Tag: Sink

  • Speed of Covid-19 deaths shock doctors and nurses

    Speed of Covid-19 deaths shock doctors and nurses

    Speed of Covid-19 deaths shock doctors and nurses 1

    NEW YORK: One medical worker called it “insane”, another said it induces paranoia – the speed with which patients are dying from the novel coronavirus is shocking even veteran doctors and nurses as they scramble to determine how to stop such sudden deterioration.

    Patients “look fine, feel fine, then you turn around and they’re unresponsive”, said Diana Torres, a nurse at Mount Sinai Hospital in New York, the epicentre of the pandemic in the US where the virus has infected nearly 430,000 people and caused more than 14,700 deaths.

    “I’m paranoid, scared to walk out of their rooms.”

    It isn’t just the elderly or patients with underlying health conditions, who can be fine one minute, and at death’s door the next.

    It can happen for the young and healthy, too, health professionals told Reuters.

    A young woman died unexpectedly while nurse Laurie Douglas was on duty at Our Lady of the Lake Hospital in Baton Rouge, Louisiana.

    After 34 years on the job, Douglas said she normally has “an intuition of who is going to fade and who may improve”.

    “But these people are throwing that out the window.

    “Last week, she was planning her wedding.

    “This week, her family is planning her funeral,“ she said, referring to the deceased patient.

    Patients might enter the hospital with strong oxygen levels and be engaged in happy conversation, said a resident emergency doctor at New York-Presbyterian Hospital, only to be “gasping for breath” and intubated a few hours later.

    “The scary thing is there are no rules to it,“ the resident said on condition of anonymity.

    These scenes are playing out everywhere as Covid-19 has infected more than 1.4 million worldwide and killed more than 85,000 as of Wednesday.

    The quick turns for the worse are likely products of an “overly exuberant” reaction by the immune system as it fights the virus, said Dr Otto Yang, an infectious disease specialist at the UCLA Medical Centre in Los Angeles.

    Called a cytokine storm, it occurs when the body overproduces immune cells and their activating compounds – cytokines – causing dangerously high blood pressure, lung damage and organ failure.

    Emily Muzyka, 25, a nurse in the New York suburbs, said she reached her breaking point last week, when a relatively healthy 44-year-old woman needed sudden intubation.

    “I had a meltdown that night,“ she said.

    “I cried to my boyfriend.”

    Intubation refers to inserting a tube into the mouth and through the airway of a Covid-19 patient struggling to breathe, so they can be hooked to a mechanical ventilator.

    Journalist Anick Jesdanun, who was in good health and had run 83 marathons, died last week from Covid-19, according to a post on Facebook by his cousin Prinda Mulpramook.

    Jesdanun, who was 51, at first didn’t need hospitalisation, according to the post.

    He had begun to recover and showed clear lungs and strong vital signs during a doctor’s visit in late March. But “a sudden setback” sent him to the emergency room on April 1, and “13 hours later we lost him”, Mulpramook wrote.

    A nurse at Mount Sinai’s intensive care unit recalled watching patients’ kidneys quickly shut down, adding that many require intravenous drips of the blood thinner Heparin.

    “It’s insane how sick they get, how quickly.

    “We’re really trying hard to figure out how to treat them.”

    Some of those hospitals are experimenting with unproven drugs in hopes of helping patients, including the anti-malaria medication hydroxychloroquine.

    “We’re essentially throwing the kitchen sink at these patients,“ a doctor said.

    Speed of Covid-19 deaths shock doctors and nurses
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    https://www.thesundaily.my/home/speed-of-covid-19-deaths-shock-doctors-and-nurses-AF2241516

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  • Living with pets during MCO

    Living with pets during MCO

    Living with pets during MCO 2

    KUALA LUMPUR: Working from home (WFH) is not as easy as many people think, especially when you have young children and pets.

    Yes, even pets. To others, it might seem easy having pets in the house. After all, don’t you just let them be and you do not have to give much attention to them?

    In reality however, looking after pets is just as much a responsibility as looking after young children. A look at the postings on Facebook and Twitter will show that many see the responsibility as similar, for to them, pets are as much a member of the family as children.

    Going into 24 days of the Movement Control Order (MCO) period, which means 24 days of WFH, the stories on the social media abound of the struggles that pet owners, especially those with cats, face juggling the responsibilities of work and looking after their pets.

    Interior decorate Intan Suhaiza Razak, 35, found that there were many secrets her cats kept from her which she only found out after she started to work from home from March 18.

    “It is only now that I am really getting to know my three cats. I did not spend much time with them before but now that I am with them all day, I am slowly learning their behaviour.

    “For instance, I was shocked to find out that they could turn the tap in the kitchen sink and would play with the water,” she told Bernama.

    Auditor Amirul Iqbal Razali, 30, has found that working from home can be quite challenging when you have cats.

    “I have three, and the minute I turn on the computer, they come around demanding my attention.

    “That would be the time they want to sit on my lap and play, and ask for food, even though I had prepared everything for them. And my work-station has become their bed,” he said.

    Media practitioner Muhamad Saufee Rosman thinks his cat Ethan loves the fact that he and his housemates now have to work from home during the MCO period.

    “He is extra demanding now, maybe because he enjoys the fact that we are home now, whereas previously, he was always left alone in the house. Now, he keeps snuggling up to us all the time,” he said.

    Muhamad Saufee and his housemates do not find Ethan’s demand for attention troublesome, and in fact, he is a stress-buster to them.

    “Life is less boring with him around. Sometimes, he does get in the way, but it would be lonely without him,” he said.

    To these animal-lovers, the Health Ministry’s announcement that pets do not carry the COVID-19 virus was good news.

    “In the beginning, it was a bit worrying, so it was a relief when the ministry said that pet-owners did not have to worry and do not have to take their pets for Covid-19 screenings.

    Nurana Mukhriz, 29, who works in information technology said she cannot imagine being separated from her two cats which she had bred since five years ago.

    “I live alone, so my cats ‘Adik’ and ‘Che Yam’ are my companions. Talking to them reduces my stress level and I don’t feel so lonely during the MCO period,” she said. – Bernama

    Living with pets during MCO
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    https://www.thesundaily.my/local/living-with-pets-during-mco-EF2241413

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  • The Four Horsemen of Marital Apocalypse

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    Stop to consider your last fight with your spouse. The exact subject may escape you at the moment. We understand. After a while, the spats – over bills, your job, in-laws or the dishes still in the sink – can all blur together. But contrary to popular belief, it’s not the amount of conflict in your marriage or what you argue about that determines your relationship’s survival rate. to marriage researchers, how a couple fights tends to be the best predicator of whether they’ll end up enjoying their golden years together or battling it out in divorce court. So learning to fight less may not be quite as important as learning to fight fair.

    Four Deadly Sins of Marriage

    Dr. John Gottman of University of Washington, one of the foremost marriage researchers, claims he can predict with 90 percent accuracy if a couple will divorce. In his storied “love lab,” Gottman studies how couples interact, particularly how they communicate with each other in heated moments. After 30 years of research, he has pinpointed four behaviors that seem to invariably spell disaster in any marriage. He ominously refers to them as “The Four Horsemen of the Apocalypse.” Every couple needs to be vigilant and ensure none of the four gallop into their marriage and wreak irreversible havoc.

    Horseman #1: Criticism

    The most common horseman that emerges in long-term relationships is criticism. Frustrations, annoyances and resentment inevitably build up when couples live together – day in and day out. And criticism can be how these emotions manifest in the heat of an argument.

    Note that criticism differs from complaining. Criticism focuses on the person. Complaining focuses on the behavior. This may seem like subtle nuance but research shows it is a distinction that makes a significant difference in the long term. For example, this is a critical statement: “You always drive around in circles. You are an awful driver with a terrible sense of direction.” These words are dripping with blame and accusation. They are a personal attack.

    Unlike criticism, complaining has more to do with how the other person’s behavior makes you feel. Complaining usually begins with an “I” instead of “you”: “I get so frustrated when you are driving and don’t know where you are going.” See the difference? The second statement is a negative comment about something you wish were otherwise. So though “I” statements can seem awkward, they really help keep the carnage manageable during explosive moments.

    Horseman #2: Contempt

    You’re an idiot. You can’t do anything right. You make me sick. These contemptuous words have no place in any relationship you value. They are meant to explicitly humiliate or wound. They are toxic and indefensible. Period.

    Contempt includes but is not limited to name-calling, hostility and sarcasm. Keep in mind that contempt can also be conveyed non-verbally. An excessively harsh tone or disgusted eye roll can escalate your garden-variety argument into WWIII in the blink of an eye. Avoid contempt in your arguments at all cost. It is the basest, most childish tactic to resort to in a fight. Strive to respect your wife even when you disagree or feel upset with her. Contempt is like a poison. It will single-handedly erode intimacy. It destroys a sense of security and mutual respect. It does real damage because it makes a partner feel belittled and unloved.

    Horseman #3: Defensiveness

    Criticism+Contempt=Defensiveness. Defensive statements become practically an involuntary reflex in homes where contempt and criticism are regular visitors. It is understandable. After all, who wouldn’t put up their guard in response to an accusatory, belittling spouse? Defensiveness is fundamentally a self-preserving tactic.

    As understandable as this response can be, it is still hugely destructive. It builds walls. Rather than allow room for connectedness, the foundation for conflict resolution, it tends to breed emotional distance. Defensiveness blocks healing and forgiveness.

    Horseman #4: Stonewalling

    Because stonewalling is not explicitly aggressive, couples often underestimate its destructive potential. But it can be just as devastating to a relationship in its passiveness. It is, in effect, giving up. It is withdrawing emotionally. It is essentially closing the door to a resolution.

    Stonewallers withdraw partly because they can feel overwhelmed with emotion. They may keep their faces expressionless, avoid eye contact, hold their posture rigid, avoid any signs of listening such as nodding or encouraging sounds. They radiate icy distance and disapproval to their partners.

    The Secret to Fighting Fair

    Now that you know the four horsemen, make a conscious effort to keep them in the stable before they trample your marriage. One of the best ways to do this is to make “repair attempts” during your next argument. According to Gottman, repair attempts are any words or actions that prevent a conflict from escalating out of control. As simple as it sounds, repair attempts keep a marriage from becoming negative, hostile and distant.

    Repair attempts can be as basic as changing the topic, giving a compliment, apologizing or saying, “I’ve been cranky all day, can we start over?” It can be as simple as saying, “Don’t worry, we’ll get through this” or cracking a joke to diffuse tension. Research even shows couples who touch during arguments also tend to show higher relationship satisfaction. Do whatever works for you when conflict rears its ugly head.

    Remember, the more entrenched the negative patterns of behavior in your marriage become, the more difficult it becomes to break them. Don’t become a victim of these negative cycles. When two mature people can take ownership and be flexible, they will keep their marriage strong even though they may not always agree. As a Scottish proverb says, “Better bend than break.”

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    Source by Grant Langston

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  • How Our Lifestyle Choices Are Causing Us to Sink Into Chronic Illness

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    Current science continues to demonstrate that the reason we move away from health and develop chronic illness is due to our environment rather than our genes. Less than 1% of chronic illness is truly genetic in nature. Essentially, this means that chronic illness is preventable.

    Yet over half of the American population has been diagnosed with a chronic illness and nearly 80% of all health care spending (doctors’ visits, prescriptions, hospitalizations, etc.) is a result of these conditions of lifestyle.

    This number is expected to rise astronomically over the next few years. In fact, many say this single problem will bankrupt our nation. Interesting. It’s particularly interesting since science tells us this is completely preventable!

    What are chronic illnesses? The list includes conditions such as cancer, heart disease, diabetes, obesity, depression, infertility, autoimmune issues and disorders, Alzheimer’s, dementia, chronic fatigue, chronic pain, acid reflux, constipation, insomnia, decreased sex drive, and so on.

    With a list this expansive, it’s hard to imagine how we could possibly prevent these conditions from developing in the first place. They seem so unrelated. In order to understand our role in preventing chronic illness, first we must have a simple understanding of how chronic illness develops as a result of our environment.

    To explain how our lifestyle and environment relates to chronic illness, I’d like to share with you a visual that Dr. James Chestnut, B.Ed., M.Sc.,D.C.,C.C.W.P. of The Wellness Practice in Victoria, B.C. teaches. Imagine that when your life begins you are born into a pool of water. You have two items on you: inflatable water wings and an empty backpack.

    Your water wings have been inflated for you, but they have a very slow leak. The air in them is expected to last 120 years (the “healthy” human lifespan). As the air leaks out of them, you have less time left. It’s called getting older! If there’s no interference to these water wings, they’ll last you all 120 years.

    Each time you make a lifestyle choice that is incongruent with your innate genetic requirements for health, you add a “rock” to your backpack. Our blueprint for health and optimal function requires purity and sufficiency in the way we eat, move and think. This means, giving our bodies exactly what’s required for optimal health (purity) and providing enough of it (sufficiency).

    No where in our blueprint for optimal function do we find toxic and deficient choices of lifestyle. Toxicity and deficiency are incongruent with homeostatic cell function. Therefore, it’s these toxic and deficient choices that become the rocks in your backpack.

    These rocks (stressors) can come from any area of lifestyle: poor nutritional choices, sedentary living, being overweight, being chronically stressed out, having unhealthy relationships, taking toxic drugs, not feeling loved or appreciated, excessive negative stimuli, having poor posture, smoking or exposure to smoke, not enough time outside, and so on.

    So many of our toxic and deficient lifestyle choices are the direct result of an industrialized, “advanced” society. It’s hard to argue that we’re “advanced” in the area of health and wellness when we’re experiencing drastic increases in chronic illness in all age groups, despite our “advanced” efforts to treat these conditions.

    The rocks slowly sink us. They have a cumulative effect on our health over the years. At first, we may not notice. Eventually, we may realize that our day to day life has become more stressful and more of a struggle. Often, we’re not even sure how or when this happened.

    There isn’t a drug on the planet that can remove the rocks for you! That’s why treating the symptoms, or the effects of these rocks, is unsuccessful in terms of fixing the real problem. The drugs, in fact, can become yet another toxic rock. (Just listen to the side effects on any drug commercial!) Removing body parts doesn’t fare much better in solving the problem. We’re not sinking because of a lack of drugs or too many body parts! The body isn’t ‘stupid’. It’s displaying a perfectly normal physiological adaptation to an environmental stressor.

    The rocks have another effect on your overall health picture. As more rocks are added to your backpack and you sink increasingly lower, the pressure on your water wings is increased, forcing the air to escape at a faster rate. You lose your years of life faster than originally intended… you age faster.

    It’s these incongruent lifestyle choices, or stressors, that are the catalyst for chronic illness. These toxic and deficient choices result in what’s known as our allostatic load. A chronic allostatic load, as a result of months and years of incongruent lifestyle choices, changes our genetic expression, our cellular function, our physiology, our biology, our entire internal environment, and ultimately our expression of health. This is how chronic illness develops.

    It becomes self-evident that the way to restore health is to remove rocks from your backpack, thus reducing pressure on your water wings!

    Ultimately, this means reducing our toxic and deficient choices while increasing pure and sufficient choices. This changes our environment and changes the expression of our genetics. This is the science of Epigenetics – how our environment determines the expression of our genetic code.

    Thankfully, science has shown us the blueprint. We do know what choices move us toward health. We can fix the problem. Adopting a lifestyle similar to our earlier (and healthier) ancestors is the most successful way to meet our innate genetic requirements for health and wellness while preventing chronic illness.

    Note: Once again, the concepts in this article are attributed to Dr. James Chestnut, B.Ed, M.Sc, D.C., C.C.W.P.

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    Source by Colleen Trombley-VanHoogstraat

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