A Closer Look: Jody Paterson

One of my long-time friends has Dissociative Identity Disorder – what they once called multiple personality. Getting to know her and her people over many years has helped me to see that it’s not a mental illness at all, it’s a coping mechanism. I see so many parallels with this thing we call addiction. For my friend, dissociating was a sane response to an insane situation, which in her case was a long childhood of non-stop physical, sexual and emotional abuse. When her little-girl self couldn’t handle what was happening to her, she found a way to check out. Some other “person” that her amazing brain had created would emerge to take the pain and heartbreak, and then retreat deep inside with the memory to protect my friend from having to know it ever happened. Being able to dissociate so completely as a child was a brilliant strategy for her at the time. She thinks it probably saved her life, allowing her to take repeated abuse that any fully present child could never bear. The cop...

I generally stay out of the fray when it comes to commentary on politicking, so much of which is about as reliable as a snake-oil pitch. But having caught Pierre Poilievre’s promise of addiction treatment for 50,000 Canadians , paid out of the money that will be saved when safe-supply programs are cut, I just can’t let that blatantly misleading statement stand unchallenged. First, let’s start with safe supply. That’s the term used for when people are able to swap out their completely unregulated opioid-based street drugs for a prescription opioid from a health professional. It’s the most obvious immediate strategy to stop a toxic drug crisis that has killed 50,000+ Canadians – more than a quarter of them in BC - in the decade since the anesthetic fentanyl began dominating the street drug market. That Poilievre actually thinks there’s enough money in the country’s teeny-weeny safe-supply response to pay for a major expansion of treatment beds and the cost of putting people into th...

I was in Philadelphia visiting family last month when UnitedHealthcare CEO Brian Thompson was shot dead on a Manhattan street in a carefully planned execution. The instant roar of approval that united an otherwise starkly divided America in the days and weeks that followed has been a notable reminder that people are feeling a little done these days. Like everyone who has written about Thompson’s murder, I want to stress that in no way do I condone street executions. I’m sorry that he got killed, and that a young man whose own path seemed quite promising felt compelled to take such drastic action. At the same time, I’m awed by the powerful rage that the shooting brought out in people, and the major conversations it is sparking. (I, too, burn with fury at what the CEO class has gotten away with, though I’d like to think I’d never settle it with a gun.) The killing lit a fire under the issue of health-care claim denials in a way that a thousand of the most heart-breaking tales of life s...

Excuse me, doc - any advice for the uncertain? What are we to take from the fact that a majority of adult Canadians don’t want to be immunized against the H1N1 flu? I know how they feel. I’m still on the fence myself about whether to get the shot. Being immunized definitely appears to be the logical, civic-minded choice, but there’s this part of me that’s just really hesitant about getting a flu shot. And 51 per cent of the Canadians apparently feel the same way. Asked in an on-line poll this month about whether they’d be getting vaccinated against H1N1, more than half said no. That’s up significantly from July, when only 38 per cent were saying no. That fact must be a great disappointment to the public-health officials working hard on the H1N1 front. People were alarmed as all get-out when the new strain of influenza first took hold in Mexico, and the task back then looked like it was going to be about keeping a worried public calm until a vaccine could be developed. Instead we’ve ...

Confessions of a disease vector Like many other Greater Victorians, I caught a bug recently and am sick this week. I doubt it’s the infamous “swine flu,” seeing as any number of more common colds and flus are hanging around out there right now. But for a moment let’s pretend that it is, if only for the purposes of demonstrating that there isn’t a sniff of hope in these modern times for containing the spread of new viruses. The new H1N1 flu is contagious 24 hours before you show any symptoms and for at least seven days after you get sick, as are all flu viruses. That means I was contagious as of last Saturday. That was the day I was shopping in Seattle with my daughter and stepdaughter. We were jammed into the basement of Nordstrom Rack with at least a thousand other women over the course of the afternoon. I can’t imagine how many articles of clothing I handled that day - how many hangers I jostled, changing-room doors I pushed open, people I brushed up against while engaging in the in...

Stigma one of the worst 'symptoms' of HIV It’s a rainy Tuesday, and the group of women who put on this year’s Viral Monologues are debriefing over bowls of moose-meat stew about their performance the previous weekend. There were some challenging moments. One of the six performers backed out at the last minute, unable to bear the thought of putting her HIV status out there for all the world to see. That left an empty chair on stage. But the group decided to leave the chair there anyway, as a reminder of the stigma that still lingers when it comes to HIV. The effect was powerful. The Viral Monologues models itself after Eve Ensler’s popular Vagina Monologues. The “viral” version of the play was launched in 2002 by the Voice Collective, the AIDS Vancouver Island women’s group who is meeting on this day to dissect its sixth and most recent production. The “monologue” premise a la Ensler is simple enough: Women sit on stage and tell personal stories from their lives - from the poin...

Traumatic brain injury a common and life-altering experience July 11, 2008 One hard fall is all it takes. One punch. One smashup. One bolt out of the blue - a stroke, a case of meningitis. The official name for what results is “traumatic brain injury,” but that little label barely touches on what it means to have to live with one. Life will never be the same for those whose brains sustain a severe injury. People sometimes feel so dramatically altered that they come to consider the date of their injury as their new birthday. For Victoria man Des Christie, the injury was from a car accident at the age of 14. For the other 10,000 to 14,000 British Columbians who incur a traumatic brain injury in any given year, it might be a workplace accident, fall around the home, sports injury, medical problem, or any number of weird and unpredictable twists of fate. “In this organization alone, we’ve got a staff member, my younger brother, another staff member’s daughter and another staff member’s hu...

Homeless needle exchange hits road for better or worse May 9, 2008 We’re about to become the first major city in Canada to pull the plug on its needle exchange, without a clue what will happen as a result. As of the end of May, the region’s largest needle exchange will close its doors on Cormorant Street and begin a mobile service. The business of exchanging as many as 2,000 needles a day will be done on the street from that point on. What’s the rationale? There isn’t one. It’s just what happens when the chips are left to fall where they may. The needle exchange is going mobile not because it’s an effective strategy on any front, but simply because no place can be found for it. Greater Victoria has had a needle exchange for almost 20 years, operated by AIDS Vancouver Island. You’d never know it from the hand-wringing and hysteria that has accompanied any mention of the exchange this past year or two, but once upon a time the exchange had neighbours who actually wrote letters supporting...

We shine at solving non-problems May 2, 2008 Our water bottles are safe once more, thanks to a federal response so speedy and decisive that you could almost believe a new day was dawning in Canada. In less than a year, bisphenol A went from a chemical that few Canadians had heard of to one of the most talked about and roundly condemned toxins in the country. Were it not for my ongoing frustration at our penchant to rally around obscure concerns, I’d take last month’s BPA ban as a heartening sign that our federal government can still rally to a cause if it needs to. Don’t get me wrong: I’m sure the world will be a better place without bisphenol A. It’s OK with me that we’ve banned the stuff. But in terms of tackling the issues that really ail us in this country and around the world, a ban on BPA gets us exactly nowhere. North American scientists have actually known about the more unsettling aspects of the man-made chemical for more than 70 years. The media didn’t have much to say on th...

The entrenchment of MRSA Jan. 5, 2007 More than 1,000 people in our region will catch a terrible infection this year that no antibiotic will easily defeat. The worst cases will be fatal, but even the ones that aren’t will still be dangerous, unpleasant and extremely difficult to clear up. Once upon a time, an infection like the one taking root right now was a problem only for very specific populations. A few isolated tribes of Australian aborigines. People living on the streets. Athletes playing contact sports. Military recruits. Not anymore. The staph infections showing up in our community lately are occurring in people with no known risk factors. “We are the epicentre of the country,” local infection specialist Dr. Pamela Kibsey said this week. Human beings have been grappling with staphylococcus infections for millennia, of course. No small wonder penicillin was given a hero’s welcome upon its invention in the 1940s, considering how many people had been killed by infection up to tha...