Talking with patients, I'm getting the impression that we're in for a post-Thanksgiving surge in COVID cases. As these things go, there will be pockets of increasing cases a couple of weeks after the holiday, maybe a small bump in the numbers beyond the current upward trend line, but a larger impact 6-12 weeks later as transmission extends a few rings out from the many smaller holiday ground zeroes.
All of my patients are talking as if they're being cautious, and many clearly are being very careful, but many others describe upcoming plans that include larger high-risk events and activities.
COVID fatigue coupled with normalcy bias may be in play.
This is anecdotal, but I've also seen two cases in which ADHD also appears to be a factor. Those with ADHD want what they want, they want it now, and they are very adept at avoiding analysis of potentially serious ramifications of indulging their wants. A lot of people are like that, not just those with diagnosable ADHD. This tendency is especially widespread among the young, as well as a fair number of adults who otherwise appear to live responsible lives. Perhaps the latter represent cases of normalcy bias.
I really hope I'm wrong about a surge late next month. I've definitely got my own case of COVID fatigue. I'm tired of all the precautions and restrictions. I'm tired of sitting 12 feet away from patients. I'm tired of mask changes at the beginning of every session. I'm tired of multiple open windows and fans drawing air in and out of the room. I'm tired of radiators turned up to maximum to compensate for the cold air blowing through the room, and I'm tired of the lack of activities outside of grocery shopping and the cleaners.
But now is not the time to let up. Quite the opposite. Now is the time to hang tight and wait for the wide release of a vaccine.