Someone at the Seder table asked the Groom about the outbreak of bird flu, aka H5N1 Avian Influenza, in cattle. He had just finished his shift as an attending physician on the Intensive Care Unit at his hospital. He was still seeing patients recovering from severe post-Covid complications. My brave, Intensivist son-in-law was about to dig into my specialty Passover brisket when he put down his fork, looked up and said, “Don’t ask.”
Despite the fear of another pandemic on the horizon, and the growth of anti-Semitism on college campuses, our family’s Seder went off without a hitch! The Bride delivered her traditional matzoh ball soup, the Bug chopped up a delicious charoset, and cousin Peg made all the yummy veggie fixings, with a broken toe no less. The little Emperor never left my side since he knows I’m a soft touch. Listening to the Bug read the Four Questions – Why is this night different from other nights? etc – in Hebrew – made my heart melt.
Lately, I cannot shake the feeling that this time is NOT very different to other times. SCOTUS news may be all about Mr T, and his so-called immunity case, but I’ve heard enough about the disgraced ex-president. The Supremes are also looking at the state of Idaho and exactly how physicians may practice their craft. Remember when I wrote about EMTALA? https://mountainmornings.net/2024/01/09/emtala/ It’s an Emergency Medicine cardinal rule that no one may be turned away from a hospital’s ER.
If SCOTUS strikes down EMTALA, because of the Dobbs decision on abortion, we will all return to the ‘good ole days’ of doctors refusing to treat patients for any number of reasons – like the wrong insurance… When Bob first started out in this field, clerks at the front door of an ER could toe-tag a patient, one who may be critical, to be transferred to a public hospital. Triage by socio-economic standing.
If EMTALA is struck down, ER docs would lose their license and end up in jail should they happen to save a pregnant woman’s life but lose the developing fetus in the process. Yes, once we women had no bodily autonomy at all. We had to use clothes hangers, or hire stealth nurses if we were lucky; or, if we could afford it we’d fly to another country. Today red states are passing trafficking laws under the guise of trafficking minors for commercial sex, like TN Section 39-13-309 in order to prosecute anyone trying to cross states’ borders for an abortion. Who will be (or was) the first woman to die because of these horrendous laws?
If this sounds dystopian, it’s because it is. But back to the other question at the Seder table, the one about bird flu. Who will be the first person to die of H5N1? The USDA has found the virus in milk but it is not monitoring it for some reason. Is it spreading via milking machines? Nearly 40% of cows in the Texas panhandle tested positive. Are they testing the water supplies? Nope, I guess we’re just waiting for the next pandemic to show up in Emergency Rooms.
I had to read that twice. So my daughter, and all her Emergency Medicine colleagues, may be prosecuted for doing their jobs and will be on the frontlines of the next epidemic. It will certainly be too late for prevention. Bob’s brother nearly died from Swine Flu. Have we learned nothing from history? There will always be threats to our liberty. There will always be a Pharaoh and plagues, and questions. But next year, will we still be a democracy?
This is us, two writers and a doctor, prepping for the Seder.
MountainMornings 