still hurt a lot, was unresponsive to analgesics, and I didn't have any spots at all. I didn't want to go into Shabbat without antibiotics if I had strep throat, regardless of whether I also had coxsackie/HFMD. (I still (!) thought I might or might not.) So I decided to go to urgent care.

I thought I should eat before I went to urgent care. I found some kefir in the fridge and drank it, with a lot of pain.

As I was getting dressed to go to urgent care, I saw a small spot on the side of my left-hand middle finger. It looked like this on Day 3:
Day 3, tiny raised spot on left middle finger
Day 3, tiny raised spot on left middle finger
My hands look kind of raw and dry, more than they usually do. I think that's because I washed them so vigorously with soap and water while visiting my niece.

Unfortunately, I had absent-mindedly scratched it a couple seconds before my brain kicked in and I realized that it might be a HFMD sore.

From my online research, I had deduced that the sores tend to pop up where one has skin issues, calluses, or abrasions. I had also deduced that it was best to avoid scratching them if one could. It wasn't even that itchy, just a little itchy, but right after I gave that spot a scratch, it kind of popped up and became more prominent.

I don't usually get random blisters on my fingers, and so when I saw this is when I first fully acknowledged that I had HFMD.

I still thought that I also might have strep throat, since my throat hurt so much. I had not heard of a 3+-day-long sore throat as being a feature of coxsackie/HFMD, although I later learned that a friend had a sore throat for a week. I looked at my throat in the bathroom mirror and didn't see any sores, just red, swollen tonsils. I also didn't feel any sores inside my mouth.

Off to Urgent Care I went! As I was walking there, the finger with this sore got a weird buzzy/numb/tingly feeling in it. That feeling came and went in this finger, but felt more weird than bad.

I felt hot and gross sitting there. I waited an hour and 15 minutes to be seen by a physician's assistant.

As I waited, I was absent-mindedly looking at my hands and saw a few more spots pop up, all on my left hand:
3 tiny red spots on left hand, at urgent care, on Day 3
Left hand, Day 3, at Urgent Care
You can see three of them here. They're honestly barely visible, but they're there. I might occasionally get one little red dot like this on occasion, but three seems like HFMD. My niece's red spots also looked like this, more or less. Red, not that raised, not that itchy. She had a lot more of them, but she also touched them more than I did.

There was also a fourth one (barely) visible on my left hand, from a side view:
1 tiny reddish spot on left hand, at urgent care, on Day 3
Left hand, Day 3, at Urgent Care
I made a very conscious effort not to touch them, which was not that hard, because they were not really itchy and didn't hurt. I don't think I would have had that kind of self-control if they had been itchy or hurt!

My temperature was 97.5˚F, which is a bit low for me. (I tend to run 98.6˚F when I am not sick, and feel truly awful at 99.5˚F, which for some people is barely a fever at all.)

The rapid strep test I had at urgent care came back negative. The doctor took a look in my throat and noted that it was "very red." He didn't see any spots inside there, anywhere, of any color. He was willing to prescribe antibiotics on the chance that it was strep throat (which he thought was likely), but I wanted to get a culture and check before taking any, since there was no point in taking antibiotics for coxsackievirus. So they took a second culture and I went on my way.

As I was walking home, I felt a blister on my foot, on my left arch. When I got home and took off my shoes and socks, I could just barely see a little white spot on my left arch, and also noticed a second spot elsewhere on my left sole:
Day 3, two barely-visible spots on my left foot
Day 3, two barely-visible spots on my left foot
I am prone to eczema when my skin is dry, so I put moisturizer that seems to prevent outbreaks of eczema on my hands and feet and did my best not to touch them. As I was doing so, I also observed a new sore between my big toe and second toe on my right foot. I've heard that they also appeared where one tends to get calluses, and I've gotten calluses on my left arch and a bit where flip-flops rub between my big toe and second toe. So I was not so surprised to see spots pop up there.

I also ate two Popsicles that night, which felt amazing on my still-very painful sore throat. I also choked down a schnitzel, which hurt a ton and felt like sandpaper on my throat. Drinking water was still very painful.

I got sweats and chills again that night, but not as bad as the previous night. I put moisturizing lotion on my hands again before going to sleep.

I had set up hot water for Shabbat, but the idea of consuming anything hot was...bad. I stuck with cold things, which seemed like a better idea given my throat pain.

I woke up on Day 4, Saturday, December 31, with the skin of my lips peeling off in a few sheets. It didn't hurt at all; it was just weird. I had been putting lip balm on my lips whenever I put moisturizer on my hands and feet, since I figured that keeping the skin protected and in better shape might help ward off sores or blisters. I've had chapped lips before, but this wasn't that. The top layer of skin on my lips was just peeling off. Oh, well.

I also had more spots on my hands and feet, and the spot on my left middle finger had increased in size a lot. It was now a large, fluid-filled blister, which I endeavored not to touch.

There was also a new, small blister on my right middle finger, where I have an old callus from years of taking copious notes by hand:
small blister on right middle finger
small blister on right middle finger
I also saw two small, slightly-painful sores in the front of my mouth, inside my upper lip, which looked a lot like the barely-visible sores that I had inside my mouth, on my lower lip, the previous Tuesday evening.

I found that the only thing that was comfortable to eat was cold, plain yogurt. I had 2% Greek yogurt. Putting a spoonful in my mouth and closing my mouth on it and letting it just sit there felt heavenly. I also ate two more Popsicles, which felt amazing.

I was extremely exhausted all day. I felt like I could barely move.

Later on Saturday, December 31, I found or felt sores on my back and abdomen, but they didn't hurt or itch. My throat continued to hurt a lot, and I had little-to-no-appetite. I kept forcing myself to down a glass of water ever so often. On Saturday night, I went to a grocery store and bought a loaf of bread, some bananas, chocolate pudding, more Popsicles (I was almost out), and ice cream. Sadly, ice cream did nothing for me. It was uncomfortable to eat and didn't help my throat or mouth nearly as much as yogurt or Popsicles did. Popsicles seemed like the gold standard for inflamed-mouth relief.

As I was out and about on Saturday night, my hands didn't feel great. They felt a little achy and swollen, although they didn't look swollen. My feet hurt. Since my Friday afternoon, post-urgent care photo, the blister on my left arch had gotten larger and fluid-filled, while the other one was mostly just larger and redder. I was unable to get an in-focus photo, but this gives some general sense of the state of things:
Day 4, larger blisters on left foot
Day 4, larger blisters on left foot
I did some research on Saturday night, December 31, and realized that there was less out there than I had hoped for adults with hand foot and mouth disease:
Friends who have had coxsackievirus/hand-foot-mouth disease as adults: can you please PM me your e-mail address if I don't already have it? I have some questions for you, which I think I may e-mail to you to spare everyone else the boring/gory details. There isn't that much info available online, and I knew that a few of you have caught it from your kids (as I have from my niece). Doctor at urgent care said what so many others have said, "It's probably just strep throat. It's rare for adults to catch it and there's nothing to do but wait it out." For anyone curious, Dr. Google (including PubMed) indicates that a strain of coxsackievirus that has become more prevalent in the US since ~2011 (A6), is not one that many Americans are immune to (not having been exposed to it as children), so more adults are catching it now. It has a more atypical presentation than the formerly common strain, A16. And it can be more severe, or maybe usually is more severe, but so far, nothing about mine seems severe except for the awful sore throat going on 72+ hours. (Still trying to rule out strep with a throat culture.) Happy Chanukah and Happy New Years, everyone!

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1.02.2017

Hand, Foot, and Mouth Disease in Adults: Feeling Sick (Part 2)

First read Part 1 here, if you haven't already.

On Monday night, December 26, I felt a little hot, especially in my face, and my hands felt a little itchy, but I thought I was just imagining things! Because adults don't usually catch it, and if they do, they're often asymptomatic, and I'd been so careful about washing my hands well. My neck felt sore that evening, from the inside, but I didn't think much of it, since that happens to me sometimes, when I sleep funny or am stressed out.

Because I had been thinking of staying over on Tuesday anyway, to see my step-nephew on Tuesday night, I offered to stay and babysit for my sick-with-hand, foot, and mouth disease-niece "N" all day on Tuesday. My brother-in-law and sister were going to try to find a babysitter for her for Wednesday and Thursday. (My sister was off from work again on Friday and Monday, and my parents were coming and could care for her on the following Tuesday and Wednesday, so that was all the coverage they needed.)

On Tuesday, December 27, I got up and no longer felt hot at all, although I had a slight headache that responded to caffeine and ibuprofen by disappearing.

My brother-in-law found a babysitter for half of Wednesday (I would cover the other half of the day) and all of Thursday, but when he told her what N was sick with, she backed out:
Bummer. The babysitter for half of tomorrow and all of Thursday backed out when she thought more about coxsackie. So I'm on all day tomorrow, too. I should edit now, while N takes her second nap of the day (yay! sick kid sleeping = win for everyone). Will attempt to start shortly.

That day, N was kind of cranky and cried a lot. She took one standard, two-hour nap a bit earlier than usual, and was so tired later in the day but wouldn't really sleep. She doesn't usually like to drink water, but she drank a lot of water all day. She didn't eat so much.

I babysat all day, and was very tired at the end of it. But I figured that was just what usually happened when you hung out with an active toddler all day, and posted this to Facebook:
Anyone who has a kid and ever gets any brain-intensive work done ever: you have all of my accolades! (You did before, too, but now I'm really tired and there's no way I'm copy-editing today and I have the same gig tomorrow.)

On Tuesday evening, December 27, I felt two small sores in the front of my mouth. Like canker sores. They were small. One was white. I don't often get things like this, and it seemed like it would be a huge coincidence if it wasn't related to my niece's HFMD. Also, my neck felt sore again, but, as I said before, that happens to me sometimes, so I didn't think much of it.

When I woke up on Wednesday morning, December 28, the tiny sores in my mouth were totally gone. However, in their place, I had a sore throat and a slightly worse headache than the day before. The headache sort of responded to caffeine, but then I ended up taking some ibuprofen and it went away completely. The sore throat hurt a little, like it feels as a cold is coming on. Not enough to prevent eating or drinking, just enough to make you go, "Huh, my throat feels a little achy and sore."

N was feeling much better on Wednesday than she had on Tuesday. She also didn't wake up at all on Tuesday night, for the first time in about four days. She was more interested in eating, and less upset by everything.

I was tired on Wednesday and feeling a little glazed-over, but still thought it was just childcare-related exhaustion. However, I was definitely counting down the hours from 8:30 am until my sister got home at 6 pm. I felt weirdly listless and bored. I continued to wash my hands obsessively, especially after diaper changes and before eating anything.

On Wednesday evening, December 28, I could have run for the 6:30 pm train home, but I kind of felt too tired to run. I had to pack, and I felt like it was a little bit hard to stand. Not like I was dizzy, just really tired.

We decided that I would not run to pack, but pack more slowly and someone would drive me to a later train, maybe one that wouldn't require transferring in the middle.

I packed my stuff up, and as I did, my face felt hot and I didn't feel good, but not in a specific way. Just in a "Huh, I don't think I can take a train and a subway and walk a block home right now." I considered sleeping over another night, but that also did not seem like such a tantalizing plan. My sister took my temperature; it was 99.3˚F. Or 99.6˚F. Her not-very-accurate forehead thermometer gave two possible readings.

My sister offered to drive me home, and I gratefully accepted. I felt like I was being a wuss for just having a low-grade fever. But as she drove me home, about a 45 minute ride, I felt increasingly nauseated and like every part of my body ached. I ached like I had the flu. I didn't think it was the flu, since I'd gotten a flu shot. My throat started hurting a lot more, every time I swallowed. On the ride home, I told my sister that my throat hurt, and maybe I should take some zinc when I got home, in case I was getting a cold. I also told her that I was really nauseated. She blasted the cold air for me, which felt good. My head started hurting again.

I dragged myself into my building and up to my apartment (in the elevator), and got right into bed. I felt too awful to light Chanukah candles and thought maybe I'd just wait until I felt less hot and nauseated and achey.

Well, that didn't really happen. So I got up and lit and posted to Facebook again:
Be it ever so humble, there's no place like home! First night of Chanukah that I'm home... Happy 5th night of Chanukah!

I forced myself to stay in the kitchen until the candles burned down, and tried to drink some water. I was very tired and achy. I had absolutely zero appetite and the idea of eating food made me vaguely nauseated. I still (!!!) wasn't convinced I had coxsackie, since I didn't have any spots on me and thought it usually started with a "real fever," and my temperature was only a little bit high, barely a fever.

After the candles had burned out, I got into bed, thinking I'd fall asleep right away, since I was exhausted. Instead, I alternated shivering and sweating for hours. I kept shoving the warm comforter off and then pulling it back on top of me.

At 2 am, I got out of bed, drank more water, and downed some Tylenol. (I didn't want to take ibuprofen on an empty stomach.) I hadn't taken Tylenol earlier (foolishly!), because my fever wasn't that high and I thought I would fall right asleep as soon as I fell into bed. Also, it hurt a lot to swallow water, the idea of swallowing water + hard pills was almost too much to contemplate. But at 2 am, it seemed like a good idea.

My throat hurt so much. Plus, the Tylenol didn't really help the sweats and shivers. Or the body aches. I slept fitfully that night and totally understood why my niece N had woken up crying several times in the middle of the night the previous Friday, Saturday, and Sunday nights! I had no spots.

Still, because of how awful I felt on Wednesday night, I decided to call that "Day 1" of HFMD.

Part 3 is here.

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1.01.2017

Hand, Foot, and Mouth Disease (caused by coxsackie virus) in Adults: Background (Part 1)

Happy 2017!

I contracted Hand, Foot, and Mouth Disease (hereafter HFDM, caused by coxsackie virus) from my toddler niece (23 months old, hereafter referred to as "N," for niece) last week. I decided to write up my relatively mild HFMD experiences in case they are helpful to anyone else. Also, because I was sick at home for the worst part, not caring for children (having none of my own), I had some time to research all of this and now to write it up. Most adults who catch this from children are also caring for sick children, leaving them little time to write it up in (excruciating or not) detail!

There did not seem to be a lot of good information about adults' experiences with it, even though I now know that a bunch of my friends have caught it from their kids. (They shared their experiences with me privately.) One friend referred me to this helpful blog post from Sarcastically Yours.

Notes you should read:
  1. I am not a doctor or any kind of medical professional or a scientist. So nothing I write here should be taken as anything other than the perspective of a layperson.
  2. If you are sick, you should go to a doctor, not just look for advice on the Internet.
  3. This is only about coxsackievirus group A, which tends to cause unpleasant but relatively mild symptoms including Hand Foot and Mouth Disease, not coxsackievirus group B, which can cause many more serious, long-lasting problems. (See this or this for more on Group A vs. Group B.) Some of the most dire reports online are from adults who had coxsackievirus Group B strains.
Background:
So, N had a mysterious rash on her legs on Sunday, December 4, and was diagnosed with coxsackie, (a virus that causes HFMD), as well as walking pneumonia. However, her pediatrician, to whom my sister spoke the next day, said that it didn't sound like coxsackie. N took antibiotics for ten days for the walking pneumonia and it got better and the rash went away in a day or two.

On Monday, December 19, a note was sent home from daycare that a kid in N's class had HFMD, and that children with HFMD must be kept home until they got an all-clear note from a pediatrician.

On Friday, December 23, I came to my sister and brother-in-law and N's house to visit for the weekend, planning on going home on Monday morning, or maybe staying until Tuesday night to see my step-nephew, who would be visiting then. They live about two hours, give or take, from me, via public transit.

On either Friday night, December 23 or Saturday, December 24, we noticed a new rash on N's legs, starting on the back of her thighs. My sister's first thought was that it was a recurrence of the mysterious non-coxsackie rash from a couple weeks earlier. The skin there was dry, so also I thought maybe it was dry skin (I sometimes get weird stuff from dry skin in the winter), and my sister applied moisturizer.

N hadn't slept well on Friday or Saturday night, waking up and crying a few times. I was up and rubbed her back a few times on Saturday night, but she ultimately wanted her parents.

She didn't seem that hungry on Saturday, December 24.

By Sunday, December 25, it had spread to N's arms. N also didn't want to eat. She didn't sleep well that night, either, waking up a few times. (Like, she slept from 8 pm to midnight, and was up and wanting comfort/help/Tylenol at midnight and 4 am and then woke up for the day at 6:30 or 7 am. She's normally a 7:30 pm to 6:30 am solid sleeper.)

It seemed a lot more like coxsackie/HFMD and less like dry skin, even though she had no spots on her palms or the soles of her feet or inside her mouth. She didn't really have a fever or seem hot, but maybe that didn't rule out coxsackie/HFMD.

I posted this to Facebook on Sunday evening:
So, how contagious is coxsackie (hand foot and mouth) from toddlers to adults?

Answers ranged from: "I've been around kids who had it two or three times and never caught it" to "I caught it but it was mild and I heard that it's always mild when adults catch it" to "I caught it and it was awful" to "I caught it and it was awful and other adults I know who have had it have suffered a lot more than kids seem to." So...a lot of people haven't caught it when kids have had it, but those who have have caught it, either gotten very sick (more severe than their children) or not very sick (less severe than their children). In some cases, their children were pre-verbal, so it's hard to assess who had it worse, except for by comparing fevers and counting spots. One infectious disease specialist spouse of an acquaintance said that he thought 1-5% of adults-caring-for-children-who-had-it got it.

The upshot from my research and Facebook discussions seemed to be that there were two factors that work against adults catching it from children:
  1. It seems like a lot of adults have already been exposed to the virus as children, and that's why many don't catch it. They have already developed full immunity against it as a result of having had it, just like I had chickenpox when I was four and so now I can't really get it again.
  2. It also seems like many people who "catch" it don't actually get any symptoms from it. This means that many people "catch" the virus from children, when they are either children or adults, and develop immunity to that particular strain, but never get sick. So you could have "had" it as a child and never have known, or, as an adult, you could "catch" it from a child now and also never know. (Medscape says here that "More than 90% of coxsackieviruses infections are asymptomatic or cause nonspecific febrile illnesses." (Of course, there are lots of different kind of coxsackieviruses and not all of them are the same as the ones that cause HFMD. But, still. It seems that the same is true of the specific coxsackievirus that most often causes HFMD in the US, A16.)
Adults without compromised immune systems ("immunocompetent adults"), a description which fit me, are considered to so rarely get HFMD that there are medical journal articles describing cases where they do. (Open the individual journal articles at your own risk if you are easily disturbed by images of people with skin disorders. Many describe cases that were very severe and caused by enterovirus71, a strain that is common in Asia and rare/nonexistent in the US. The link itself just goes to Google Scholar and no images.)

There were also factors in favor of adults catching it from children:
  1. There are different strains of coxsackievirus, and catching one strain doesn't mean that you can't catch another one later. (Like a cold or the flu, which are also viruses.) But it might mean that you don't get as sick if you've ever had a different strain of it.
  2. So many of my friends seem to have gotten it as adults! Like, six or more people I know caught it as adults. I don't know what percentage of total-adults-I-know-who-have-been-in-contact-with-children-who-have-HFMD that is, though. (That could be 5% or less, for all I know.) No one who got it seemed too blase about it, although a few cases were self-reported to be mild.
I never had symptomatic HFMD as a child, nor did any of my siblings. Between those two options, it really seemed like I was unlikely to catch it and get sick from it, if that's what N had, and if I attentively adhered to good hygiene practices. I had been washing my hands the normal amount during my visit (i.e., after using the bathroom, before eating), but probably not for the full 20 seconds that you're supposed to soap up for and not always with hot water (sometimes with whatever temperature water came out of the faucet when I turned the hot water on).

By Monday, December 26, it had spread to more of N's body, including around the outside of her lips, but not really to palms or soles, and she didn't seem to have any sores inside her mouth or on her tongue. Back to urgent care. They said she had coxsackie. They said adults rarely contract it. They said that there was nothing to do but wait it out.

Once the diagnosis was official or maybe even before that (sometime on Sunday?), I started washing my hands more vigorously and for longer (20 seconds of soaping), with as hot water as I could stand.

Here's Part 2.

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3.29.2011

The smell of Chapstick

Do you know that particular, waxy smell that Chapstick has? It's different from Blistex or other lip balms. I don't know what gives it that smell. What I do know is that it reminds me, instantly and irrevocably, of Chanukah.

Why the association?, you might very well wonder. When I was little, we kids got eight presents for the eight nights of Chanukah, one on each night. And for as long as I can remember, one of the presents was a stick of Chapstick. At first, it was the clear kind. But then, when I got older, it was the more exciting cherry flavor. And do you know why the cherry flavor was more exciting? It's because it was more like lipstick. And that was exciting, fun, and cool. Especially when I was little.

I thought of that Chapstick smell-Chanukah association as I read Marjorie Ingall's piece in Tablet ("Little Ladies," Marjorie Ingall, February 22, 2011), in which she wonders about the sale of makeup to six-year-old girls. She's not the only one.

I sympathize with her. But when I remember how non-princessy I was (dressed in gender-neutral primary-colored clothing by my mother, the better to hand down to my little brother), and how I still coveted those tubes of Chapstick, plain or fake-cherry-infused, I wonder. My mother didn't wear makeup, so I wasn't trying to imitate her. My grandmothers did, and one grandmother happily introduced me to nail polish when I was about six. I polished my nails intermittently throughout my tween years.

So, is Walmart creating a market with its geoGirl line, or capitalizing on an existing desire among little girls to paint their faces? On the other hand, as the Ms. Magazine blog post ("Walmart’s geoGirl: Doesn’t Every 8-Year-Old Need to Exfoliate?" Mia Fontaine, February 9, 2011) points out, this is a far cry from a tube of Chapstick:
The line, which boasts a total of 69 (let’s hope that’s coincidental) products, contains everything from eyeshadow, mascara and blush to exfoliator, anti-oxidant treatments and face soap. After all, what 8-year-old doesn’t need to slough off dead skin and elongate her eyelashes?
And what of the claim that the push is coming from parents and not kids? That's a disturbing one!

Thoughts?

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9.13.2009

My Life in Talmud Torah (With Emphasis on Talmud): Discovery (Part 1)

Last week as I was learning Torah in the beit midrash, I felt my 12-year-old and 18-year-old selves peering over my shoulder and each sagely nodding their approval. I'm not sure I can explain what that felt like. Trying to is making me rather teary, and I'm not even sure why.1 It was an eerie and uniquely wonderful sensation.

Let me start from the beginning.

It was September of 1991. I was twelve years old, and about a month away from celebrating my bat mitzvah with a birthday party at the local art center with all of the girls in my grade. The only thing that marked the occasion as specifically Jewish was that I gave a d'var Torah on Parshat Noach. (My birthday was in the Hebrew month of Tammuz, but that was an inconvenient time to celebrate a bat mitzvah.) I had survived nine years of day school education and already learned most of Chumash and the first few books of Nach.2

We sat down in the classroom next to the lunchroom-auditorium and opened up a paperback Gemara textbook with a reprint of the first chapter of Tractate Berachot from the Vilna shas and took out our highlighters.

The teacher read, in that sing-songy Gemara voice:
מאימתי קורין את שמע בערבין? משעה שהכהנים נכנסים לאכול בתרומתן עד סוף האשמורה הראשונה דברי ר' אליעזר. וחכמים אומרים עד חצות. רבן גמליאל אומר עד שיעלה עמוד השחר
Me'eimasai korin es shma b'aravin? Mehsha'ah shehakohanim nichnasin lehechol b'trumasan ad sof haashmorah harishona...
He read and translated and we all diligently took notes. We highlighted assiduously--one color for each sugya, or section. Tests required us to recall key phrases:
דתניא, "as we learn in a b'raisa"
תא שמע, "come and hear"
"'Come and hear,' not 'Come here'!" I remember the teacher joking.

I remember, at some point that year or the next, sitting on the ledge in the grassy courtyard of my school, helping a classmate understand a difficult section of Gemara. It suddenly occurred to me that this was really, really fun. It was a kind of game, or logic puzzle, and when I had cracked it, it felt wonderful!

I had never really had that sense about anything purely academic before. I pushed myself to excel in school because that's what was expected of me, so that's what I had come to expect of myself. I really enjoyed the few art projects we got to do in elementary school, where I had also enjoyed writing and "publishing" short books, and had liked learning life sciences in seventh grade, but had no particular passion for anything else I studied in school. I was terrified of getting bad grades and I worked very hard to prevent it. I kept the fact that I enjoyed learning Talmud to myself for the next several years.

When classes were first tracked, in seventh grade, I started out in the regular, non-honors track for limudei kodesh [Judaic studies]. Over the course of high school, I gradually moved up into the honors class.3 Sometime around tenth grade, my first year in the honors limudei kodesh track, I was first willing to admit to enjoying learning Torah, especially mishna and Gemara. The summer before eleventh grade, I went to an open [to women] beit midrash in my neighborhood and learned the mishnayot of Masechet Kilayim, by myself, with my buddy, Pinchas Kehati. I learned lots and lots of Hebrew words for different kinds of squash. It was thrilling. I don't really remember why, but it was. After that experience, I decided to enroll in what was called "Super Talmud," wherein I spent two extra periods a week studying Gemara, on top of our usual 9-10 weekly periods of Gemara. This meant that I had class until 7:30 pm one night, instead of the usual 5:43 pm high school dismissal time. During eleventh grade, I read As A Driven Leaf and considered spending the summer between eleventh and twelfth grade studying Torah, full-time, in Israel. I had one phone conversation with the infamous Baruch Lanner about it, during which he made a strange comment about my stellar PSAT scores that sounded vaguely sleazy to me. I decided to go on a less intellectual, more social, and most importantly, free, summer program in Israel, instead. I think that it was during this time when I started learning Torah, on my own, in the beit midrash of a local shul between mincha and maariv. Perhaps that was the following year, though. I brought the mishnayot of Masechet Sukkah to Israel with me, and learned some of them.

By the fall of my senior year of high school, I was committed to spending the following year studying Torah, full time, at a yeshiva in Israel. I later found out that others called women's institutions "seminaries," but I never heard that word in high school. As far as I knew, both men and women went to yeshiva in Israel after high school and before college, and the programs of study were roughly similar--hours of gemara every day, with some chumash and halacha on the side. I was interested in an alternative to the institution I ended up attending, which I thought might offer some of the amenities of the men's programs, including prepared meals (to allow more time for learning) and a more sophisticated approach to Talmud study, but that didn't pan out. (The program didn't happen.)

By the spring of my senior year of high school, I was additionally committed to spending the summer before my year in Israel studying at a women's Torah study program in New York City. I worked full-time at the Vaad of my hometown in June and August (sorting dusty books--fun!--and doing data entry in Hebrew--great for improving my Hebrew touch-typing skills!), and went to New York City to learn more Torah in July.

Stay tuned for Part 2, hopefully later this week!
_______________________________________________
1. I had to fortify myself with mint chocolate chip and Jamoca ice cream just to sit down to try to write about this, but that's gone by now, and now here I am, just starting to try to put this down into words. What's that you say? I shouldn't always eat to get myself to write? It's bad to reinforce the association between sugar/fat and productivity? Too late! I started eating M & M's to write my papers back in high school, and, uh, 70 pounds later, here I am. (Whoops.)
2. I remember that I had learned from Parshat Lech Lecha through the end of Breishit in 2nd and 3rd grade, I think Shmot in 4th grade. I don't remember which Chumash I learned in 5th or 6th grade. We did the first half of Breishit in 10th grade, and I think the second half in 11th or maybe 12th grade. I learned Joshua in 4th grade, Judges in 5th grade, Samuel I in 6th grade, Samuel II in 7th grade, Kings I in 8th grade, and maybe Kings II in 9th grade? After that, we learned Jeremiah, Psalms and the Five Megillot), and Isaiah. I wouldn't say that the Chumash or Nach curriculum was very well organized at the school that I attended.
3. I believe that I was placed into the regulars class, rather than the honors class, because I asked too many questions in elementary school. I was severely under-confident and over-anxious in school (and in life), and I asked, more than was deemed necessary, what words meant throughout my Judaic studies career in elementary school. I wish that someone had worked with me on feeling more confident in the things that I knew (because I *did* know things), rather than telling me (as they did), to "Stop asking questions." Grrr...

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6.02.2009

Iran Preparedness Training

There was a national air-raid siren drill this morning. I knew it was going to happen and I wasn't looking forward to it. 

I was so dreading it that the actual thing wasn't so bad. I threw my pear core into the compost bin (all my roommate's doing; I am mentally supportive but physically unable to deal with the rotting fruit and veggie scraps, which stink to high heaven, especially in the summer months), grabbed my backpack and hat (since I was leaving for the day), walked rapidly down to the ground floor from the third floor (fourth floor American) which suddenly seemed much further up than it ever had before (with the exception of times I've had to drag multiple heavy suitcases up the stairs), and watched my roommate struggle to quickly open the two locks on the miklat [shelter] door. 

Once inside, it was clear that everyone in the building would not fit if there was, chas v'shalom, Hashem yishmor, lo aleinu [Heaven forfend, Lord protect us, not on us], an actual impending air attack. It was full of mattresses, stacks of plastic chairs, and adult-sized bikes. There was room for maybe five people to stand comfortably in there, in a building with six apartment units, at least half of which have three bedrooms. (I think they all must.) This is, of course, illegal and, also of course, extremely common. Miklatim (miklatot?) are supposed to be 100% empty, all of the time.

The siren lasted 90 seconds, I think, and when we came out, an elderly woman (70-80 years old) wearing a nightgown and a bathrobe peered down the stairwell and asked us what was going on. We told her it was a drill. She kept saying that she hadn't known about the drill, and she was scared out of her mind, and she almost died, and my roommate kept saying that it was a drill. A neighbor of hers came out, and kind of yelled at her for not knowing about the drill (they've apparently been announcing it for two months), but then kindly asked her to come into her apartment to rest up. (This neighbor who knew did not come into the miklat with us.)

Someone, from an institution that shall remain unnamed, sent out an e-mail informing us of the impending drill, which was great, since I otherwise would not have known. Thanks! But she referred to it as an "exotic" way to end off a year in Israel, a sentiment that made me ill. Would that I and the rest of the world could avoid such exoticism. I naively wish with all my heart that I could live in a world where air-raid sirens didn't exist. It made me feel horrible for all the people all over the world who grew up with air-raid sirens, or, God help us all, were attacked by missiles without benefit of that high-pitched, eerie warning.

I do not like living in a country within easy striking distance of nations (or people/organizations) with high-range missiles who want us dead. This was true when bombs or whatever they were were streaming in from Gaza, but I was too scared about the whole thing to articulate. Being so close to Lebabon, Syria, Iraq, Iran, and, well, Gaza, just does not sit well with me. 

Neither does the reality of a country where young children go to Yom HaZikaron (Memorial Day) commemorative ceremonies (how do you say "tekes" in English? not exactly ceremony, I don't think). I found these images and realities from Yom HaZikaron to be very sad, and somewhat surprising. 




These were children at the local elementary school ceremony last month, which was half Yom HaZikaron (talking about the loss of soldiers cut down in the prime of their lives, reading names of dead soldiers, reading poetry, dancing sad dances, singing sad songs) and half Yom HaAtzmaut (Independence Day, happy, marching, flag waving, singing happy songs). It wasn't very graphic or as somberly horrifying (to me) as the Yom HaZikaron tekes for the community that I went to the night before, at a local community center, where a man who had lost three sons in Israeli wars said Kaddish for the community. But, still. One and two year olds listening to talk about dead soldiers while snacking on Bamba? They clearly don't understand. Do five and six year olds learn about it in school? They were in attendance as students in the elementary school where the tekes took place. Were those eight and nine year olds reading names of dead soldiers at the school ceremony, or were they all ten or older (I can't tell)? How does anyone teach this stuff? Do they glorify the dead for sacrificing for their country? Talk about how sad it is that anyone has to die in war? Wish for peace and minimize death talk? I am both intensely curious and don't want to know.

The only equivalent I can really dredge up from my own experiences as a child are being taught about the Holocaust, since Yom HaZikaron, while commemorated at my religious Zionist day school, felt very distant and mostly associated with old-school, sad Israeli folk songs. I don't remember learning about the Holocaust for the first time. It feels like something I must have always known about, although that clearly isn't the case. I started having Holocaust nightmares, which I think a lot of Jewish kids have, when I was around nine. I was definitely reading kids' chapter books about the Holocaust by the time I was nine or ten.

The first person I knew who died, who I remember hearing about, was my great-grandmother who died in the summer of 1985, when I was six years old. I had scary dreams involving death after that, too. I don't know if I really understood what death was when I was six, except that I knew that it was bad and scary. The nightmares indicate that I may have also understood that it was somewhat out of my control. I also had scary dreams about being kidnapped and about robbers trying to get me, so it wasn't purely death and Nazis who appeared in my nightmares. (Tip: Do not take your four-year-old to see Follow That Bird. Worst idea ever. I distinctly remember being four when it was the first movie I ever saw in a theater, but IMDB says that it didn't come out until I was six, so I guess my memory is faulty.)

Enough about death for today. In summary: I am glad that the air-raid siren was only a drill and sad that we live in a world where it usually isn't.

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11.28.2008

Grandparents and recalling Christmases past while hiking in the Negev

This was sad and poignant and strange. Aspects of it reminded me of my childhood, growing up four hours from my paternal grandparents and a whole country (and a wide country!) away from my maternal grandparents. It made me nostalgic for a childhood that I didn't have, of living close to extended family. It also made me miss my grandparents, both dead and alive. I know that I was lucky to have them in my life for as long, and as much, as I did, but I still want them around for longer.

I spoke to my grandmother, my one living grandparent, on the phone last night, in honor of Thanksgiving, and it made me miss her even more. I hadn't spoken to her since I left the US in August. There is no excuse for that, given the price of long-distance calls these days, but the miles somehow make it seem further. So much of the time we have spent together has been around activities or food, that it's hard to sustain a relationship over the phone. I don't think I would want to commune with her over the Internet, even if she were willing to, which I don't think she would be. It would have been really fun to "do" Thanksgiving over the Internet, via webcam, with the extended family, but it wouldn't have been the same. At all. Thanksgiving is a BIG deal in my family, at least partly because it was the only holiday my immediate, Jewishly-observant family could do with my non-observant wider family. I've only, in my life, had two Thanksgivings before this one without my grandmother, siblings, parents, cousins, aunts, and uncles. One was when my grandparents didn't make a big Thanksgiving because they were having a 50th wedding anniversary party the same winter, and the other was when I was in Israel in 1997. (Is it normal to say "make Thanksgiving" the same way one says "make Pesach," or is that a Yiddishism that has crept into my English?) My mother is making Thanksgiving dinner tonight, for my father, sister, me, and two friends, but it isn't the same, although I am looking forward to it tremendously.

I was hiking in the Negev over the past three days, and the subject of Christmas traditions came up. Yes, a bunch of Jews hiking in the Negev, discussing Christmas. Why not? One Jew, who grew up in Utah, recalled hitting the slopes every Christmas, since they were virtually empty. Another Jew, probably from New York although I wouldn't swear to it, recalled movies and Chinese food.

At first, I said that my family didn't have any Christmas traditions, but then one came to mind. My grandparents used to visit us from California twice a year: December vacation and Pesach. The December vacation at the day school I attended typically began on December 26, just to make a point.

The Christmas tradition that I recall most strongly took place on December 26: the day the Christmas chocolate went on sale. We would go to the local drugstore and stock up on red and green Hershey's kisses and half-priced sugar cookies shaped like Santa Claus. All such foods were forbidden by my parents, but allowed, and in quite liberal portions, by my grandparents. The other thing that we used to buy was smoked sable from the local kosher butcher. It was delicious. My mother didn't like it, so we never had it except when my grandparents came to visit. I wonder if you can get it in Israel? And why did I never buy it for myself, once I was of age to do so? My grandfather also used to buy us all the herring we could eat. I don't like herring any more, but when I was seven and eight, I loved it. And, again my mother didn't like it, so we only had it when my grandparents came to visit.

You can't do half-off Christmas chocolate, half-off Santa cookies, smoked sable, and cream herring over the Internet.

Yet.

I never share photos on this site, but I wanted to share some views of the Negev. It was so great to get outside--both to be outdoors and to be away from the beit midrash, largely because of my recent frustrations. I might write about the trip some more at some point. I also want to write about the KolDor conference and the General Assembly (aka "GA"), both of which I attended a few weeks ago now. Enjoy!










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8.18.2008

For kids getting ready for their first day of school...

This brought back memories. Mostly of watching TV, not of going to school!

If you've got a kid on your hands who somehow already hates school (shame!), try this. (The "Teeny Little Super Guy" animator, Paul Fierlinger, animated this as well.)

And for those of you looking for a full-on nostalgia experience, this. I don't recognize most of the stuff after 1987 or so, which is understandable. I was surprised by how much of the old stuff I recognized, until I remembered that Sesame Street reuses old clips all the time. I wonder if they still throw stuff from the 1970s in just to shake things up a little?

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