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Rapid at-home tests could then serve as a kind of contagiousness test, replacing a strict time-based guideline to let people know when to start and stop isolating. Even small adjustments could help: As Adalja put it to me, being able to return to normal life after nine days instead of 10 can make a real difference.

Other experts agree that it could make sense to reduce isolation periods for fully vaccinated people who aren’t experiencing symptoms. But it takes time to get the sturdiest empirical foundation for these policy changes.

“We will not have the evidence base on which to assess the impact of changes in these protocols for week or months and omicron will be on us before that,” Bill Hanage, an epidemiologist at Harvard University, said.

So we are working with imperfect information at a critical point in the pandemic: It’s imperative to constrain spread as much as possible, but there’s also a risk in asking health care workers to quarantine for too long when hospitals are expecting a swell of Covid-19 patients.

The current isolation guidelines pose a staffing challenge to hospitals

We don’t know how many people have been strictly following the CDC’s guidance after they test positive. But hospitals do with their staffs.

Right now, hospitals are typically asking their staff members who test positive to quarantine for the full 10 days — and they are already seeing positive tests skyrocket, even with omicron still accounting for only a fraction of US cases, according to the available data.

Houston Methodist Hospital saw the number of positive tests among its staff members grow from 46 the week of December 6 to 200 the following week.

“We must follow the CDC and OSHA guidelines, which require the 10 days of quarantine,” Stefanie Asin, a spokesperson for Houston Methodist, said in an email. “If they change the guidelines, we will follow suit with our own policies.”

This is another way the omicron variant could push the health system into crisis.

Even if the variant does tend to cause milder illness on average, as some early indications suggest, a certain percentage of infected people, especially unvaccinated people, is going to end up getting really sick. The bigger the denominator (infected people) gets, the bigger the numerator (hospitalized patients) will too. The more hospitalizations we see, the more deaths will be added to the 800,000 American lives lost so far and the higher the risk that there will not be beds or nurses for people who come to a hospital with non-Covid medical emergencies.

The crunch will be even more acute if a wave of sick patients hits hospitals where doctors, nurses, and staff are sidelined for days with mild or asymptomatic cases. Omicron appears adept at evading immunity from vaccines and causing mild or asymptomatic breakthrough infections for some people, though the vaccines still provide strong protection against severe illness. But that change in the virus could lead to a lot of nurses and doctors testing positive — and being required to quarantine, even if they don’t have symptoms or if they feel better quickly.

As hospitals have said throughout the pandemic, staffing is as much of a constraint on their ability to deliver care as physical beds or supplies. Before omicron hit, nearly 99 percent of rural hospitals already said in a recent survey that they were experiencing a staffing shortage; 96 percent said they are having trouble finding nurses specifically. These hospitals tend to be in communities with lower vaccination rates, where the need for care is expected to explode as omicron takes over.

Even though the CDC recommendations are thus far unchanged, isolation protocols in some industries are already starting to change ahead of the omicron wave.

The NFL announced this week, after a rash of positive tests that put several of the coming weekend’s games in jeopardy, that it would relax its isolation policies for vaccinated players who test positive. Instead of requiring them to return two separate negative tests taken 24 hours apart, those players no longer need to wait a full day between tests. Any two negative tests are sufficient to allow a player to return to practice and games. (At the same time, the league is also reinstating mask requirements and is putting restrictions on what players and coaches can do outside team facilities, steps not widely seen outside of the NFL.)

This kind of transition is necessary, Adalja argued. We are moving from a reality in which Covid-19 is a world-altering public health emergency to one in which it is one of many viruses circulating and infecting people all the time. In the first scenario, blanket one-size-fits-all guidelines had value.

But as we move into the second, individual cases should be treated individually, he said. A vaccinated person with no symptoms is not the same as somebody who isn’t vaccinated and feeling sick. There should be a protocol that allows the former to return to life as soon as possible, while giving the latter a way to know when they can do the same.

There’s one big hurdle: Ending quarantines based on test results depends on tests being available and on people being willing to take them. Some people might not because testing every day at current rates could get expensive. The Biden White House sought to ease the cost burden for tests with its plan to have people submit their receipts to their insurer for reimbursement, but that could prove too cumbersome for many people to follow through.

In the years to come, as the coronavirus continues to circulate without, it is hoped, causing massive waves of hospitalization and death, this guidance will be less necessary; the CDC will offer its recommendations and people will decide whether to heed them.

That’s already how we handle flu and other seasonal illnesses, and it’s likely it will eventually be true of Covid-19 too. “Precision medicine is when we craft recommendations based on individual characteristics,” Adalja said. “As this becomes more endemic and managed by individual physicians, you will see naturally a move toward precision medicine.”

For individuals, that transition may happen over years. But for hospitals anticipating an imminent surge of omicron patients, considering a new policy for isolation is urgent. They’ll need all hands on deck to care for their patients.

Questions of eccentricity and the rights of artists were even more complicated in the extended public debate surrounding Robert Kolker’s viral New York Times Magazine article, “Who Is the Bad Art Friend?” The article — the title of which is now the stuff of legend — details, in depth, the stunning quirks and lack of self-awareness demonstrated by a writer named Dawn Dorland, who donated her kidney to a stranger and then insisted on making sure everyone around her knew about it. (Which, it turns out, is what donation experts want you to do.) Dorland gradually realized that a woman she considered a friend, Sonya Larson, had not only plagiarized a locked Facebook post Dorland had made about the donation for a short story of Larson’s own, but had also spent years mocking Dorland with a group of Boston writers Dorland once considered friends and colleagues. Larson had been a far more successful writer than Dorland, but just as Larson’s short story was receiving major attention, Dorland’s plagiarism claims torpedoed her career. Not a great look for Dorland, given that Larson, who is Asian American, had used her version of Dorland’s kidney donation to critique race and class privilege.

Initially, the public reaction seemed to be overwhelmingly in Larson’s corner. Much like Schulman’s profile of Strong, the author gives Dorland just enough rope to hang herself. Kolker later explained that he had attempted to “present both Ms. Dorland’s and Ms. Larson’s side faithfully,” but Dorland comes across as cluelessly self-absorbed. Kolker chose his contexts very carefully and omitted many extenuating facts on Dorland’s side, and subsequent revelations complicated the narrative he presented.

Increasingly, Dorland seemed to many like the victim of a hate campaign — a woman who’d had a major life event stolen from her, weaponized against her, and used to make fun of her over the course of years, all for the sin of being a little over-earnest and socially awkward. Larson’s circle mocked her for everything from making heart signs with her hands to using smug hashtags. “She just can’t stop being … herself,” Larson opined.

At worst, perhaps this was just an episode torn from Reddit’s Am I The Asshole that deserved the judgment “Everyone Sucks Here.” What it became, however, was a referendum on the limits and value of eccentricity, in art and in life. The titular question arises when Dorland says that Larson made her feel like a “bad art friend” for not wanting her own experience used. While many writers defended Larson’s right to steal from and transform any story she ran across, in the time-honored writerly tradition, many others felt that the malice involved — seemingly a result of intolerance of Dorland’s own complicated eccentricity — made the stakes much different from a simple case of artistic inspiration.

Part of the difficulty of interpreting the people at the center of these viral profiles and blog posts is that all of them are artists. There’s a sacrosanct creative liberty that artists often demand and receive from the rest of us — the towering personality of the diva, for example. There’s an expectation that the actor who’s allowed to be histrionic and demanding, or the writer who’s allowed to be oversharing and impassioned, will ultimately create better art.

If artistic license is the idea that’s fueling this ongoing conversation, the bigger question is about people, not the things they create. “My plagiarist fiercely maintains her right to an artistic vision,” Dorland wrote at one point. “But don’t we bankrupt our art of its value if we don’t treat our human subjects with empathy?”

In an era where personality tests from Hogwarts houses to Myers-Briggs types are all the rage, personalities that can’t be easily labeled — that don’t fit neatly into well-understood, orderly boxes — may receive less grace than others who do. Ironically, even as society shifts toward much more nuanced understandings of neurodivergent brains, disordered personalities, and social anxieties, we sometimes fail to put that understanding into practice when confronted with the complex personalities of actual people.

Increasingly, particularly on the internet, one of the worst things you can be is “cringe” — to be so awkward, un-self-aware, over-earnest, passionate, or guileless that you inadvertently become a target of bullying for personality traits that in effect harm no one. Not only has “cringe culture” become de rigueur on many parts of the internet, but the group experience involved in bullying or mocking anyone who happens to get categorized as cringe becomes justification for the mocking and bullying to continue. That seems to be what happened in the case of Sonya Larson’s group chat: As one brave friend eventually confessed, “When you enter a groupthink mentality where you are willing to dehumanize someone, you stop seeing them as a person.”

The assumption the rest of us tend to make in order to justify attacking the eccentrics in our midst is that they don’t know how they come across. Certainly that’s how Schulman portrays Strong — unaware that there’s a joke and that he’s the brunt of it. Perhaps that’s not the case, though. Strong, Dorland, and Pellegrino each seem to have some idea of how they’re being perceived, and to choose, despite the risk of increased mockery and pain, to continue being themselves, at their most extra and obnoxious.

Making this choice is a rite of passage for many of us — for the theater kids hamming it up, the fangirls shrieking too loudly at concerts, the excited nerds geeking out about obscure subjects, and on and on. The choice to embrace effusive displays of sincere feeling will always bring the risk of vilification. Perhaps when the next viral profile drops, we might push past the knee-jerk mockery, recognize the capacity for eccentricity in ourselves, and extend a little kindness.

From The Hindu: Sports

From The Hindu: National News

From BBC: Europe

From Ars Technica

From Jokes Subreddit