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

In Northeast Tennessee, 98% of Covid patients on ventilators are unvaccinated, and 96% of Covid patients in critical care units are unvaccinated.

This reinforces my strongly-put-forth position that vaccines are absolutely working to decrease severe illness and death.

A federal judge in Texas put a nation-wide moratorium on the vaccine mandate for federal workers.

Now, as far as the argument that we need to vaccinate to reduce spread of Covid, the amount that vaccination reduces spread is not as great as we would hope. Vaccinated people end up with the same peak viral load in their airways (the part of our bodies most likely to broadcast virus particles), but for a shorter period of time. So the shortened time of high viral load decreases opportunity to broadcast randomly in total, but not completely. If you spend every day with the same people, vaccination status has less impact than we would have thought.

So let's agree that vaccination is primarily for the person receiving the vaccine directly. If that is the case, then, it remains a really good idea for adults, and especially people at high risk for serious disease, to get vaccinated.

But, as I pointed out a few posts back, children are, on average, very low risk of severe disease. Children who are obese or otherwise high risk probably should get a vaccination, but many healthy kids are not at significant risk for severe disease. Therefore, there is little need for a vaccine policy that requires that everyone eligible be vaccinated.

I have the same opinion of boosters. People whose immune system is weakened, or who are otherwise high risk, should probably get a booster. Healthy people who have already been vaccinated or previously infected? Not so much.

We're coming into the weekend. I'm on call, so y'all be safe and stay healthy, please. I don't want a busy weekend. :)

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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