Wayne Smith MD
Fitness & Health • Lifestyle • Preparedness
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Members get a daily Covid-19 topic focused on Covid in Tennessee.

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Covid and Questions

Tennessee Covid update:

Hospitalized: 730
Deaths: 12
Positivity: 5.76%

The news is boring again, so I'm going to bloviate a little. My apologies in advance.

First, is there a link between unintentional intravascular injection and serious vaccine-associated complications? In traditional vaccines, the body only has to react to the injected antigen. In the modern vaccines (mRNA and adenovirus vector vaccines), the injection introduces instructions for the body to make its own antigens.

The vast majority of recipients probably are processing the vaccine's instructions in muscle cells surrounding the injection.

But if the injection goes into the bloodstream, it would follow that the downstream tissues become the target tissues.

Is the heart muscle becoming an antigen-producing tissue in these cases? And, if so, is this the mechanism for vaccine-associated pericarditis/myocarditis? If this is the case, how could we minimize this risk? Direct pressure to the muscle before and for 30 seconds after injection?

I do hope that thoughtful discussion is possible with this topic.

Second, I'm thinking tonight about long-term living with the virus as part of the normal viral mix around us. What if the path to maintaining immunity means that we completely return to normal living and, in the course of daily life, get exposed to SARS-CoV2 at a low dose on a regular bases? Would a "common cold" virus be similarly damaging to us if we had never been exposed to it before? Obviously, it wouldn't be necessarily damaging in the same ways, i.e. ACE2 receptor access to cells, etc.

Maybe we just adjust our hospitals to have surge capacity as needed, and use therapeutics as early treatment to prevent serious disease.

Anyway, I am not making any recommendations tonight about the above, but would be interested in the scientific establishment expanding its horizons from the "there is only one solution, and Vaccine is its name" approach to one that doesn't depend on routine injections for everyone.

Stay healthy!

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Outdoors

I'm on a weekend night call schedule this weekend, which always leaves me feeling under-rested and generally icky.

But I wanted to remind you that outdoor exercise without screens is really good for your mental health.

Go outdoors, preferably into the woods.

Get in tune with those surroundings, the sights, the sounds, the smells, even the movement of air and the varying temperatures as you walk.

We were made to be outdoors.

We were definitely not made to work in cubicles.

One Degree!

Physical Goals

What you want from your body will dictate what you need to set as goals, and the goals will determine what you'll end up having to change to attain them.

I've spoken many times about systems being better than goals, and my position has not changed.

But goals are easier to discuss and to understand, so for this week, we'll be very specific about goals.

Do you want more muscle mass?
Do you want to be stronger?
Do you want to run faster?
Do you want to gain weight?
Do you want to lose weight?
Do you want to improve general fitness?
Do you want longevity?
Do you want strong bones?
Do you want to earn a Black Belt?

Understanding the benefits and costs of each particular goal may help you decide what you want.

For example, if you want to compete in body-building competitions, you'll not be doing the same thing as if you were focused on longevity. Same with strength competitions.

But general fitness and longevity go fairly well together.

Running is great but will increase the likelihood of needing knee or hip ...

Adjusting To Time Change

I'll make this one short and to the point.

Spring time change is hard on all of us. Having to get up an hour early doesn't make going to bed an hour earlier much easier.

Yes, it's nice to have more productive time in the evening.

But it's at the cost of forcing us out of be an hour earlier, as we all know.

Our challenge is to adjust our circadian rhythm to match the world's expectations around us.

My main strategy is supplementing with a dose of melatonin about a half hour before I need to be asleep. It helps most people fall asleep more readily.

If you need a nap during your day, take it between mid-morning and early afternoon. Limit it to 20 minutes.

Taking a longer or later nap may make it even harder to get off to sleep in time.

All of the other normal advice applies even moreso:

  • Take a 20-minute walk after supper.
  • No screen time for the last hour before bed.
  • Listen to calm music after supper.
  • Don't eat for 2 hours before bed.
  • Don't have conflict-laden conversations ...
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