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About Treva

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  1. I certainly will! I think I would feel bad if I couldn't do it, so thanks for telling me it doesn't matter. Thank you for the suggestion. I actually always start my day with S&S, so if I do absolutely nothing else, I have done the one thing that helped me the most to get in shape. Today's accomplishment: I did my first moderate speed safety vault!! I don't even need a supporting foot some of the time. I felt so empowered. It was awesome. The gloves I got to protect my hands work great. I may go through a few pairs of them, but I came back without any injuries. I'm still working on my form, but I'm proud of myself.
  2. Thank you for the revised goals!! These help a lot; I kept worrying about meeting the time goal before increasing the weights. And the way he has weights progression makes sense; I had been doing something similar, but it's nice to have the formal structure. And something to give my grip a break with! I can use those on days when I don't have much time to get through all my reps. I have been doing it as my warm up for other training, since I am still at low weights and may never even reach the simple goal. I had never heard of the century test! I will attempt it at some point. Hi! Thank you for the validation! I am trying my best. It is very stressful, and there is a lot of messaging from our administration to put our own emotional and physical oxygen masks on first. The storms have not lasted. I am one of those people who needs to let her emotions happen, sometimes in a Big Way, privately before they are over. Acknowledge the feeling, know that I am not the feeling, but it has to happen, and then it will pass and the feeling is gone. Happy Body: Diet and Exercise Diet: I have been doing ok. I have been indulging more in pizza (once a week) and dessert (every night), and should probably get back on the bandwagon and cut back. I'm going to make english muffins and Minecraft Mushroom Stew before I start back on the units. I don't have a fabulous lunch plan; I will need to see what free food is being offered, and if not where I can acquire healthy meals. Exercise: I have turned into a Morning Person, with early walks in the fabulous post apocalyptic landscape. No mutant sightings yet. Here is the schedule for this week Monday: Legs (took a walk, then S&S, one legged squats, donkey kick/leg raises, weighted walking lunges, cardio) Tuesday: Parkour (S&S, Run, step jumps, safety up/down legwork without vaults) Wednesday: Core (S&S, cardio, hanging leg raises, side planks, pilates) Thursday: Yoga (S&S, cardio, stretches) Friday: Arms (S&S, cardio, push ups, arm rows, tricep dips) Saturday: Combat (longsword drills only) Sunday: REST I'm setting a minimum of 4x/week cardio and S&S, knowing that these will be difficult goals to meet and that there will be no getting up early on postcall days. Happy Brain Intellect: I am actually through all the nitty gritty extras my program has assigned for us. I'm back to question banks, pharmacopeia building, and following up on research. I did an end of year review with my program director that was very positive, and I am looking forward to using that momentum to be a good team leader next year. Mental Health: I'm asking myself to work on self-judgements every other day. I should make a list of them, so I know what to work on. I have also been practicing more, and I realized that the work of music is very similar to the work of meditation, where one is bringing one's attention back to the task at hand, and remaining in the present at all times. This is a strength I did not realize could be applied to other contexts. Happy Heart Spiritual health: I need to remember to meditate every day. I think taking ten minutes before bed to stretch and meditate would be wise. This also gets at mental health too. I can set a timer at night so I remember to do this. Relationship health: I have been alone in my space for a most of quarantine, and I realized how much certain things about living with my roommate really bothered me, so much that I don't want to go back to that way of living. In the future, I think it will be easier to fight for what I want, because I now have what I want. I am still in a relationship that in a big picture view is fairly new. I still like it, and want to be in it, and will be spending some time working on how to be a better partner. My reviews at work say I am an excellent communicator, so perhaps that is a place of strength I can begin working from. Thank you everyone for reading and chiming in. I like hearing from you.
  3. I mean, if you want to get REAL technical there are cases of mass hysteria where you can get conversion disorders and verrry technically you have a neurologic/psychologic problem manifesting physically that not only is contagious, but can be cured with the appropriate neuropsychological approach to the affected community (case example: Le Roy, NY, 2011-2012). But yeah we still don't have a vaccine for stupid. Ain't no funding for incurable diseases. THIS. For PPE, it acts as an additional barrier that has to be removed properly, and the person underneath has to be cleaned properly too. If they are not removed correctly, you've just contaminated your hands, and you've wasted a pair of gloves someone else could have used. A follow up too: Masks (especially the ones people are wearing outside) are very important for protecting the people around you. For the most part, if you are in a non medical setting, you do not need a hallowed N95. If you are working with ill people, you do need the N95. A regular mask will be much easier to breathe through. Chemgeek is right to suggest practicing wearing your mask in safe settings if it makes you uncomfortable, in increasing amounts every day. And your mask should always cover your mouth and nose to be effective. There are aerosols and droplets that come out of your nose as well as your mouth. I mean, defunding the pandemic response team the minute the current POTUS came into office....really...really helped with that. Updates from the Trenches: I am not your doctor, please contact your PCP for all your healthcare needs. The following does not constitute medical advice. Numbers--Overall, we are not starting to plateau, and are still on a slow climb. However, in some hospitals we are starting to see a decrease in our COVID+ cases. These numbers will depend on your state, JHU has been doing a solid job of tracking numbers in lieu of the crippled CDC. It's been difficult to tell how early the virus began circulating here. Case fatality rates continue to depend on comorbidities and age. We don't have any highly specific comorbidities that would help us risk stratify people early on into who will get sick, who will need intubation, and who will die. Symptoms and Complications: The CDC has a good list of symptoms to look out for. The important ones that some people may not be as familiar with are anosmia and loss of taste. Anosmia means loss of smell, and sometimes that can be the only symptom. It isn't necessarily a reason to panic, but it's an unusual symptom that you can monitor yourself for. Some interesting complications that have come out in the news are a rash of strokes that occurred in young people in new york city. We don't know yet if there's a specific stroke risk increase in patients, but we have been seeing an increase in "thrombotic" (clot forming) events. Scientists are still researching why the virus causes people with no risk factors to form clots. This is why you may hear people talking about more strokes. Medications and treatments: There has been some talk of ACE-I (angiotensin converting enzyme inhibitors) being important due to a way the virus uses to enter human cells. Right now, the current recommendations are if you are on an ACE or an ARB (like lisinopril or losartan), keep taking it. If you're not on one, don't start. Hydroxychloroquine has been pretty well debunked. It has a bad toxicology profile, and we have seen an increase in hydroxychloroquine overdoses since the start of the epidemic. If it's not a home med for you, don't take it. We've also seen a 30-40% increase in bleach ingestions and poisonings as compared to 2019, according to my hospital's toxicologist. Hydroxychloroquine has a very very dangerous tox profile, and it worries us more than bleach ingestions. Remdesivir has shown to decrease time spent ill in patients who can take it early. There has been difficulty having it equitably distributed to hospitals that need it. It seems to be a business run issue, rather than a doctor or hospital run issue. Convalescent plasma is also being used. This is like a blood donation from a person who has recovered from the virus to someone who is very sick. There are antibodies in the donated plasma that we hope will help people recover. I still have to check up on the studies for this to see how well the trials are doing. We are still working on how to best provide supportive care. Right now, ARDS lung protective strategies are being followed (this is a mathematical rule about how much air should be put into the lungs based on a person's height and ideal body weight). Most critical care and pulmonolgists will follow this closely. We are still sorting out the actual picture of the lung. It doesn't look like high altitude injuries, may look like an acute lung injury (ARDS), but it has it's own unique problems. Mostly, people who are intubated stay intubated....and stay intubated....and stay intubated. Getting people's lungs healthy to take them off the vent is taking a long time, and we are still learning about why. The good news is, our understanding of how to provide supportive care to people with viral respiratory illnesses isn't killing patients right now--but we don't know yet the best ways to improve it to get patients better more quickly. PPE: If we use it right, it works. People who get sick go into aerosolizing procedures (like intubations) without gear. As many of us have been told, this isn't Ebola. Use the PPE right, and you should do ok. Staying Up to Date: the NYT is doing a great job of offering their COVID related news for free to anyone who signs up. the WHO and CDC are still posting updates. CovidLit is the NCBI's/PubMed's hub for all literature involving COVID, and I believe all of that is free access. Most medical and scientific journals are making their literature on COVID free. For those who are interested, I can post citations in a hot minute. As always, avoiding crowded areas, especially indoors, is a great way to stay safe. If you have to go indoors, a droplet mask (regular face mask) will help protect everyone from your droplets, and you from everyone else's large droplets. Soap and water works just as well as hand sanitizer. Bleach and EtOH is for the outside, not the inside. Except if it's gin, and then it's definitely ok for the inside in appropriate responsible doses. Stay safe gang.
  4. Hey gang! Welcome to my battle log! I’m Treva, and I’ve been on Nerdfitness for years. I've been running (and will still run!) with the monks, because we have a great guild with lovely humans in it. I finally feel like I am in a good enough place with my fitness that I can step away from challenges that might not fit with my new not-school schedule. So here we are!! Nerdfitness has helped me both with personal physical health, but learning how to stick up for myself and fight for the things I want in my own life. Hence the title, and definitely needing to continue on here in a way that doesn't fit the challenge mold. How this is starting: I’m staring down the barrel of a challenging program that takes care of a lot of complicated patients. I am super excited for this, but I know 1) I won’t have time for challenges, and 2) managing my own health is going to be really important. So this will hopefully help me stay accountable and drive towards my goals without the stress or constraints of a usual challenge. Goals and how to get there Happy body: Diet: Eat healthy foods most of the time Exercise: Do a form of exercise every day. Happy brain: Intellect: do a form of studying every day Mental health: Spend some time on myself in some way, every day Happy heart: Spiritual health: Meditate every day. Relationship health: Be better at sticking up for myself. I’ve made lists of things I can do based on the amount of time I have Diet: No time: Buy salads. Avoid the ramen (there is a ramen place in the hospital and this is BAD). Some time: Weekend meal prep whenever you can Lots of time: AVOCADO TOAST TIME!!!! (try new recipes! Make spritz cookies! Treat my fellow interns to my baked goods!) Exercise: No time: Get cardio in during the day, do random planks, one legged squats, and pushups whenever I get a moment. Little time: Tabata training, S&S, sword stuff Some time: S&S and strength training. Lots of time: Full ABC/Cardio flow. Intellect No time: practice questions Little time: Practice questions and write down the answers Some time: book study Lots of time: Book study and read papers Mental Health: No time: calm the sympathetic drive so I can get a good night’s rest. Melatonin, alcohol if within regulation. Little time: quick journaling, spot piano work on the way home Some time: facemask, self massage, pipe organ work Lots of time: ERRY DAY I’M PIPE ORGANING (or at a live instrument!!) Spiritual health No time: Quick prayers, when and where I can. Little time: Five minute meditations Some time: listen to homilies, sermons, or chant online Lots of time: actually go to church. Relationship health Take a quiet breath before proceeding.