Tennessee Covid update:
Hospitalized: 1108
Deaths: 26
Positivity: 11.24%
It's now being reported that the omicron variant is accounting for well over half of all new Covid cases in the US now.
Currently, hospitalizations in our area (northeast TN) appear stable.
If you have risk factors for developing severe disease, and are eligible for a vaccine booster, it would be wise for you to get it. This is especially important if you are immune compromised for any reason.
If you have to take systemic steroids (prednisone, for example) on a chronic basis, you're immune-compromised.
If you're treated for an autoimmune disease, you may be immune-compromised.
If you're treated with anti-rejection drugs for a solid organ transplant, you're immune-compromised.
If you have HIV or have had to have your spleen removed, you're immune-compromised.
Talk to your doctor about getting your booster.
For the rest of us, it's a preference question. While antibody levels fall off, there is still cell-mediated immunity.
I expect that we will find that the only way for vaccines to prevent infection with the current vaccines is with boosters every 6 months, and, even then, I don't think there will be enough protection to guarantee that you won't be infected.
Our immune systems are very bad at remembering coronaviruses enough to prevent infection. We're finding that this remains true even with SARS-CoV2, and even with vaccines.
But common colds don't kill us, generally.
And I expect that SARS-CoV2 will become no more dangerous than a common cold within the next year or two.
As always, I could be wrong.
Stay healthy!
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!
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 ...
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: