{"id":48979,"date":"2020-11-06T14:32:01","date_gmt":"2020-11-06T13:32:01","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=48979"},"modified":"2020-11-11T11:37:42","modified_gmt":"2020-11-11T10:37:42","slug":"peter-brindley-covid-19-fatigue-and-masking-how-we-feel","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/11\/06\/peter-brindley-covid-19-fatigue-and-masking-how-we-feel\/","title":{"rendered":"Peter Brindley: Covid-19 fatigue and \u201cmasking\u201d how we feel"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Covid-19\u2019s second wave is upon us, and it could easily turn into a tsunami. I want patients to know that healthcare professionals are still here for you. Use whatever maritime analogy you like, but we\u2019ll baton down the hatches, we\u2019ll grip the helm, and we\u2019ll make it through to calmer seas. Just please excuse us if we take a moment to moan. You see we are already \u201cweary\u201d, \u201cdog-tired\u201d, and dare I say it \u201cknackered.\u201d My guess is you are too. People often ask what it\u2019s like on the frontlines, so let me offer a little relatable candour and catharsis. During bedside rounds I have lost count of the number of stalwarts who admit they are \u201cdone with this (insert your expletive) virus\u201d. Our frustrations are not unique, but they are likely heightened from longer periods of \u201cmasking\u201d how we really feel.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I\u2019ve heard similar frustrations from patients, families, neighbours, and the proverbial man and woman in the largely deserted streets.\u00a0 A<\/span><span style=\"font-weight: 400\">t the time of writing, in Canada, we are still allowed to visit third places such as <\/span><span style=\"font-weight: 400\">pubs, shops and gyms, and I bet those places are centres of grumbling as much as places of relief<\/span><span style=\"font-weight: 400\">.<\/span><span style=\"font-weight: 400\"> Regardless, I seem to do little nowadays other than drive to and from work and home, or retreat to my sofa. I feel exhausted, though not even from overwork. Instead it\u2019s the accumulation of nine months of disruption, where everything is a fuss, and there appears to be no end in sight. Add to this the dread about heading into flu season and winter. Added to that is the worry about surge capacity now that we are back to full hospital occupancy. Add that government largesse is drying up and the public is fed up. Add the daily threat of school closures just when we finally got rid of our kids. It\u2019s enough to make you open up and say \u201carrrrrrrgh.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">I\u2019m a generally positive chap, but, for those with less of a megaphone, I\u2019d like to acknowledge that life really is a drag. I would like to distract myself by heading to the shops\u2014they could use the business\u2014but the restrictions just tire me more. I want to get back to casual dining, but I don\u2019t want to share personal information just to have some dinner. I ought to go to the gym but I\u2019ve had quite enough experience of sweating (underneath PPE). The point is not that we can\u2019t go on\u2014of course we will. The point is that you and I could use a name for how we\u2019re feeling. I could throw out a DSM-worthy diagnosis, but perhaps I\u2019ll borrow a North American expression, and acknowledge that \u201clife just sucks.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I want my ordinary life back and I bet you do too. I want to hug friends, colleagues, and distressed patients. I am tired of a soggy bum crack due to constantly wearing personal protective equipment. I hate that I can\u2019t travel, but I fear being &#8220;that doctor&#8221; who spreads more than just best wishes. I am bored of the constant covid watercooler chatter, especially as the watercooler has been removed. I also can\u2019t take distressed patients a cup of tea because the cups have been removed. Just walking past others seems foreboding because you can\u2019t help but wonder: \u201cHave you got it? Have I? Obviously, I accept and support the need to mask, wash, and distance, but I am irked by all the self-appointed \u201ccovid-cops\u201d and \u201csuper heroes.\u201d Masks are obligatory, but leave your cape at home.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I used to keep up on the latest news. Instead the radio is rationed and its mostly classic rock and silly comedy. I was never big on sports, but don\u2019t expect me to care about millionaires playing to empty stadia. I also fear it\u2019ll be masks for evermore. As a parent, I worry that the lockdowns are akin to kicking the player, not the ball. I worry about the groupthink and how easily we\u2019ve forgotten about noble causes such as childhood literacy and overseas aid. My upbringing tells me to stop the pity party and fight back \u201cold-school.\u201d However, you don\u2019t so much \u201cfight\u201d a pandemic, or mental distress, often you just endure.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Not every complaint needs or deserves an official label, so let\u2019s just acknowledge that people are suffering. Let\u2019s also offer them more than empty homilies about \u201ckeeping calm and carrying on.\u201d For example, where I live, in affluent Western Canada, we\u2019ve had more overdose drug deaths in the past few months than covid-19 deaths. Moreover, if tsunamis are valid comparisons, then mental health issues persist for years after the rubble is cleared. Healthcare workers are here to help, because we know it\u2019s hard. We know that because we are also struggling to \u201cmask\u201d how we feel.\u00a0<\/span><\/p>\n<p><em><strong>Peter Brindley<\/strong>, Professor of Critical Care Medicine, Medical Ethics, Anesthesiology at University of Alberta, Canada, and Scholar,\u00a0<span class=\"il\">Peter<\/span> Wall Institute for Advanced Studies, UBC.\u00a0<\/em><\/p>\n<p><em><strong>Twitter<\/strong>: <a href=\"https:\/\/twitter.com\/docpgb?lang=en\">@docpgb<\/a><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Covid-19\u2019s second wave is upon us, and it could easily turn into a tsunami. I want patients to know that healthcare professionals are still here for you. Use whatever maritime [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/11\/06\/peter-brindley-covid-19-fatigue-and-masking-how-we-feel\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":48980,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18895,18907],"tags":[],"class_list":["post-48979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-peter-brindley","category-wellbeing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Peter Brindley: Covid-19 fatigue and \u201cmasking\u201d how we feel - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/11\/06\/peter-brindley-covid-19-fatigue-and-masking-how-we-feel\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peter Brindley: Covid-19 fatigue and \u201cmasking\u201d how we feel - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Covid-19\u2019s second wave is upon us, and it could easily turn into a tsunami. 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