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recovery
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2020
A year of recovery
Our adult son died of cancer at the end of 2018. We were devastated. Our lives were disrupted and upended, while everyone else went on as if everything was normal. Anyone who has lost a family member or friend knows what this is like. Way too many people found out in 2020 what that is like. In 2020, other people were inconvenienced. A lot. I’ll acknowledge that it was tough on everyone, but it’s nothing compared to losing a loved one. When we realized that the pandemic disruption really didn’t faze us, we realized that we were going to be OK. We had faced the unbearable; this was trivial by comparison. So was losing my job. We were privileged that 2020 and 2021 gave us a chance to reset, to recharge, to reboot. To make ends meet, I now work and live on another continent, away from my wife. It’s incredibly difficult. We’ve dealt with worse situations. We’ll be OK. -
2021-06-01
Museum Recovery Expected to Take Years Due to Devastating Financial Losses, New Survey Reveals
The American Alliance of Museums report highlights financial problems and some of the more negative long-term impacts resulting from COVID-19 such as reduced overall net revenue for the institution, lower employment numbers, and lower average salary for their staff members. -
2021-05-18
On Illness From a Virus and Surgery During the COVID-19 Pandemic
In this essay, I reflect on my personal experiences with illness and recovering from surgery during the COVID-19 pandemic. -
2021-03-16
Vaccines and Long Haulers
When it comes to COVID-19, it seems there are more questions than answers. For some COVID-19 survivors, their COVID experience didn’t end after their infection ended. These people, referred to as “long haulers” have dealt with fatigue, brain fog, muscle aches, breathing difficulties, and insomnia. However, a surprising and potentially positive development has come out of the vaccine - long haulers symptoms are disappearing! Many patients struggling with long term COVID effects are reporting these effects disappearing after receiving their vaccination. Research, of course, needs to be conducted to pinpoint why, but this seems to be another light at the end of the tunnel for so many people who have struggling with long term COVID symptoms. -
2021-04-04
News Article: How a local response to COVID-19 helped slow deaths on the White Mountain Apache nation
By Amanda Morris of the Arizona Republic: When someone on the Fort Apache Indian Reservation receives a confirmed diagnosis of COVID-19, health care workers from the Whiteriver Indian Hospital jump into action. They personally visit the individual's home to test other household members, perform health evaluations on everyone there and trace any other potential contacts at risk for COVID-19 exposure. Health care workers in the community say that could be one reason why, even though the rate of confirmed COVID-19 cases among White Mountain Apache tribal members is nearly triple the state's rate, the death rate is much lower and continues to fall. Over 90% of COVID-19 cases in the White Mountain community are investigated within 24 hours of testing, according to Ryan Close, the director of the Department of Preventative Medicine at the Whiteriver hospital, which is the only hospital on the 1.67 million-acre reservation. "I feel like what we did made a huge difference," Close said. "We evaluated and admitted people aggressively and early. The tribe deserves an incredible amount of credit for mobilizing staff ... to make this response possible, because at some point it would have been very difficult to maintain without their considerable help." The quick response may have also helped the tribe turn the tide against rapid community spread of the virus, which scientists say could have been fueled by a single variant found only in the White Mountain tribal communities. The variant carried a mutation in the spike protein, which scientist theorize could have made it spread more rapidly than other strains of the virus. The number of confirmed COVID-19 cases among White Mountain Apache tribal members accounts for 24% to 28% of their population, according to Close, but the cumulative death rate among known cases is only 1.2%. By comparison, the statewide rate of infection was 11.5% with a 2% death rate among known cases. And over the winter, Close said the rate for the tribe dropped even lower, to about 0.5%. In a community with a high number of individuals with underlying health conditions, the low death rate and work of the tribe has been "remarkable," said David Engelthaler, director of the Translational Genomics Research Institute's infectious disease division in Flagstaff. The death rate also stands out as unusually low when compared with death rates in other Indigenous communities. Indigenous populations have been disproportionally affected by the pandemic. CDC data shows that Indigenous people are 3.5 more likely to be diagnosed with COVID-19 and almost twice as likely to die from COVID-19 than white people. Close credits a proactive strategy to combat COVID-19 that involved rapid contact tracing, in-person health evaluations and frequent outreach to high-risk COVID-19-positive individuals as well as early treatment with monoclonal antibodies and other antiviral therapies. Volunteers and health workers from the White Mountain Apache community were on the Whiteriver hospital's contact tracing team and high-risk COVID-19 outreach team, which Close said helped the team connect better with the people and work faster. One essential part of the team are the tribe's community health representatives, or CHRs, who are members of the community that serve as a cultural bridge between patients and medical establishments. JT Nashio, director of the Community Health Representatives for the tribe, said the "visceral connection" that CHRs have to the community helps them bring cultural awareness to the way questions are asked for contact tracing, which makes the process more effective and allows officials to better distribute information. "On top of that, quite simply, they know how to get around. It’s a big reservation and not all homes are easy to find," Nashio said. "But when you’ve lived here your whole life, you know where to find people. That became invaluable during the tracing and testing push during case surges." Virus mutation may have made it more transmissible When COVID-19 hit the White Mountain Apache nation, it spread rapidly. The community's first documented case was on April 1, 2020, from someone who had likely recently visited the Phoenix area, unknowingly caught COVID-19 and returned, according to Engelthaler. Within the first few weeks, Close said the community experienced a handful of deaths. "We soon had incidence rates that were skyrocketing. Case counts were going up very, very quickly," Close said. It's unclear why the disease spread so rapidly in the community, but the initial strain of COVID-19 that hit the community carried a mutation that Engelthaler believes could have made it more transmissible. "They were seeing the virus just rip through and have an 80 to 90 to 100 percent attack rate," he said. TGen partnered with the tribe and the U.S. Indian Health Services early on to provide tests to diagnose a case of COVID-19 and provide genetic analysis of the virus from each case. It showed one strain of the virus circulating in the tribal community that wasn't present anywhere else in the state. "This virus moved much faster than anything else we were seeing in Arizona at the time," Engelthaler said. "So we actually believe that we had one of these variant strains in Arizona that was causing very large numbers of cases, but it was secluded and maintained really only in that tribal population." The mutation, called the H245Y mutation, occurred in the spike of the virus, which Englethaler said is a "very sensitive" part of the virus where mutations can have a significant impact. Because of the low death rate, Engelthaler said TGen researchers would like to investigate the mutated strain of coronavirus seen among tribal members to see if it is also associated with a lower fatality rate. He acknowledged that other strains of the virus have since entered the community and that the actions of health care workers in the community and at the Whiteriver hospital is also responsible for the lower death rates. 'The earlier you treat an illness, the better' Close's biggest concern was that an outbreak would cause a "tsunami" of sick COVID-19 patients that would run the risk of overwhelming the Whiteriver hospital, which does not have an intensive care unit. Any patients that require intensive care need to be transported to other hospitals in the state. "We're a small hospital, we cannot take a wave of all very acute patients because there aren't enough ventilators in the hospital," Close said. "There aren't enough helicopters in the state to transport people out from our facility to a higher level of care." Within the first few weeks, Close said the community experienced a handful of deaths, and patients who had the poorest outcomes were the ones who self-presented at the hospital — often meaning they waited until they felt sick enough to go to the hospital. "People don't always bring themselves in early enough," Close said. "The earlier you treat an illness, the better." In response to this phenomenon, the hospital started a high-risk outreach program the third week of April. Health care workers regularly visited the homes of anyone who tested positive for COVID-19 and was at high risk for a poor outcome. Close recalls multiple days when he evaluated patients and found their oxygen levels dangerously low, even though they felt fine. It's a condition associated with COVID-19 known as "silent hypoxia," or "happy hypoxia." "They had no sense that they were even ill. They went on to get pretty sick in the hospital, but they survived and you can't help but think to yourself, 'Yeah, that's a life saved,'" Close said. "That person, if they had stayed home another day or another two days would not have done as well. They would have ended up on a ventilator or something." The Arizona Republic previously reported that the effects of the high-risk outreach program and contact tracing led to a fatality rate among tribal members of 1.6% last June, which was less than the state's rate of 2.5% and country's at 2.7% at the time. But the effect of the outreach program became even more pronounced over the winter, as the tribe and health workers gained access to monoclonal antibody treatments, according to Close. He said the high-risk outreach team started referring patients for antibody treatment in December as part of their protocol after the therapy received emergency use approval from the Food and Drug Administration. Hospital staff at the Whiteriver hospital then administered the antibody treatment. "We give that to people who are asymptomatic or mildly ill to prevent hospitalization," Close said. "The evidence currently suggests that reduces the risk that they're going to get sicker and get hospitalized and reduces the risk that they're going to die." Though there's no data proving the antibody treatments made a difference, Close said that after health care workers started using them, the community's COVID-19 death rate fell to 0.5%. Hospital workers also gave antiviral therapies, such as remdesivir, to patients early and often. "We probably overtreated some people," he said. "But the good news is it definitely led to significant reductions in mortality." Lessons for the future Close believes the different programs were so successful because health care workers were often able to test, trace, diagnose and treat individuals all in the same day — a feat he said was only possible because of how closely integrated hospital workers and community health workers were. "There were no barriers in communication between the public health arm of our response and the clinical care arm of our response," Close said. "It's really a case for an integrated health care system." As the tribe emerges from the pandemic and tribal members get vaccinated against the virus, Close said the hospital may start exploring other health conditions where it can use the high-risk outreach team, which is already trained and experienced in clinical evaluations. "The goal is to take what we've learned from COVID and now apply it to things that are not COVID-related," Close said. Another valuable lesson Close hopes to carry forward is how much of a difference visiting residents in their homes can make and how important building trusting relationships with the community is. Nashio said going door to door to trace and monitor COVID-19 cases was a natural step for CHRs, who had already gone door to door in the past for other community health campaigns. "We know firsthand how difficult it can be to not only connect with patients over the phone but communicate effectively over the phone," Nashio said. "When the community sees their CHRs coming to their door, it helps decrease the stigma of the disease." In addition to performing checkup evaluations and providing information, Nashio said CHRs can also provide food, medical supplies, cleaning supplies or services like grocery shopping and running basic errands. Not every tribal member has reliable internet or phone service, nor access to transportation, so Close said going door to door can be a good way to reach, and help, everyone. "Meeting patients where they are is invaluable," Close said. Amanda Morris covers all things bioscience, which includes health care, technology, new research and the environment. Send her tips, story ideas, or dog memes at amorris@gannett.com and follow her on Twitter @amandamomorris for the latest bioscience updates. Independent coverage of bioscience in Arizona is supported by a grant from the Flinn Foundation. -
2020-04-17
COVID-19 and Social Justice
From the article: The COVID-19 pandemic is a health and mental health crisis, to be sure. But it is also a crisis of social injustice, inequitably affecting vulnerable and marginalized populations that include, among others, individuals who earn low incomes, or are incarcerated, homeless, in foster care, over 65 (especially those in long-term care facilities), people of color, or undocumented. Social work practitioners, educators, and policy makers are working to address the needs of these populations despite the unpredictability of the virus’s secondary impact on systems. -
2020-12-10
Baby born to Sacramento mother in ICU, on ventilator with COVID-19
A pregnant mother, and nurse, living in Sacramento, California contracts COVID-19 in her seventh month of pregnancy and delivers her third child. This news article captures some of the emotional struggles she went through from being diagnosed while pregnant and delivering her child. Through this woman’s story, we gain some insight into a mother’s experience of both being sick with COVID-19 and delivering a child during the pandemic. -
2020-05-13
Mme Benoit fête ses 92 ans au CUSM - Mrs. Benoit celebrates her 92nd birthday at the MUHC
Pierrette Benoit celebrated her 92nd birthday while in hospital recovering from COVID-19. The staff on C8 at the Royal Victoria Hospital of the MUHC ensured her day was special by presenting her with a cake and singing her Happy Birthday. Gestures like these are just an example of how MUHC staff go above and beyond for their patients. -
2020-10-22
Museum Awareness and COVID-19
I have been recently researching digital archives and their effective helpfulness in the midst of crises and pandemics, such as COVID-19. While discovering new sources for research, I came upon a community that is treasured by society yet sufferers immeasurable when neglected, museums. From what I have put together in following archives and museums, there is a difference and the difference is impactful: People interact with archives while museums interact with people. Archives can be easily engaged through any format and do not struggle to adapt to a rapidly evolving society. Museums and their charm center on one core energy source, in-person engagement, interaction, and display. Museums attempting to permanently shift to online have the risk of fading into another informational website (Advertising is a dense fog). The attraction is the ability for people to see artifacts and art in person. I personally love museums and I know that without them, history seems to lose some of its luster as well. I found this website, American Alliance of Museums: COVID-19 Resources and Information for the Museum Field, while searching through museum resources and listening to museum and art directors discussing the future of their work. It is a tool for anyone from a visitor to a museum director in staying connected to updates on openings and closures as well as how museums are encouraged to keep up with their audiences. Though a permanent solution isn’t found to the situation or even COVID-19 for that matter, I have found that the need to keep moving forward is not just surviving, but living. This resource created by AAM might be the catalyst for museums to evolve into online forms successfully; that would be joyful news in difficult times. I have saved this link to a web page saver, Wayback Machine, so it can be accessed at any time even if the page is removed or recreated. Thanks for reading! -
2020-03-29T22:23:20
When My Fever Broke
I fell seriously ill on March 23, 2020. I vividly remember my body being hit with extreme chills and my skin was hot to the touch. I remember being so cold that I needed two blankets to keep warm while experiencing a high fever. Even though I I felt deathly sick, I denied the thought of even having Covid for some reason. However, in the middle of the night I woke up coughing and I knew I had it. I immediately quarantined and contacted anyone that I had contact with to let them know that I might be infected with Covid-19. At the time, there wasn’t an easy way securing a test for Covid-19. A friend referred me to a private clinic to get tested. I was finally able to get tested on March 25, 2020 and the next day the doctor called me to tell me I tested positive with Covid-19. Fortunately for me, my worst day was the first night. I suffered a mild fever for about 7 days straight. This is the only photo I took during my whole quarantine. It’s a photo showing when my fever finally broke. When the thermometer showed a temperature 98.2 degrees, a wave of relief fell over me. It was so surreal at the time and I wanted to provide a snapshot of a moment in time of my Covid experience. -
2020-08-10
The life of a HCW testing positive for coronavirus
I wrote this article for my internship and I've always wanted to see it published given that it gives us a perspective of a health care worker that became a patient for coronavirus. In the months that the Philippines has been on lockdown and cases continue to rise up, it's very telling that those who are vulnerable to the virus still aren't secured and compensated for the work they have done so far. -
2020
American Culture
Commentary on why the US is not recovering from Covid-19.