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	<title>America - Medika Life</title>
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<site xmlns="com-wordpress:feed-additions:1">180099625</site>	<item>
		<title>The “Second Wave” Is MUCH MUCH Worse</title>
		<link>https://medika.life/the-second-wave-is-much-much-worse/</link>
		
		<dc:creator><![CDATA[Dr. Hesham A. Hassaballa]]></dc:creator>
		<pubDate>Mon, 16 Nov 2020 01:17:16 +0000</pubDate>
				<category><![CDATA[A Doctors Life]]></category>
		<category><![CDATA[Coronavirus]]></category>
		<category><![CDATA[Editors Choice]]></category>
		<category><![CDATA[For Doctors]]></category>
		<category><![CDATA[Health News and Views]]></category>
		<category><![CDATA[America]]></category>
		<category><![CDATA[coronavirus]]></category>
		<category><![CDATA[Covid Second Wave]]></category>
		<category><![CDATA[Covid-19]]></category>
		<category><![CDATA[Hesham A Hassaballa]]></category>
		<category><![CDATA[Second Wave]]></category>
		<guid isPermaLink="false">https://medika.life/?p=7074</guid>

					<description><![CDATA[<p>This is an unmitigated disaster, and our current national leadership has gone AWOL. Cases are rising. People are suffering. People are dying.</p>
<p>The post <a href="https://medika.life/the-second-wave-is-much-much-worse/">The “Second Wave” Is MUCH MUCH Worse</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p id="d1ce">I recently shared my angst about the coming of the dreaded “second wave” of COVID-19, about the menace that it poses and how it permeated everything around us. Well, the second wave has hit us full-on. And it’s so much worse than the first wave in the Spring.</p>



<p id="642c">The numbers are so much worse this time around. There are so many more patients with COVID-19 this time. Our institution has long surpassed the number of patients hospitalized in the Spring. Each day, patient after patient after patient with COVID keeps coming, and they keep getting admitted to the hospital.</p>



<blockquote class="wp-block-quote is-style-default td_pull_quote td_pull_center is-layout-flow wp-block-quote-is-layout-flow"><p>We all hate this disease, we are sick of it, and we can’t wait for it to go away.</p></blockquote>



<p id="0452">Every day, more patients are being admitted to our ICU because they can’t breathe despite remdesivir, despite steroids, despite high, high amounts of oxygen. And when we place them on ventilators, the outcomes still are not good.</p>



<p id="4297">And the patients are still so scared. It’s scary not being able to breathe. It’s scary being all alone in the hospital. It’s scary having a mask plastered to your face for hours on end, only to have a tube put down your throat anyway.</p>



<p id="63de">And when a patient does die, the tragedy has also not changed. Families still can’t be at the bedside when their loved one is passing away. The patients are still dying alone. Watching this agonizing situation unfold has not gotten any easier. We all hate this disease, we are sick of it, and we can’t wait for it to go away.</p>



<p id="ba04">But it’s not going away. It’s getting worse. Way worse. What’s more, the level of community support is not like it was in the Spring. Now,we will do our jobs regardless of whether we get community support or not. It’s what we do in Healthcare. But that support was still nice. That’s no longer there, and it makes it that much harder.</p>



<p id="92b7">The numbers in my state and across the country are out of control. Look at the country:</p>



<figure class="wp-block-image size-large"><img fetchpriority="high" decoding="async" width="696" height="892" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=696%2C892&#038;ssl=1" alt="" class="wp-image-7075" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=799%2C1024&amp;ssl=1 799w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=600%2C769&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=234%2C300&amp;ssl=1 234w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=768%2C984&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=1198%2C1536&amp;ssl=1 1198w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=696%2C892&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=1068%2C1369&amp;ssl=1 1068w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?resize=328%2C420&amp;ssl=1 328w, https://i0.wp.com/medika.life/wp-content/uploads/2020/11/image.jpeg?w=1242&amp;ssl=1 1242w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Source:&nbsp;<a href="https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html?name=styln-coronavirus&amp;region=TOP_BANNER&amp;block=storyline_menu_recirc&amp;action=click&amp;pgtype=LegacyCollection&amp;impression_id=412bc501-25e8-11eb-86c3-91b3f3b82d09&amp;variant=1_Show">NY Times</a></figcaption></figure>



<p id="c65b">This is an unmitigated disaster, and our current national leadership has gone AWOL. Cases are rising. Hospitals (like mine) are filling up. People are suffering. People are dying. Their families are also suffering. It’s so much worse now. So. Much. Worse.</p>



<p id="e679">Like I said before, people are sick of the pandemic (we on the front lines are, too). There is major pandemic fatigue on the part of our population. But, the virus is not having pandemic fatigue. The virus is not getting tired. The virus is not taking a break.</p>



<p id="7dda">The best sports teams play 100% every quarter (as a Bears fan, I know this painful fact all too well). That what differentiates the best teams from the rest. Right now, in this pandemic, maybe we are in the first few minutes of the third quarter? And we are way, way behind this virus.</p>



<p id="1a19">We have to keep up the fight. We cannot let down our guard.&nbsp;<a href="https://thehill.com/changing-america/well-being/prevention-cures/525714-fauci-the-cavalry-is-coming-with-coronavirus">“The cavalry is coming,”</a>&nbsp;but we still have a lot of fight to go. The second wave is so much worse. But we have to face it head-on. We have no other choice but to do so.</p>
<p>The post <a href="https://medika.life/the-second-wave-is-much-much-worse/">The “Second Wave” Is MUCH MUCH Worse</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">7074</post-id>	</item>
		<item>
		<title>America Is Bursting at the Seams with Deadly Stress</title>
		<link>https://medika.life/america-is-bursting-at-the-seams-with-deadly-stress/</link>
		
		<dc:creator><![CDATA[Pat Farrell PhD]]></dc:creator>
		<pubDate>Wed, 21 Oct 2020 02:51:03 +0000</pubDate>
				<category><![CDATA[Anxiety and Depression]]></category>
		<category><![CDATA[Coronavirus]]></category>
		<category><![CDATA[Health News and Views]]></category>
		<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Neurological]]></category>
		<category><![CDATA[America]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Generation Z]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[Patricia Farrell]]></category>
		<category><![CDATA[Stress]]></category>
		<guid isPermaLink="false">https://medika.life/?p=6469</guid>

					<description><![CDATA[<p>Stress is both a poison and a stealthy robber of our bodies and our souls. It works in nefarious ways to undermine every bit of us, both physical and mental, without noticing it’s there.</p>
<p>The post <a href="https://medika.life/america-is-bursting-at-the-seams-with-deadly-stress/">America Is Bursting at the Seams with Deadly Stress</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<blockquote class="wp-block-quote is-style-default td_pull_quote td_pull_center is-layout-flow wp-block-quote-is-layout-flow"><p>There’s so much going on in the world. There’s so much information being thrown at us — so many things are being sold to us, and we’re being told how we should appear and how to be more successful, blah, blah, blah. How does that manifest itself? In the pressures, the stress, this need to escape. — Michael Fassbender</p></blockquote>



<p>Stress is both a poison and a stealthy robber of our bodies and our souls. It works in nefarious ways to undermine every bit of us, <a href="https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-symptoms/art-20050987" rel="noreferrer noopener" target="_blank">both physical and mental, </a>without noticing it’s there. But it is there, and it does its damage bit by bit unless we recognize it and begin to enact a plan to defeat this internal body enemy.</p>



<p>Every year, <a href="https://www.apa.org/" rel="noreferrer noopener" target="_blank">The American Psychological Association</a> provides a study on <a href="https://www.apa.org/news/press/releases/stress" rel="noreferrer noopener" target="_blank">Stress in America</a>. This year’s study was just released. Unfortunately, the outlook isn’t good. One of the serious stressors is the <a href="https://www.psychiatrictimes.com/view/my-patient-just-lost-their-job-what-do-we-do-now?utm_source=sfmc&amp;utm_medium=email&amp;utm_campaign=10.20.2020_PT_UNSPONSORED_eNL&amp;eKey=ZHJmYXJyZWxsMjJAZ21haWwuY29t" rel="noreferrer noopener" target="_blank">loss of livelihood</a>.</p>



<blockquote class="wp-block-quote is-style-default td_pull_quote td_pull_center is-layout-flow wp-block-quote-is-layout-flow"><p>Stress continues to be a prime cause of mental disturbance as it rips through our sense of security and feeds on fears of job insecurity, healthcare coverage, illness, education, and even socialization.</p></blockquote>



<figure class="wp-block-image size-large"><img decoding="async" width="696" height="464" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?resize=696%2C464&#038;ssl=1" alt="" class="wp-image-6473" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?w=800&amp;ssl=1 800w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?resize=600%2C400&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?resize=696%2C464&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-24.jpeg?resize=630%2C420&amp;ssl=1 630w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Copyright&nbsp;: <a href="https://www.123rf.com/profile_fizkes" rel="noreferrer noopener" target="_blank">Aleksandr Davydov</a></figcaption></figure>



<p>Denied the <a href="https://www.medicalnewstoday.com/articles/321019" rel="noreferrer noopener" target="_blank">social interactions</a> that might have mitigated the usual life stressors&#8217; effects, we plummet into a further state of diminished security and health. We are, essentially, <a href="http://journals.innosciencepress.com/index.php/ssr/article/view/957" rel="noreferrer noopener" target="_blank">social beings</a> that crave the friendship and love of others.</p>



<p>As <a href="https://www.nber.org/papers/w27562" rel="noreferrer noopener" target="_blank">lockdowns increase</a> with a similar <a href="https://www.worldometers.info/coronavirus/country/us/" rel="noreferrer noopener" target="_blank">increase in the number of infections of COVID-19,</a> the stress it engenders in adolescents is of concern. Particularly <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444649/" rel="noreferrer noopener" target="_blank">affected are children and adolescents</a>, especially those who are most vulnerable. In adolescents, the number of serious mental health issues is increased.</p>



<blockquote class="wp-block-quote is-style-default td_quote_box td_box_center is-layout-flow wp-block-quote-is-layout-flow"><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323662/#:~:text=The%20COVID%2D19%20pandemic%20could,they%20may%20experience%20increased%20symptoms." rel="noreferrer noopener" target="_blank">The COVID-19 pandemic </a>could result in increased psychiatric disorders such as Post-Traumatic Stress, Depressive, and Anxiety Disorders, as well as grief-related symptoms. Adolescents with psychiatric disorders are at risk of a break or change in their care and management; they may experience increased symptoms.</p></blockquote>



<blockquote class="wp-block-quote is-style-default td_quote_box td_box_center is-layout-flow wp-block-quote-is-layout-flow"><p>The COVID-19 outbreak and lockdown may have multiple consequences on the lives of adolescents: chronic and acute stress, worry for their families, unexpected bereavements, sudden school break, and home confinement in many countries, increased time of access to the internet and social media, worry for the economic future of their family and country.</p></blockquote>



<p>Overall, everyone&#8217;s lives will experience major, unexpected disruptions as they all face an <a href="https://www.contagionlive.com/view/how-covid-19-may-affect-the-future" rel="noreferrer noopener" target="_blank">unplanned and uncertain future</a>.</p>



<figure class="wp-block-image size-large"><img decoding="async" width="696" height="464" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?resize=696%2C464&#038;ssl=1" alt="" class="wp-image-6472" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?w=800&amp;ssl=1 800w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?resize=600%2C400&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?resize=768%2C512&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?resize=696%2C464&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-23.jpeg?resize=630%2C420&amp;ssl=1 630w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Copyright: <a href="https://www.123rf.com/profile_vadimgozhda" rel="noreferrer noopener" target="_blank">Vadim&nbsp;Guzhva</a></figcaption></figure>



<h4 class="wp-block-heading">Adult Stress&nbsp;Concerns</h4>



<p><a href="https://www.contagionlive.com/view/how-covid-19-may-affect-the-future" rel="noreferrer noopener" target="_blank">According to Dr. Anthony Fauci</a>, the virus will not disappear, but will eventually become a part of our lives — after an effective vaccine is created.</p>



<blockquote class="wp-block-quote is-style-default td_quote_box td_box_center is-layout-flow wp-block-quote-is-layout-flow"><p><em>“I think it’s so easily transmissible that I don’t think it’s going to disappear like SARS,” </em>he said. “<em>Whether it becomes seasonal in the sense of returning and being around chronically is going to depend completely on the level of efficacy of the virus, and how many people get vaccinated</em>.”</p></blockquote>



<p>The question of how the <a href="https://www.nature.com/articles/d41586-020-02544-6" rel="noreferrer noopener" target="_blank">virus will mutate</a> remains unclear regarding future treatments as it is doing now. “<em>Despite the virus’s sluggish mutation rate, researchers have cataloged more than 12,000 mutations in SARS-CoV-2 genomes.” </em>There have also been speculations that the newly mutated strains may be more highly transmissible.</p>



<p>In the meantime, the stress marches on, as shown in the APA breakdown of this year’s study of stress.</p>



<p>According to the latest 2020 Stress in America survey by the American Psychological Association, 78% of those surveyed indicated that the pandemic was a source of stress in their life and 60% said the issues that it presents are overwhelming for them.</p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="674" height="1024" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=674%2C1024&#038;ssl=1" alt="" class="wp-image-6471" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=674%2C1024&amp;ssl=1 674w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=600%2C911&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=198%2C300&amp;ssl=1 198w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=768%2C1166&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=696%2C1057&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?resize=277%2C420&amp;ssl=1 277w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-22.jpeg?w=800&amp;ssl=1 800w" sizes="(max-width: 674px) 100vw, 674px" data-recalc-dims="1" /><figcaption>Photo by <a href="https://unsplash.com/@nkachanovskyyy?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText" rel="noreferrer noopener" target="_blank">Nikita Kachanovsky</a></figcaption></figure>



<h4 class="wp-block-heading">The Generational Breakdown</h4>



<p>Broken down, nearly 19% in the surey said their mental health is worse now than it was last year, and <a href="https://www.pewresearch.org/fact-tank/2019/01/17/where-millennials-end-and-generation-z-begins/" rel="noreferrer noopener" target="_blank">by generation</a>, they indicated worse mental health in the following percentages:</p>



<p>Generation Z adults — 34%</p>



<p>Generation X — 21%</p>



<p>Millennial’s — 19%</p>



<p>Boomers — 12%</p>



<p>Older adults — 8%</p>



<p>The association&#8217;s survey also indicated that Generation Z adults were the most likely ones to report <em>symptoms of depression, which was worse</em> over the past two weeks before the survey, and that <em>75% of them did nothing</em>, 74% felt <em>very restless</em>, 73% found it <em>hard to think or concentrate</em>, 73% also felt <em>lonely</em> and 71% were <em>miserable or unhappy</em>.</p>



<p>Considering that much of this stress may be brought on by several factors, not least of which are incremental lockdowns, we can understand that there might be a degree of restlessness and a wish for change. Younger populations, those in college or starting on their career paths, may feel inclined to <a href="https://www.vox.com/the-highlight/2020/3/24/21191184/coronavirus-masks-social-distancing-memorial-day-pandemic-keep-calm-carry-on-fauci" rel="noreferrer noopener" target="_blank">disregard the </a>virus&#8217;s dangers and the recommendations for remaining virus-free. The need for social support is a strong driving force here.</p>



<p>Should this be the case, it may explain the number of large groups of younger people disregarding the rules of the area where they live and going to bars, restaurants or gathering for “covid parties.” Some of the foundation for this ongoing problem may be found in uncertain messaging on the virus.</p>



<blockquote class="wp-block-quote is-style-default td_quote_box td_box_center is-layout-flow wp-block-quote-is-layout-flow"><p><a href="https://www.vox.com/the-highlight/2020/3/24/21191184/coronavirus-masks-social-distancing-memorial-day-pandemic-keep-calm-carry-on-fauci" rel="noreferrer noopener" target="_blank">Conflicting government messaging</a> and reopenings of restaurants, bars, hair salons, and gyms in many states have only exacerbated the wildly divergent individual responses, and reliance on personal responsibility in public health matters.</p></blockquote>



<blockquote class="wp-block-quote is-style-default td_quote_box td_box_center is-layout-flow wp-block-quote-is-layout-flow"><p>It’s created fertile ground for the public to practice the long-held wisdom that we must “carry on” in a crisis: For at least a century, citizens have believed that in the midst of a disaster, their job is to go on with their daily lives as best they can — as if it were a safeguard against an unseen enemy.</p></blockquote>



<p><a href="https://www.tandfonline.com/doi/abs/10.3200/SOCP.148.1.105-128" rel="noreferrer noopener" target="_blank">Recklessness</a> has always been inherent in young populations who are testing the limits in their culture and this may be one of the examples of it. If loneliness and lack of social connections is as strong as the study asserts, this is another reason for increased stress brought on by isolation from one’s social group.</p>



<figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="696" height="465" src="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?resize=696%2C465&#038;ssl=1" alt="" class="wp-image-6470" srcset="https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?w=800&amp;ssl=1 800w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?resize=600%2C401&amp;ssl=1 600w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?resize=300%2C200&amp;ssl=1 300w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?resize=768%2C513&amp;ssl=1 768w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?resize=696%2C465&amp;ssl=1 696w, https://i0.wp.com/medika.life/wp-content/uploads/2020/10/image-21.jpeg?resize=629%2C420&amp;ssl=1 629w" sizes="(max-width: 696px) 100vw, 696px" data-recalc-dims="1" /><figcaption>Photo by <a href="https://unsplash.com/@esteejanssens?utm_source=unsplash&amp;utm_medium=referral&amp;utm_content=creditCopyText" rel="noreferrer noopener" target="_blank">Estée&nbsp;Janssens</a></figcaption></figure>



<h4 class="wp-block-heading">Career Planning</h4>



<p>How do you plan for a future career when there is such economic turmoil? Technology is moving rapidly and failure to keep up with it, in terms of education, could mean missing out — more stress.</p>



<p>The APA study found that 67% of Gen Z in college were at a loss for future <a href="https://news.dasa.ncsu.edu/career-planning-and-job-searching-during-a-pandemic/" rel="noreferrer noopener" target="_blank">career planning</a>. Additionally, their education and the resources they need to get their degrees added to this stress. Even those who have <a href="https://www.sciencemag.org/features/2020/09/planning-beyond-pandemic-faculty-career-development-age-covid-19" rel="noreferrer noopener" target="_blank">started on a career path</a> feel endangered in their planning.</p>



<blockquote class="wp-block-quote is-style-default td_quote_box td_box_center is-layout-flow wp-block-quote-is-layout-flow"><p><a href="https://www.sciencemag.org/features/2020/09/planning-beyond-pandemic-faculty-career-development-age-covid-19" rel="noreferrer noopener" target="_blank">For faculty</a> who have not secured tenure or are not on a tenure track, the pandemic is precarious. Some universities have offered to pause tenure clocks or add a year to the tenure and promotion process, as is the case at RIT. (Rochester Institute of Technology) <em>But putting your career, i.e., tenure track, on hold is stressful, too.</em></p></blockquote>



<p>Two careers would seem needed now; mental health professionals and vocational counselors who are adept at forging the career straits ahead.</p>
<p>The post <a href="https://medika.life/america-is-bursting-at-the-seams-with-deadly-stress/">America Is Bursting at the Seams with Deadly Stress</a> appeared first on <a href="https://medika.life">Medika Life</a>.</p>
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