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

Supporters are part of a self-improvement sub-group where value is dispensed daily on personal growth in all aspects of life, informed by many sources. New members welcome!
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Covid Update

Tennessee Covid update:

Hospitalizations: 1,127
Deaths: 2,074
Positivity: 19.03%

No, that isn't a typo.

The Tennessee Department of Health issued a correction to death numbers over the past two years, and so all of the corrected deaths are included in today's count.

The Northeast Tennessee rate of Covid deaths is 359 per 100,000, which is well above the national rate of 243 per 100,000. Given the local penchant for anti-health practices, this isn't terribly surprising. Culture has killed an awful lot of people.

Let me say that again: Culture has killed an awful lot of people.

A culture that celebrates eating for reasons other than health, a culture that has deep roots in moonshining, a culture that accepts smoking and celebrates tobacco's economic role in the region, a culture that has normalized obesity, these things have killed and are killing our people. Families in this region are often completely lacking in health literacy, and have been programmed to expect pills that make up for abysmal lifestyle choices.

I love this region. I chose to live here and raise my family here. We live in one of the most beautiful areas in the country.

I love the people, too. There are awfully good people here.

So don't think I'm attacking individuals.

But, as I've said for a long time, the virus lives on culture, and this region was primed for badness before Covid ever showed its ugly head.

Mix the underlying disease prevalence of our area with a deep mistrust (for many very good reasons) of advice from "authorities," toss in a novel coronavirus, and we have the death rate that I described above.

We can do better.

But it will take intentional cultural change.

And that kind of change starts with each of us.

Molnupiravir, the Merck anti-Covid drug, was given an EUA today. Like the Pfizer pill we talked about yesterday, it must be given early with symptoms.

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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