Wayne Smith MD
Fitness & Health • Lifestyle • Preparedness
This Community has two parts.

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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We Finally Have An Official Post-Exposure Prophylaxis

Tennessee's new confirmed SARS-CoV2 infection number today was 2,623, with 6 confirmed Covid-19 deaths and hospitalizations rising to 1,326. Our local hospital system doubled its Covid census in the last week. Positivity today was 16.73%.

The FDA has (finally) extended its (EUA) blessing for post-exposure prophylaxis with REGEN-COV (casirivimab and imdevimab, administered together) for high risk individuals with known or highly likely exposure to SARS-CoV2 and who are not fully vaccinated. It is specifically not authorized for pre-exposure prophylaxis or as a substitute for vaccination. IV administration is preferred, but subcutaneous administration is authorized if IV is not practical.

And that's all I have for you tonight.

Membership in my self-improvement group is at a reduced rate for the rest of August, and your rate will not increase. If you are tired of just surviving, and want to live a more intentional life, come join us. Supporters on my Locals community are given access to the group.

Expect significant wait times for ER visits for the foreseeable future. Best plan is avoid the ER if at all possible.

In other words...

STAY HEALTHY!!

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Why Is My Self-Improvement Group Not Free?

Free advice is worth what you pay for it, to you.

00:04:57
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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