Saturday, January 30, 2021

Life with Chronic Conditions in the Time of Covid: Connecting the Dots to Make Informed & Educated Decisions


Reading various posts on Facebook, I’ve found myself wondering “How can they believe such craziness? How do they come up with these ideas?” And to make matters worse, I came across a national survey that found “over half of the American population consistently endorse some kind of conspiratorial narrative about a current political event or phenomenon.”

 

Clearly this goes well beyond the influence of social media and while it appears in politics all the time, there are lots of conspiracy theories (CTs) attached to Covid, health care, vaccinations, religion and other beliefs. The Internet didn’t invent this, though they’ve certainly helped to fuel it.

 

We are born to solve mysteries.  “Connecting the dots” (CTD) is what humans are wired to do so we can understand our lives and how we live in the world. However, it’s how we “CTD” that can help us make sense of things or lead us in a direction that’s less than helpful.   

 

Reed Berkowitz, the director of Curiouser LLC, a media, fiction and games research group, has written an interesting article and is podcasting  A Game Designer’s Analysis Of QAnon Playing with reality. He describes a virtual reality escape room challenge. Players needed to go through a creepy basement looking for clues. Some people believed that various random objects lying around created an arrow pointing to a wall. Error! The clue was under the floor, but a false interpretation caused the game to be derailed.

 

This happens all the time with games and is known as “apophenia, “ - “the tendency to perceive a connection or meaningful pattern between unrelated or random things (such as objects or ideas).”

When we are scared, in a state of crisis, fear, uncertainty, or feel powerless we are desperately trying to CTD and can easily end up doing the same thing the gamers did-heading off in the wrong direction. 

 Conspiracy theories, rumors and other strange narratives abound in times like the one we’re in. Having some explanation is better than none in helping to sooth our fears. It gives us a sense of control. In addition, by having done the research-CTD- people end up become more entrenched in their idea, thereby making it difficult for people to change views.

Keep in mind that research shows that people often buy into conspiracy theories that protect their beliefs as well as groups they belong to and identify with.

Considering all that’s available on-line, this becomes even more complex, when the “puppet masters” get involved. These are the people that “encourage” others to CTD by feeding them specific pieces of data. They are operating using the apophenia model to get you to embrace their way of thinking. This is a similar technique that scammers and charlatans use to lure people into buying miracle cures etc. It’s also what cults do.

Resources to consider: Besides the Berkowitz’s article noted above,  check out Why people believe in conspiracy theories with Karen Douglas PhD from the American Psychological Association.

This is a blog about health, so it’s very important that we try to CTD in order to make the most  knowledgeable decisions about our care and well-being. And because politics are involved in various aspects of our health care system, who we vote for matters.

CONNECTING THE DOTS so you get accurate information: Whether it’s the people you spend time with, what you read on line, or what Aunt Mary sends in the mail, it’s good to have good “fact checking” tools handy. The American University in Washington D.C. has a review of Fact Checking sites that is very helpful. As much as possible, use nonpartisan, nonprofit sites such Fact Check and Snopes, the originator of busting the urban legends. AllSides, while not a fact-checking site, curates stories from right, center and left-leaning media so that readers can easily compare how bias influences reporting on each topic. 

 

Support groups can be an excellent source of information, yet I’ve seen plenty examples of apophenia, where people grab hold of an idea with not great results. Therefore, do your own checking and discuss things with your medical provider before trying something new, stopping meds etc.

 

Health Care: Finding Information on-line

• Check the URLs of sites to see what type of ending they have. Websites sponsored by government (.gov), educational institutions (.edu), or credible professional organizations (.org) are more likely to provide unbiased information than commercial websites.

 

• Be careful when visiting sites that:

-       End .com. These are commercial sites that may be promoting a product

-       Do not indicate when the site was last updated

-       Offer a “miracle cure” that involves purchasing a product

-       Will treat you online without seeing you

-       Asks for personal information

-       Has advertisements. If there are ads they should be separate from health information

 

• Use sites with relable content. Good sites have:

-       Information based on facts, and tell you the source of those facts.

-       Information about who they are, how they are funded and how to contact them

-       Authors whose expertise is explained

-       Information that can also be found at another respected website. Evaluate the strength of the health claims presented.  For example, a health claim based on one small study is not as strong as a health claim based on the findings of multiple large scale studies.  To learn more about evidence-based research, go to US Cochrane Center (link is external) or e-Source for Behavioral & Social Science Research (link is external).

 

• Sites to consider

-       Medlineline Plus, National Library of Medicine 

-       NationalInstitutes of Health 

-       Centers for Disease Control and Prevention 

-       Mayo Clinic 

-       Cleveland Clinic 

-       Family Doctor (American Academy of Family Physicians) 

-       Drugs.com Easy to read drug information and useful online tools including a pill identifiers 

-       Medscape Medical information for specialists, physicians, and industry professionals.

-       National Center for Complementary and Alternative Medicine

-       National Health Associations and Local Chapters

 

If it Sounds too Good to be True: Scams, Frauds and Quacks

 

Wednesday, January 27, 2021

Take a Break: Make Bernie Meme or Mittens


After an intense election, rioting at the Capital Building, and an inauguration ceremony that was both solemn yet hopeful,  who would have thought the day after the inauguration social media would be a buzz with memes of Sen. Bernie Sanders and his mittens?

 

Living in Vermont, we didn’t think anything was strange about how our Senator was dressed, as that’s how most of us dress for half the year. None the less we’ve had a lot of fun inserting Bernie in all sorts of pictures. You too can easily drop him into your neighborhood using this link.

 

However, we know if we want warm hands, the type of mittens worn by Bernie are the best. These are the directions/free pattern that I use to make mittens for myself, family and friends. 

 

I make mine out two different types of fleece. It’s a great way to use up odds and ends, but the double layer keeps your hands warm. My husband swears by them when he is doing snow removal. I’ve also used them with other types of materials for the outer layer-cotton and jersey both work well. 

 

Not interested in today’s activities, try the Take a Break Pinterest Board.


Saturday, January 23, 2021

Life with Chronic Conditions in the Time of Covid: Fear of Needles


If even the thought of a needle causes you to go into a cold sweat, chances are you have trypanophobia (the fear of needles). While very common in most children, a number of adolescents have it, and for some it extends well into adulthood. Studies indicate somewhere between 10-25% of adults are thought to have needle phobia, with about 7% avoiding immunizations because of it.

 

There are lots of theories about why people have this fear, but at the moment, with the Covid vaccine making the difference between masking and distancing for an indefinite period of time, let’s focus on how to deal with the fear.

 

I’m not a big fan of shots or having my blood drawn so I get this fear. I tend to have reactions from vaccines, such as a sore arm and aches, which I don’t like so I have to periodically give myself a pep talk to get the flu vaccine etc.

 

In the case of Covid, the thought of becoming very ill and/or giving it to someone else who becomes ill or worse is a strong motivator. A needle is painful for a second, the side effects can be bothersome for a day, but understanding the full consequences of not having the vaccine, can help you be more realistic about your fear.

 

Things to consider

• It helps to understand what it is you fear about needles. People have many different reasons, and the clearer you can be the more appropriate way you can deal with it.

 

• Talk to your medical provider about your fears. They can support you through the experience and may be a lot more willing to let someone be with you when you have an injection. They can also prescribe anti-anxiety meds if need be.

 

• If you pass out or have another strong reaction after getting an injection, let them know ahead of time. They can give you an injection while lying down. However, an applied tension technique has been shown to be effective. To learn how to do this go to Overcoming your needle phobia. Note, the Covid vaccine requires at least a 15 minute observation time following the injection and longer if you’ve had serious reactions in the past. If you do have any type of reaction there will be staff there to help you and keep you safe.

 

• Use anti-anxiety techniques such as deep breathing, listening to music or watching a video. Overcomingyour needle phobia offers a good breathing technique to try.

 

• Distract yourself: Count the ceiling tiles or specs on the floor tiles; how many blue objects do you see; answer a series of math questions a friend asks etc. The more you focus on something other than the shot, the better off you’ll be. Keep in mind the distracting task should be “doable” in 10-15 seconds.

 

• If the physical pain is the root cause of the fear, there are numbing creams or gels that may be applied over the injection site prior to the medical visit.

 

• Stay hydrated. Keep your blood pressure raised so you avoid fainting.

 

• There are needle phobia support groups online. There is at least one on Facebook and Daily Strength offers one.

Wednesday, January 20, 2021

Take a Break: Watch the Inauguration


The 2020 election was definitely one for the history books and this inauguration is shaping up to be quite unique.

 

Thanks to Covid, many of the events surrounding an inauguration will either not be held, will be virtual or scaled way back. And to set the tone for this new administration, last night Biden and Harris, with their respective spouses led a memorial to those who have died from Covid.

 

This is not the first time that the outgoing president refused to attend their successor's inauguration. This has happened three times before in history-John Adams 1801, John Quincy Adams 1829 and Andrew Johnson in 1869. If you are not familiar with the last president, he was the vice president and became president after Lincoln was assassinated.

 

For the first time in history, we will have a “2nd husband,” as Kamala Harris becomes the first woman vice president.

 

Take some time today to watch some of inauguration activities-there will be wide coverage on TV, Internet etc., and offer a prayer for those newly sworn in to steer our country to smoother waters.

 

Not interested in today’s activities, try the Take a Break Pinterest Board.

Saturday, January 16, 2021

Journal Watch January 2021


COVID

After COVID Infection, Antibodies Highly Protective for Months, Prospective Study Shows: After infection with SARS-CoV-2, antibodies protect most healthcare workers from reinfection for up to 6 months, results of the first prospective study of the subject reveal. published online The New England Journal of Medicine.

 

COVID-19 Immunity Could Last Longer Than 8 Months: Certain antibodies and memory cells likely last more than 8 months after someone has contracted the coronavirus, especially if they have a strong immune response to COVID-19, according to a new study published in Science.

 

COVID Makes 2020 the Deadliest Year in U.S. History: The number of deaths in the United States is expected to top 3.2 million by the end of December, making 2020 the deadliest year in the nation's history, the Associated Press reported. The number of deaths in the United States is expected to top 3.2 million by the end of December, making 2020 the deadliest year in the nation's history, the Associated Press reported.

 

Vitamin D Fails to Help in Severe COVID-19: Low vitamin D levels are linked with higher risk for severe COVID-19, but treatment that boosted vitamin D levels in critically ill COVID-19 patients did not shorten their hospital stay or lower their odds of intensive care unit admission, needing mechanical ventilation, or dying, doctors in Brazil found.

 

COVID-19 Vaccine Reactions: Allergy Group Updates Guidance: The American College of Allergy, Asthma, and Immunology (ACAAI) has updated its advice regarding risks of allergic reactions to new mRNA COVID-19 vaccines, such as those manufactured by Moderna and by Pfizer-BioNTech. "Reactions to vaccines, in general, are rare," the ACAAI says. Still, the group says, the new vaccines should be given in health care settings where reactions can be treated, and patients "must be observed for at least 15-30 minutes...to monitor for any adverse reaction." Briefly, the ACAAI's advice includes the following:

- Anyone with a severe allergic reaction to the first shot should not get the second shot.

- People with allergies to medications, foods, insects and latex are no more likely than the general public to be allergic to the mRNA COVID-19 vaccines.

-It's not clear yet whether having had an allergic reaction to an older type of vaccine means people will react badly to the mRNA vaccines; these individuals should discuss the vaccine's benefits and risks with their health care providers.

"These recommendations are based on best knowledge to date but could change at any time," the ACAAI says.  American College of Allergy, Asthma, and Immunology, online December 22, 2020.

 

Review concludes universal mask use by lay persons reduces the spread of viral infections including SARS-CoV-2: A new narrative review of over 100 research articles concludes that masks and face coverings worn by members of the public reduce the spread of respiratory viral infections including SARS-CoV-2, the virus that causes Covid-19. The virus travels in the air in tiny droplets and particles, which are blocked to some extent even by 'imperfect' cloth face coverings. Wearing a face covering in a crowded indoor space reduces the chance that an infected person will pass the virus on to others. Even small reductions in the transmission rate can lead to large reductions in the number of people becoming infected over time. Annals of Internal Medicine

Cloth Masks Provide Inferior Protection vs Medical Masks, Suggests Evidence Review: Cloth masks should not be considered equivalent to medical masks for the prevention of COVID-19 in clinical settings, according to an evidence review published Jan. 11 in Annals of Family Medicine. Nevertheless, cloth masks may provide some degree of protection, filtration studies indicate. If clinicians use cloth masks, they should take into account the fit, material, and number of layers, the review authors wrote.

 

Loss of Smell Associated with Milder COVID-19 Cases: About 86 percent of people who have COVID-19 lose some or all of their ability to smell. But the majority who lost their sense of smell experienced a mild form of the disease, according to new research.

 

COVID-19: Research points to long-term neurological effects: A recent paper examining existing evidence argues that SARS-CoV-2 infection might increase the risk of long-term neurological problems, including cognitive decline and dementia. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association

 

COVID forced psychiatric care online. Many patients want it to stay there, study finds. JMIR Formative Research


 Roche, Sanofi Arthritis Drugs Reduce Death Rates Among Sickest COVID-19 Patients: Treating critically ill COVID-19 patients with Roche's Actemra or Sanofi's Kevzara arthritis drugs significantly improves survival rates and reduces the amount of time patients need intensive care, study results showed. The findings, which have not yet been peer-reviewed, showed that the immunosuppressive drugs - Actemra, also known as tocilizumab, and Kevzara, also known as sarilumab - reduced death rates by 8.5 percentage points among patients hospitalised and severely ill with the pandemic disease.

medRxiv 

 

Pfizer Vaccine Appears to Work Against Variant, Research Shows: Laboratory experiments indicate the Pfizer/BioNTech vaccine will offer protection against the two coronavirus variants found in the United Kingdom and South Africa.

 

Feds to States: Give COVID Vaccine to 65+ and Those With Comorbidities: Federal health officials are urging states to vaccinate all Americans over age 65 and those ages 16 to 64 who have a documented underlying health condition that makes them more vulnerable to COVID-19. US Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Disease Control and Prevention (CDC) Director Robert Redfield, MD, made the recommendation on a briefing with reporters Tuesday, saying that the current vaccine supply was sufficient to meet demand for the next phase of immunization as recommended by the CDC's Advisory Committee on Immunization Practices. 

 

Colleges can prevent 96% of COVID-19 infections with common measures: The combined effectiveness of three COVID-prevention strategies on college campuses--mask-wearing, social distancing, and routine testing--are as effective in preventing coronavirus infections as the Pfizer and Moderna vaccines approved by the U.S. Food and Drug Administration (FDA), according to a new study. Annals of Internal Medicine

 

Johnson & Johnson's One-Dose COVID Vaccine Promising in Early Trial: A single-shot COVID-19 vaccine from Johnson & Johnson has shown very strong results in early clinical trials, potentially providing a significant boost to U.S. vaccination efforts. The vaccine produced an immune response of all 805 clinical trial participants within two months of inoculation, according to results published Jan. 13 in the New England Journal of Medicine.

Convalescent Plasma Reduced COVID-19 Deaths: Blood transfusions from recovered COVID-19 patients that contained high antibody levels reduced the number of COVID-19 deaths among other hospitalized patients, according to a new study by Mayo Clinic. .If given early to patients with mild COVID-19, the treatments slowed the progression of disease, they wrote in the New England Journal of Medicine.

Over 75% of People Hospitalized With COVID-19 Had Symptoms 6 Month Later: New research has found that 76 percent of people who had been hospitalized for COVID-19 experienced at least one lingering symptom 6 months after recovering. Long-term symptoms affect people of all ages and have occurred in people with mild, moderate, and severe COVID-19.  Doctors suspect the risk factors include genetics, inflammation, and abnormal immune responses. The Lancet studyTrusted Source

 


PAIN

Immersive virtual reality boosts the effectiveness of spinal cord stimulation (SCS) for chronic pain: Allowing patients to see as well as feel the effects of electrical stimulation on a virtual image of their own body - can enhance the pain-relieving effectiveness of SCS, reports a study in PAIN®

 

Treatment for chronic pain must address both physical and social pain: Physical pain and social pain may be more closely related than previously thought. Social pain, which typically results from interpersonal rejection or abuse, has been viewed as a non-medical response to external factors. However, recent research suggests that some physical and social stress responses may arise because of shared processing in the brain. Long-term usage of opioid medications could perpetuate a cycle of experiencing both physical and social pain and may increase risk of addiction. American Academy of Family Physicians


 


COMPLEMENTARY & ALTERNATIVE MEDICINE

More than half of people using cannabis for pain experience multiple withdrawal symptoms when they're between uses. About 10% of the patients taking part in the study experienced worsening changes to their sleep, mood, mental state, energy and appetite over the next two years as they continued to use cannabis. Many of them may not recognize that these symptoms come not from their underlying condition, but from their brain and body's reaction to the absence of substances in the cannabis products they're smoking, vaping, eating or applying to their skin. Addiction

 


FDA ACTION

• Approves Osimertinib the first adjuvant therapy for most type of lung cancer

• Announced that the common diabetes drug metformin may have unacceptably high levels of a cancer-causing drug.

• Granted the first conditional approval under its expanded authority to KBroVet-CA1 (potassium bromide chewable tablets) to control seizures in dogs with idiopathic epilepsy.

• Conditionally approved Laverdia-CA1 (verdinexor tablets) to treat dogs with lymphoma

• Approved the first generic of glucagon for injection USP, 1 mg/vial packaged in an emergency kit, for the treatment of severe hypoglycemia

 


PREVENTION: Exercise

Research finds increased first-trimester exercise may reduce gestational diabetes risk: Pregnant women who exercise more during the first trimester of pregnancy may have a lower risk of developing gestational diabetes. The analysis found that lower risk was associated with at least 38 minutes of moderate intensity exercise each day--a bit more than current recommendations of at least 30 minutes a day five days a week. Diabetes Care

 

Get the facts on exercise and chronic disease: From Mayo Clinic News Network 

 

Exercise may protect bone health after weight loss surgery: Although weight loss surgery is a highly effective treatment for obesity, it can be detrimental to bone health. A new study suggests that exercise may help address this shortcoming. Journal of Bone and Mineral Research

 

Low fitness linked to higher psoriasis risk later in life: Scientists have now demonstrated a connection between inferior physical fitness in young adults and elevated risk of the autoimmune disease psoriasis. For the male recruits to compulsory military training who were rated as the least fit, the risk of developing psoriasis later was 35 percent higher than for the fittest. PLOS One

 


PREVENTION: Diet/Nutrition

2020-2025 Dietary Guidelines for Americans (DGA) recommend grains at all life stages: The DGA recommends for the average healthy American adult to consume six one-ounce servings of grain foods daily, with half of those servings coming from whole grains.

 

Including unhealthy foods may diminish positive effects of an otherwise healthy diet: New research reports diminished benefits of a Mediterranean diet among those with high frequency of eating unhealth foods. Eating a diet that emphasizes vegetables, fruit, fish and whole grains may positively affects a person's health, but when it is combined with fried food, sweets, refined grains, red meat and processed meat, we observed that the benefits of eating the Mediterranean part of the diet seems to be diminished." The Journal of the Alzheimer's Association on Jan. 7.

 

Beating the bulge with a nice cup of tea: Researchers led by the University of Tsukuba find that drinking two cups of oolong tea a day can stimulate fat breakdown while you sleep. Nutrients

 

High doses of saccharin don't lead to diabetes in healthy adults: A new study led by researchers at The Ohio State University found the sugar substitute saccharin doesn't lead to the development of diabetes in healthy adults. Microbiome.

 

Even One Drink a Day May Raise Your Risk of Atrial Fibrillation: Researchers said they found that having an alcoholic drink every day was associated with a 16 percent increase in risk for atrial fibrillation over an average 14-year follow-up period when compared to people who didn’t drink. European Heart Journal study

 

Low Carb Diet May Help People with Type 2 Diabetes Go Into Remission: A new study, published in The BMJ, found that adhering to a low carb diet for six months was associated with higher rates of remission among people with type 2 diabetes. However, the benefits flattened after about a year likely due to the restrictive diet. Lowering carb intake can help improve blood glucose levels along with other markers of carbohydrate intolerance or insulin resistance.

 

MIND and Mediterranean diets associated with later onset of Parkinson's disease: A new study suggests a strong correlation between following the MIND and Mediterranean diets and later onset of Parkinson's disease (PD). While researchers have long known of neuroprotective effects of the MIND diet for diseases like Alzheimer's and dementia, this study is the first to suggest a link between this diet and brain health for Parkinson's disease (PD). The MIND diet combines aspects of two very popular diets, the Mediterranean diet and the Dietary Approaches to Stop Hypertension (DASH) diet. Movement Disorders

 

Link between dietary fiber and depression partially explained by gut-brain interactions: Fiber is a commonly recommended part of a healthy diet. That's because it's good for your health in so many ways -- from weight management to reducing the risk of diabetes, heart disease, and some types of cancer. A new study also finds that it might be linked with a reduced risk of depression, especially in premenopausal women. Menopause


 


PREVENTION: VITAMINS/SUPPLEMENTS

Could a supplement be as effective as exercise at protecting health? New research suggests that a common dietary supplement, glucosamine, may help reduce overall death risk to a similar degree as regular exercise. Researchers recently found that individuals who took glucosamine/chondroitin on a daily basis for at least 1 year saw a 39% reduction in mortality from all causes of death and a 65% reduction in the likelihood of death from cardiovascular disease. Journal of the American Board of Family Medicine.

 

Clinical trial finds vitamin D does not ward off colds and flu: A randomized controlled trial of vitamin D supplements has found they do not protect most people from developing colds, flues and other acute respiratory infections. The trial, which is the largest of its kind to study the relationship between vitamin D and respiratory infection to date did show, however, that the supplements may shorten the length of infection slightly and help ease the severity of those illnesses. The Lancet Diabetes and Endocrinology

 


PREVENTION

New studies suggest vaping could cloud your thoughts: Two new studies from the University of Rochester Medical Center (URMC) have uncovered an association between vaping and mental fog. Both adults and kids who vape were more likely to report difficulty concentrating, remembering, or making decisions than their non-vaping, non-smoking peers. It also appeared that kids were more likely to experience mental fog if they started vaping before the age of 14. Tobacco Induced Diseases and Plos One

 

Workaholism leads to mental and physical health problems: Workaholism or work addiction risk is a growing public health concern that can lead to many negative mental and physical health outcomes such as depression, anxiety or sleep disorder. Perception of work (job demands and job control) may become a major cause of employees' work addiction. The international group of researchers including the HSE University scientist explored the link between work addiction risk and health-related outcomes using the framework of Job Demand Control Model. The results were published in the International Journal of Environmental Research and Public Health.

 

Can menopause be blamed for increased forgetfulness and lack of attention?

New study suggests that a woman's menopause stage can affect cognitive performance; declines in memory may persist in the postmenopause period. Menopause

 

Acute itching in eczema patients linked to environmental allergens: New research indicates that allergens in the environment often are to blame for episodes of acute itch in eczema patients, and that the itching often doesn't respond to antihistamines because the itch signals are being carried to the brain along a previously unrecognized pathway that current drugs don't target. Cell

 


TREATMENT

Osteoporosis drug could half number of redo hip replacement operations: Researchers have found the osteoporosis drug, denosumab, could protect patients from osteolysis, reduce the need for re-operations, and reduce the health burden of this disease. The Lancet Rheumatology

 

Stopping RAS inhibitors tied to worse outcomes in patients with chronic kidney disease: Small studies have suggested that a group of medications called RAS inhibitors may be harmful in persons with advanced chronic kidney disease, and physicians therefore often stop the treatment in such patients. Researchers now show that although stopping the treatment is linked to a lower risk of requiring dialysis, it is also linked to a higher risk of cardiovascular events and death.  Journal of the American Society of Nephrology

 

New guideline supports behavioral, psychological treatments for insomnia

The American Academy of Sleep Medicine has published a new clinical practice guideline establishing recommendations for the use of behavioral and psychological treatments for chronic insomnia disorder in adults.

 

Bupropion-Naltrexone Bests Placebo in Methamphetamine Use Disorder: For adults with methamphetamine use disorder, response is higher with receipt of extended-release injectable naltrexone plus oral extended-release bupropion versus placebo, according to a study published in the Jan. 14 issue of the New England Journal of Medicine.

 

OTHER

People in rural areas less likely to receive specialty care for neurologic conditions: A new study has found that while the prevalence of neurologic conditions like dementia, stroke, Parkinson's disease and multiple sclerosis (MS) is consistent across the U.S., the distribution of neurologists is not, and people in more rural areas may be less likely to receive specialty care for certain neurologic conditions. The study, funded by the American Academy of Neurology, is published in the December 23, 2020, online issue of Neurology®

A 'ghastly future' unless extraordinary action is taken soon on sustainability : Without immediate and drastic intervention, humans face a "ghastly future" -- including declining health, climate devastation, tens of millions of environmental migrants and more pandemics -- in the next several decades, according to an international team of 17 prominent scientists. Frontiers in Conservation Science

 

 

 

 

 

 

Saturday, January 9, 2021

Life with Chronic Conditions in the Time of Covid: Finding Peace in Turmoil


Following the events at the Capital Building on Wednesday, the headlines announcing the new strain of Covid, the constraints that Covid has imposed in our daily lives, as well as daily life, if you find yourself saying “I just need some P & Q” (peace and quiet), you aren’t alone.

 

I’ve written many times about the importance of turning of the media, particularly social media, because it so easily can raise anxiety levels and often unnecessarily. Instead of watching endless news feeds of the Capital building, I found myself looking to history to see what I can learn from it.

 

What history tells us: In its 220 year history, this is not the first time the Capital building has been scarred by violence. In 1814, the British occupied, looted and burned the U.S. Capital, though it wasn’t fully destroyed thanks to a sudden rain storm. In the 20th century alone, there were at least four major incidents. As troubling as these current events are, particularly since the last time such a large scale attack happened was over 200 years ago and then it was by a foreign power, the Capital Building and the American people have weathered through and will do so again. Recognizing our country’s resilience helps.

 

Civil unrest is one of thing things that happens during pandemics/epidemics. A study  in the journal Peace Economics, Peace Science and Policy Policy reviewed evidence on protests and unrest around the time of 57 epidemics between the Black Death in the 1300s and the Flu Pandemic of 1918, finding only four occasions where revolts were not clearly connected with the respective outbreaks. There is evidence to demonstrate that epidemics can disrupt civil society in three ways. Firstly, because policies to prevent the spread of disease can conflict with people's interest; secondly because the epidemic's impact on mortality and economic welfare can worsen inequality; and finally due to the psychological shock that can lead people to believe irrational narratives regarding the spread of disease, "which may result in social, racial discrimination and even xenophobia."

 

Yes there is a new strain of Covid that’s starting to appear all over the country. This strain is at least 50% more transmissible. However,  mortality and morbidity are the same and the vaccines currently being administered are proving to be effective against it.

 

Viruses like to self-replicate in order to increase their transmission rate, so a new variant isn’t surprising and in fact, there are now a lot of variant strains of Covid. This one grabs our attention because:

• it spreads quickly

• has a higher “secondary attack rate,” which means each case infects more people

• those infected appear to have a higher viral load, carrying perhaps 10-100 times more virus in their nose and throat. In short, if someone coughs a lot more virus is going into the air than before.

 

The prevention message hasn’t changed. By following the Covid protocols-mask on faces, 6 foot spaces, and avoiding crowded spaces, social gatherings, and any non-essential travel, you will significantly reduce your risks and help to slow the spread.

 

There is light at the end of the tunnel-we have two vaccines and it’s likely we’ll see several more approved. It will get better.

 

For more immediate relief, consider the following:

 

Pause and breathe. I find alternate nostril breathing works well for me but here are 8 exercises to try when you feel anxious. 

Exercise: Get outside in nature and walk; try a calming Qigong or yoga practice

Accept the situation: You can’t change what’s happened you can only change how you respond.

-       Ask for help if you need it

Choices. Make choices that aid in your ability to think clearly and rationally.

-       Choose Gratitude. Studies show it reduces stress and anxiety

-       Choose wisely about what you want to expose yourself to via news, social media etc.

-       Choose to focus on what you can control

Embrace the crisis as it can provide opportunity as well as be a threat. In spite of all the negative press, there are some very positive things happening from people helping one another, the planet breathing a sigh of relief when people just stopped, families reconnecting in many new and wonderful ways, people finding they prefer telecommuting etc.  Oh and if you’re a natural born problem solver, this is your time to shine.