Mindful Afternoon – No More Midday Slump


Good Afternoon,

“When we are mindful, deeply in touch with the present moment, our understanding of what is going on deepens, and we begin to be filled with acceptance, joy, peace and love.”

— Thich Nhat Hanh

After a busy morning, I settle on my desk, people lazy and drowsy this afternoon. The tryptophan and serotonin from my lunch is competing forcing me to doze of. My eyes are telling me to let go and give in to the demands of the neurotransmitter. My brain is clouded by a thick fog. I can’t see I can’t focus through the haziness of the thick fog. My body is craving for a mid-day pick me up to clear the haze. I take a few deep breaths with with my eyes closed. Now, I am ready.

afternoon

The blazing midday sun shining brightly on my face. I look out the window of see the shimmering in the heat of the midday sun. The sunlit buildings across me, are piercing the clear blue sky and inviting me to join them in bathing in the warm light of the sun. The small pecks of dust mites are dancing in the warm sunlight, slanting through the window. The harmony of the scorching sunlight and the specks are dancing together like shimmering diamonds, and asking for my attention. I look out to watch the fluffy white clouds drift lazily in the gentle breeze.

I join the party with long deep breath followed by short spurts of exhalation. Now, we have a harmonious symphony of rhythm. I have a deep breath and lift my heals. Now my mind choice the rhythmic symphony as I rock up and down for 5 breaths. With these steps I invite my body to join the chorus. My spine moves side-to-side. What an invigorating experience!!!

I take a deep breath and reach my arm to a “T” position. With my inhalation I reach my right arm overhead and sway to the left. I take another breath and bring back my arms back to the “T”. Exhale and sway to right. I continue the rhythmic dance for 5 breaths. I finally end the dance number with a side twist. My body is relax my mind is relaxed and I am energized.

I now close my eyes and let my senses take over. I take few deep breaths with my feet on the ground. I hear the quietness of my surrounding and the sensations of my body. I focus on the bright sun warming my body, my heart beating as the drum beats to the symphony of the sparking specks and the shimmering sunlight. Now my sense of smell, sound, and touch is leading the orchestra. I surrender myself to the senses as I take long breaths.

I am now grounded and energized. Our breaths are always happening in the present moment, always in our bodies. They can act as anchors that can bring us back from our thinking about the past or the future.

I tell myself, “I am here now, I am here”. I get up and take a short 5-minutes walk to continue the practice of being grounded. I am ready to listen, to the blazing midday sun shimmering in the bright blue sky, and sparkling in the horizon. I am taking in the strong golden glow of the sun over the buildings and roads, captivated by the beauty and radiance.

My mind is clear, my body is energized by the afternoon sun, ready to shine and complete the essentials tasks a head. I am read. It’s great time to start with gratefulness, positive thoughts and planning to make it right. Good Afternoon!!!

How do you get over your afternoon slump? Do you have any afternoon rituals that you follow? I look forward to your comments.

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I consider myself fortunate to have good health, a full-time job, and a roof over my head. However, there are still so many people who are struggling to put food on their tables. Please join me to help those who are struggling. If you have good health, full-time jobs, and a roof over your head, please join me to help those who are struggling. Whether you donate $5 or $500, you will make a huge difference in someone’s life.

No Kid Hungry:

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Coronavirus Pandemic – Public Health Crisis of The Century


Coronavirus Pandemic:

Hi there my beautiful lovelies! Hope you guys are doing well and staying safe. Today, I want to the current public health crisis of the century, the coronavirus pandemic.

Current Epidemic of Coronavirus Pandemic in the US:

Daily New Cases in US

Before I talk about why the crisis of the current pandemic, let me update you on the current state of play in the coronavirus pandemic. Over 374,000 people have died in the United States due to COVID-19, while over 22.4 million Americans are infected. Additionally, the same day bunch of pro-Trump radical domestic terrorists stormed into the US Capitol in an attempt to the coup, the United States lost 4085 Americans from COVID-19. My friend, that is more than the amount of death on 9/11 and definitely more than the number of people who died at Pearl Harbor. Moreover, over 129,000 people are currently hospitalized due to the coronavirus.

We are on the verge of losing 400,000 people to the coronavirus pandemic that is more than the number of GI lives lost during WWII. My friends, these deaths are real. It has hit close to home for me. In a span of just a few days, I lost both my uncle and my granduncle to COVID-19, and my uncle’s entire family, and my paternal cousin getting infected with the virus. Just yesterday alone, there was 273,854 new infections, 3,735 new deaths,

Local Pandemic Numbers:

California has the highest number of coronavirus cases. close of 2.7 million with over 29,000 dead followed by Texas with over 1.95 coronavirus infections and over 30,000 death. California had 55,433 new infections followed by Texas with 28,516 new infections, 17,839 new infections in New York and 15,445 new infections in Florida. Even though Idaho has the highest positivity rate (% positive of the number tested) of 56.6% California is at the point of rationing care with a positivity rate of 14.3%. Why is that the case, California, even before the coronavirus pandemic, has fewer hospital beds per person.

Global Pandemic Numbers:

Data by Johns Hopkins
coronavirus pandemic

Globally over 90.3 millions are infected with COVID-19, while over 1.9 million people are dead. US has the highest number of COVID-19 cases followed by India with 10.47 million infections, Brazil with 8.1 million infections, Russia with 3.4 million infections, and 3.08 million infections. Brazil had 62,290 new infections, United Kingdom with 60,098 new infections, and India with 36,867 new infections, and 23,012 new infections in Russia.

What does All Data Means – What’s Lacking?

Since the first U.S. case of the new coronavirus was reported on Jan. 20 in Washington state, more than 22 million people have been diagnosed. While encouraging news has emerged on the vaccine front with positive data on Pfizer Inc.’s candidate, it is likely to be some time before most Americans have access, and infections, hospitalizations and deaths are expected to increase. More than 370,000 people have lost their lives. Access to testing has improved for people who are sick, but those who lack symptoms continue to face barriers to getting screened, obscuring the overall picture of virus spread.

The number of tests performed by each state has varied greatly. Some states, like New York and California, have significantly ramped up their screening capacity, while others have fallen behind. As of Sept. 21, the Centers for Disease Control and Prevention says 104 million tests have been reported. Experts say sufficient Covid-19 testing capabilities will be especially important this fall, as the flu can present with similar symptoms and uses similar screening infrastructure. In addition? Hospitalizations due to Covid-19 are rising in 23 states or territories in the U.S., including 16 reaching their highest number since the beginning of the pandemic. California leads all states with at least 22,513 patients now hospitalized, but 3 states still have a higher rate per capita.

The Deadliest Pandemic Since 1918 H1N1 Pandemic:

My dear lovelies! As an epidemiologist I have studied about the last deadly pandemic. As I have mentioned before, never have I ever expected to witness first hand a deadly pandemic in my lifetime. Before, the coronavirus pandemic, the 1918 influenza pandemic was the most severe pandemic in recent history. Although there is not universal consensus regarding where the virus originated, it spread worldwide during 1918-1919. In the United States, it was first identified in military personnel in spring 1918. It is estimated that about 500 million people or one-third of the world’s population became infected with this virus. The number of deaths was estimated to be at least 50 million worldwide with about 675,000 occurring in the United States.

coronavirus

Now think about it, the United States about 675,000 people died. We already have 55.41% of the total number of death from the 1918 Influenza pandemic. Again about it. In the 21st century with even more advancement in medicine we already had over 55.4% of the total number of deaths in the US during the 1918 pandemic. Yes, it’s unprecedented to have a vaccine approved and administered (will discuss more in later post), we still lost so much people. As mentioned by Attorney Gostin in the Journal of American Medical Association, “The world is experiencing a once-in-a-lifetime pandemic, causing untold human suffering and death, unraveling of social relationships, and robbing individuals of livelihoods and countries of prosperity. The coronavirus pandemic has strained health systems, revealed unconscionable inequalities, and upended international institutions.”

My dear lovelies! What are your thoughts about the current pandemic situation? I look forward to hearing your comments. I cannot emphasize enough, please following social distancing guidelines and wear mask. If not for you, please wear mask. I for one will not stop wearing the mask even after getting the vaccines.

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I consider myself fortunate to have good health, a full-time job, and a roof over my head. However, there are still so many people who are struggling to put food on their tables. Please join me to help those who are struggling. If you have good health, full-time jobs, and a roof over your head, please join me to help those who are struggling. Whether you donate $5 or $500, you will make a huge difference in someone’s life.

No Kid Hungry:

America’s kids need us. The coronavirus is closing schools nationwide, and millions of vulnerable children are losing the school meals they depend on. For some, it’s the only food they’ll receive on a given day. We have a plan to feed kids, but we need your help today to continue our work to ensure every kid gets three meals a day. You can click above to donate to my gofundme page donation going directly to the organization, or you can click on the direct link to the site.

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The Devastating Pandemic Situation: No Room for Pandemic Fatigue


I high there my beautiful lovelies! Hope you guys are doing well and staying safe. With the pandemic brewing high, it is not even close to normal and in fact, things are getting worse and devastating. Today I will again emphasize the importance of the mitigation factor in curving the coronavirus pandemic.

Current Epidemiologic Data on Coronavirus Pandemic:

Infection and Mortality Rate:

Currently, in the United States, more than 11 million people are infected with the coronavirus and over 246,000 individuals have succumbed to the virus (John Hopkins University). Globally, over 54 million people are infected and over 1.3 million have died. Again the US has 4% of the world’s population and more than 20% of the world’s infection number. On Friday, the US reported 184,514 Covid-19 cases in its worst day of the pandemic, according to figures from Johns Hopkins University. This is the highest number of cases reported in a single day in the country since the pandemic began, and continues a four-day streak of record-breaking totals.

The United States of America is the richest, most advanced nation in the world with the highest number of infections and death due to coronavirus. This is my friend, is not something we should proud of. We are supposed to be the beacon of hope for the rest of the world. The ways we handled this pandemic does not do that.

Positivity Rate:

Things that we need to take seriously is the positivity rate, or how many test position among the total number of tested. This is critical because it shows us that current stage of infection rate. The highest rate of positivity rate is in South Dakota with a positivity rate of 58.8%, following by 58.7% in Kansas, 52.6% in Iowa and 43.4% in Wyoming. My hometown of Washington D.C., has one of the lowest positivity rate (2.8%). Click here to see the positivity rate for all 50 states and the District of Columbia.

Hospital Admission Rate:

In addition to the rise in new covid cases we are also seeing a record high rate of hospitalizations, according to CNN. Covid-19 hospitalizations set a new record across the US: The United States has more people hospitalized with Covid-19 than ever before, according to the Covid Tracking Project (CTP). There were 68,516 current hospitalizations reported on Friday across the entire US, according to CTP. The seven-day average for current hospitalizations is now 62,123, which is up 20.01% from last week.

Hospital Capacity:

Furthermore, according to NPR, hospitals are nearing capacity in North and South Dakota, two states where coronavirus has hit disproportionately hard for their small population size and where cases continue to rise daily. The largely rural state of N.D. had seen only mild outbreaks in the spring and summer when other parts of the country were hard hit. As of Thursday the state was seeing an average of 1,334 new cases per day, after seeing no more than 400 a day in the summer.

The current hospitalization is so bad that if the current trend continues, pretty soon hospitals will have to ration care. My dear friends, that is not good. Another issue is are seeing now is that those with pre-existing illness, such as cancer, and other chronic conditions are waiting to get care, which leads to hospitalization when they are too sick. I have experienced that first hand with my mom, whose treatment was delayed far enough causing her to be hospitalized for a week.

Toll on the Frontline Healthcare Workers:

With the devastating surges in new cases and hospitalization, the coronavirus pandemic is having a detrimental effect on the frontline healthcare staff. In addition to increased exposure risk, they are dealing with the devastating mental health effect of the coronavirus pandemic. According to a study published in the British Medical Journal (BMJ) last month, healthcare workers have experienced significant physical and psychological risk while working during the COVID-19 pandemic.

Another article published in Current Psychiatry Report, reviewed 44 articles looked at the impact of endemic, pandemic on healthcare workers. The researcher found that between 11 and 73.4% healthcare workers, mainly including physicians, nurses, and auxiliary staff, reported post-traumatic stress symptoms during outbreaks, with symptoms lasting after 1-3 years in 10-40%. the symptoms included, depression, insomnia, and severe anxiety symptoms. Talking to my healthcare provider friends made me realize the devastating impact of the pandemic. These heroes are tired, burned out and having to deal with the psychological trauma along with the increased exposure risk.

COVID-19 Impact on Education:

The school lockdowns that started in the spring of 2020 reduced instructional and learning time, which are known to impede student performance, with disparate impacts on different groups of students. This is particularly impeding among low income population who may not have access to a computer with internet. Students from privileged backgrounds, supported by their parents and eager and able to learn, could find their way past closed school doors to alternative learning opportunities. Those from disadvantaged backgrounds often remained shut out when their schools shut down.

The coronavirus crisis has exposed the many inadequacies and inequities in our education systems – from access to the broadband and computers needed for online education, and the supportive environments needed to focus on learning, up to the misalignment between resources and needs.

Economic and Financial Impact of the Coronavirus Pandemic:

Finally, the economic impact of COVID-19 is even more dire. When the Federal government and the Federal Reserve injected a massive amount of stimulus into the economy thru the C.A.R.E. Act, there was a question of efficiency. However, we can now say that the initial stimulus was highly effective in avoiding a more catastrophic economic result. According to the Forbes magazine, prior to the pandemic, the U.S. economy was doing very well. Unemployment was at a 50-year low and inflation was also below the Fed’s target of 2.0%. However, because we closed a significant portion of the U.S. economy, ‘real’ GDP growth (i.e. the % increase/decrease in economic growth compared to one year prior, ‘net’ of inflation), fell during the second quarter by an astounding 31.40%. These are numbers not seen since the Great Depression.

Unemployment spiked to its highest rate in the post WWII era, hitting 14.7% earlier this year. Although the rate has fallen for five consecutive months, it is still well above its February reading of 3.5%. In the meantime, those furloughed from the leisure & hospitality and airline industries are left wondering if help will come. Many don’t know if they will be evicted from their homes for not paying rent/mortgage. They are worried about not being able to put food on the table. This is evident with the increased lines at food banks. Besides, many companies have closed forever, leaving its employees to find other job opportunities. With more workers seeking fewer jobs, it could create a labor market which favors the employer and lead to slow wage growth.

When it comes to the financial market, according to Forbes, U.S. stocks peaked February 12, held steady until February 19, then fell over 37%, bottoming March 23. From there, stocks rose substantially until they peaked again September 2. It’s important to point out that stocks (i.e. the entire U.S. market) were more than 58% overvalued at the February peak. By September 2, stocks were a whopping 87.5% overvalued, the highest number ever, surpassing even the Tech Bubble in March 2000 when stocks were 49% overvalued. In addition, the market seems to have taken the election of Biden-Harris favorable.

According to the International Monetary Fund (IMF), there’s a real financial disconnect between the stock market and the economy, and while the disconnect could narrow if a swift and sustainable economic recovery materializes, the opposite could happen if the economic recovery is delayed due to it taking longer to get COVID-19 under control. The IMF further mentioned, “As long as investors believe that markets will continue to benefit from policy support, asset valuations may stay elevated for some time. Nonetheless, and especially if the economic recovery is delayed, there is a risk of a sharp adjustment in asset prices or periodic bouts of volatility,”

The Power Within All of Us.

My dear lovelies! We have seen that detrimental impact of the coronavirus pandemic on mortality, health, wealth, education and the economy. However, if we all work together we can not only save lives, and protect, children’s education, the overburdened healthcare and the volatile economy. If we all work together, wear mask, social distance and avoid social gathering and support each other, we will finally be able to curve the sharp rise. The winter will be long and relentless but we can curve the pandemic only if we all work together.

My dear lovelies, I want to remind you again of Dr. Seuss’s Horton Hears a Who, where in order to save Whoville, Horton asks the people of Whoville to make as much noise as they can, to prove their existence. So almost everyone in Whoville shouts, sings, and plays instruments, but still, no one but Horton can hear them. So the Mayor searches Whoville until he finds a very small shirker named JoJo, carries him to the top of Eiffelberg Tower, where JoJo shouts out a loud “Yopp!”, which finally makes the kangaroo and the monkeys hear the Whos, and are convinced of the Whos’ existence. Each one of us need to do our part to finally break the barrier and curve this virus.

I just want to remind you that “A person is a person, no matter how small”. Remember, the noise of small JoJo made the ultimate difference and broke through the barriers. Before you decide to be noncompliant, remember your little sacrifice may be the noise of JoJo that will make the ultimate difference.

I leave the decision up to you. Just remember, if you don’t follow the guidelines, no one will listen. I will again,end these famous words of President John F Kennedy, “Ask not what your country can do for you. Ask what you can do you for your country.” Wearing, social distancing, and avoiding social gathering, that’s what you can do for your country. I am doing my part. Will you?

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covid

COVID-19 Update and A Plea


COVID 19:

Hi there my beautiful lovelies! Hope you guys are doing well and staying safe! Today I want to share an urgent public health message about saving lives! Please read this message and share with everyone you know. I am not trying to sell anything just want to advocate a crucial public health message.

Current Health Crisis:

Currently, in the US, over 10.6 million people are infected and over 243,000 died from COVID. The upward trajectory of coronavirus cases in the U.S. continued yesterday with the country setting a new mark with more than 160,000 new infections, according to Johns Hopkins University data. This came just days after the US reached 1 million cases in November alone, and COVID-19 hospitalizations surpassed 60,000 for the first time. Hospitalizations have more than doubled in less than two months, the COVID Tracking Project reported Wednesday.

According to the USA today report from Wednesday, Almost 62,000 Americans were hospitalized because of COVID-19 on Tuesday. A record number of 65,368 hospitalization due to COVID occurred on Wednesday. The previous record for hospitalizations was 59,780 on April 12, after which the number began a gradual decline that reached 28,608 on Sept. 20. Since then, however, the number has been rising steadily. Finally, there were 1,893 coronavirus related deaths on Veteran’s Day.

As an Epidemiologist, I can tell you this is devastating and horrifying. Across the US, hospitals are facing severe constraints in the weeks ahead. This is to the point that hospitals are transferring adult COVID patients to pediatric hospitals to take of the patients. Imagine this, you are a pediatric nurse having to take care of an adult patient with COVID. I have worked at a pediatric hospital for a decade and the only adult I have seen in the hospital with unique congenital diseases who have been seeing the same specialist all their lives. As an adult patient, you want to be treated in a place where the healthcare providers are specialized in the adult population.

It has been clearly established, over the past nine months, that wearing masks and social distancing is key to prevent further infection. How hard is that to understand.

Population Behavioral Changes Critical to Combat Coronavirus:

We wear a seatbelt when we drive because it keeps us and everyone else protected. Among drivers and front-seat passengers, seat belts reduce the risk of death by 45% and cut the risk of serious injury by 50%. Seat belts prevent drivers and passengers from being ejected during a crash. People not wearing a seat belt are 30 times more likely to be ejected from a vehicle during a crash. So why can’t we do the same for the mask? The US is already hitting over 100,000 new cases per day.

From Emergency Medicine Journal – The BMJ

In public health, for every prevention program to be successful, behavioral changes in the population, whether it’s getting vaccine on time, or practice social distancing, is critical. Hence, to combat the COVID pandemic, behavior changes, such as following social distancing, wear masks. washing hands and good hygiene, and avoiding social gathering, are critical.

Below you will find the guidelines provided by CDC on mask-wearing and social distancing:

Current Research On Mask:

According to the CDC, multi-layer cloth masks block the release of exhaled respiratory particles into the environment. Cloth masks not only effectively block most large droplets but they can also block the exhalation of fine droplets and particles which increase in number with the volume of speech. Studies demonstrate that cloth mask materials can also reduce wearers’ exposure to infectious droplets through filtration, including filtration of fine droplets and particles

A study done in Thailand showed that, among more than 1,000 people, who reported having always worn a mask during high-risk exposures experienced a greater than 70% reduced risk of acquiring infection compared with persons who did not wear masks under these circumstances. Similarly, a study of an outbreak aboard the USS Theodore Roosevelt, an environment notable for congregate living quarters and close working environments found that the use of face coverings on-board was associated with a 70% reduced risk.

Lesson Learned:

Experimental and epidemiological data support community masking to reduce the spread of coronavirus. The prevention benefit of masking is derived from the combination of source control and personal protection for the mask wearer. The relationship between source control and personal protection is likely complementary and possibly interdependent so that individual benefit increases with increasing community mask use.

My dear lovelies. We are at a critical point of the pandemic with the cold season and the start of the flu season. There is a kid out there who is worried sick about his/her mom/dad fighting to survive in the hospital. Just imagine that. Watching my mom fighting for her life, made me think about this more and more. We have to do better, for the worried children, for the thousands of frontline healthcare professionals, who put their lives and that of their loved ones to take care of the sick. They are exhausted.

My friends, we are all exhausted. However, we all have to do better for our children, our parents, and thousands of essential workers who are keeping the country going. Saying thank you is not enough, we all have to be serious and make a serious behavioral change to combat the pandemic. We have to do this for our families, our neighbors, our community, our country. Now I think about JFK’s famous quote more than ever: “Ask not what your country can do for you. Ask what you can do for your country.

Conclusion:

My dear lovelies! Our kids, our families, neighbors, communities, and our country is looking at us with hopeful eyes, asking if we are going to make the right choice for them. I say yes? Are you? I leave the decision up to you. However, before you make a decision just remember the most conservative models show at least another 200,000 COVID-related death by February 1, 2021. Think about it. I am talking about 200,000 parents, children, grandparents, loved ones. I have watched my loved ones fighting for their lives and survived COVID. In fact, my aunt’s entire family is fighting to combat COVID.

What will you do to protect your children, partners, parents, grandparents, neighbors, community, and your country. I leave the ball on your court. What will you do?

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How My Spiritual Beliefs and Meditation Came to My Rescue


Meditation:

meditation

Hi there my beautiful lovelies! Hope you guys are doing well and staying safe. Today I want to share with you the importance of spiritual beliefs and meditation in my life.

Spiritual and Focused & Mindfulness Meditation:

Past week my mom was in the hospital with infection in her blood. Her underlying lung disease and immunosuppressant medications have her very susceptible to infection which has a high probability taking in turn for the worse. My heartrate in the high 120s and 130s told me how stressed I was. Additionally, the anxiety of the outcome of the election, on top of everything else, made me particularly vulnerable to anxiety and uncontrollable stress.

However, during this time of hardship and constant anxiety, my spiritual beliefs, and meditation, came to my rescue. They gave me feelings of optimism towards the future, and get back to the present moment. As you know, I already rely on meditation a lot for intentional living and the past week, spiritual meditation has been an added comport during times of distress.

My Experience Allowed Me to Feel A Special Connection:

The reason I am bringing this up is due to the current health and humanitarian crisis of coronavirus. Over 241,000 individuals have died from COVID-19, and over 10.4 million are infected with the virus. The past week, all I could think of are the over 241,000 families who lost loved one and over 10.4 million who witched their loved ones deal to the pandemic first hand. For the first time, in months, I was succumbed by overwhelming grief and anxiety. I never felt so close to these over 10.4 million families than I felt last week.

Nevertheless, when meditation alone was not addressing my distress, I turned to spiritual healing. Meditation allowed me to acknowledge the stressors but I needed more to be the support for my mom that she needed to fight for her life. I believe in God but I don’t see myself as a very religious person. However, I relied heavily on spiritual guidance. I started praying everyday and such spiritual meditation has given me hope and the strength to go on. It also strengthened my beliefs to help my mom and deal with the anxiety of the election.

How My Experience Helped My Mom?

My dear lovelies! As I have mentioned in previous post, there are various types of meditation and there is not one right or wrong way to meditate. I relied lot more on meditative music, and praying (spiritual meditation) this time around that made all the difference. My new found strength not only helped me but my mom as well. Every time, she her oxygen level dropped, even with supplemental oxygen, meditation came to the rescue, which lowered her high respiration rate (number of breathing per minute) and helped her find comfort.

Music has many wonderful benefits for stress management and overall health. It can help you calm your physiology without making a conscious effort, and that can alleviate stress from your mind. Music can also lift your mood, slow your breathing, and create other stress-inducing changes. I certainly experienced those benefits myself.

Conclusion:

My mom is at home now and relies a lot on spiritual and guided meditations. I have to thank meditation for that, whether in form of guided meditation or spiritual meditation in form of praying. In conclusion, my recent encounter with family crisis and national political turmoil was very educational, as I have learned to address both through both focused and mindfulness meditations and spiritual meditation.

Question:

Have you reached a similar crossroad in your own life. If yes, what did you do to overcome your stressors? Please respond in the comment section below.

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covid-19

COVID-19 and Its Detrimental Affect on Health Disparities


Hi there my lovelies! Hope you guys are doing well and staying safe. Today, I will updated you on COVID-19 in the US and health disparities it has revealed.

COVID-19 Update

As of the last data from Johns Hopkins University, over 227,000 Americans died from COVID-19, while 8.8 million are infected. In addition, just on 10/27/2020, over 985 people died from COVID-19, while 73,240 individuals were newly infected with COVID-19. That my friend is a big wave coming to down us.

The above figures do not show the number is US for October 27. However, according to CDC, on October 27th, there were 72,183 new infections and 901 death. In other words on October 27th, the United States had 20% of global new cases, and 19.5% of global death due to COVID-19. The US only represent 4% of global population but 20% of global new infections and death.

What is surprising, we hear about eminent hurricane and/or Tsunami warnings, we do everything possible to protect ourselves, our loved ones and our possessions. Why can’t we do the same for COVID-19? After all, COVID is killing so much more than an average hurricane. Why are we putting us and our loved ones on harm’s way? Those who advocate for their 2nd amendment right to carry fire arms, would not hesitate to use that gun to protect themselves and their family. Yet, we are drowning ourselves with accelerant and playing with fires. When did we start losing our basic moral compass?

Virus Spread Prevention:

As Thanksgiving is coming around, we are all struggling to decide what to do. As for me, it’s simple. Do a Zoom Thanksgiving gathering. The most important thing is to keep my loved ones and my extended family safe. I do not want to be responsible for any possible outcome of family gathering. I rather have them be safe and gather virtually from in the comfort of their own socially distant homes.

COVID-19 and Healthcare Vulnerabilities:

COVID-19 has revealed some key vulnerabilities of our healthcare system. It is racial disparities. What is racial disparities? It’s when one race is affected disproportionately than another. We have seen that with various cancers such as cervical cancer (co-authors by me and accepted for publication). No part of the US has been fully spared. Nonetheless the burdens of the pandemic are unequally distributed. At every point, from initial infection to intensive care, COVID-19 exposed disparities by race/ethnicity and immigration status, by income and wealth.

According to CDC, American Indian, Alaska Native, and Black individuals are five times more likely, and Latin individuals four times more likely, to be hospitalized for COVID-19 than are non-Hispanic Whites. Low-income Americans are more likely to experience comorbidities, including diabetes and cardiovascular disease that make COVID-19 more burdensome and lethal. Immigrants represent 15 percent of the US labor force; one-third of these workers are undocumented. Almost three-quarters of undocumented immigrants work in essential, often people-facing, roles. Many immigrants face additional risks because they reside in crowded households.

According to a New York Times article, roughly 40 percent of COVID-19 deaths in the US, at least 77,000, have occurred in nursing homes and long-term care facilities. More than 760 nursing home staff members have died, making this one of the most dangerous occupations in the US. Moreover, according to Health Affairs, Right now, facilities that are less Medicaid-dependent with higher-quality ratings are less likely to report shortages of staff or protective equipment, suggesting that we will see widening COVID-19 disparities within the long-term care population and among the staff who serve them.

Furthermore, disparities are also seen increasing with proficiency and intensity of care. Critically ill COVID-19 patients admitted to hospitals with fewer than 50 ICU beds were markedly 3 times more likely to die than were patients admitted to larger hospitals according to an article published in the Journal of American Medical Association Internal Medicine, on July, 2020.

From Emergency Medicine Journal – The BMJ

As studies have shown that the frequency of prone positioning (putting patient on their stomach) —a key evidence-based therapy for COVID-19 patients at risk from Acute Respiratory Distress Syndrome (ARDS)—ranged from almost 5 percent at one hospital to nearly 80 percent at another.

Such disparities align with other social and economic cleavages. Additionally, another study published in Health Affairs on August, 2020 revealed that there was a large gap in access to COVID-19 care by income: 49 percent of the lowest-income communities had no ICU beds in their communities, whereas only 3 percent of the highest-income communities had no ICU beds.

Access to Care:

The failures and successes of our national COVID-19 response underscore the need for a nationally coordinated, administratively capable, emergency response and public health system at every level of government. This disproportionate impact is linked to poverty, crowded housing, and other social determinants. Many low-income workers are ineligible for unemployment insurance or are uninsured. Although people can obtain free testing and some free COVID-19-related care, many avoid medical care, fearing its financial burdens. In addition, many avoid testing, in part due to practical logistical barriers, in part due to fears regarding the implications of a positive result. Without social insurance protections, many continue to work even when they experience symptoms of COVID-19.

When it comes to access care, the submarket Medicaid reimbursement doubly undermines ICU care. Medicaid-dependent hospitals lack funding to support facilities and staff. Hospitals with greater resources are correspondingly hesitant to fill this gap by accepting transfers of Medicaid patients. Long-term federal commitment to provide Medicare rather than Medicaid reimbursement rates—at minimum during public health emergencies—would reduce these barriers. Furthermore, the federal government leaves states and localities to foot the majority of our public health care bill. A state-federal matching formula similar to Medicaid would provide greater incentives for states to do more.

A sustainable funding model requires a geographically and ideologically diverse national coalition that will defend public health investments once the immediate emergency has passed (As mentioned by Eric M. Patashnik on Unhealthy Politics The Battle Over Evidence-Based Medicine (ISBN: 9780691203225). The Affordable Care Act (ACA) provides a humbling example. The ACA included supports for worthy endeavors in health care outcomes research and in the prevention and public health fund.

Moreover, Public health requires sustained investment in the social work profession and workforce. Building relationship and engagement with vulnerable people, communities, and groups, helping people gain access to basic resources and reduce personal risks—these are core tasks of the social work profession, shamefully underused and under resourced during the COVID-19 pandemic.

My dear lovelies, as mentioned in Health Affairs, we can’t turn back the clock to undo our missteps in addressing COVID-19; nor can we undo decades of public health infrastructure neglect. We can still learn from the tragedy and build on our best responses. We owe that to over 227,000 fellow Americans (and counting), whose lives were so tragically, and often so needlessly, lost this year.

Please subscribe to this blog or follow me if you have a WordPress account.  Don’t forget to check out my Facebook Page and follow me on Instagram @forevernij. Are you on Bloglovin? Also please subscribe to my YouTube channel. Let’s support each other. Please follow me and comment below with your information so that I can follow you back.

In the meantime, please check out my other posts about pandemic: COVID-19 and Children, COVID-19 Update, Hypocrisy of Washington, and Wear a Damn Mask.

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meditation

The Beautiful World of Meditation


meditation

Hi there my beautiful lovelies! Hope you guys are doing well and staying safe. Today, I want to share with you a post regarding meditation and it’s practice.

What is Meditation?

This image has an empty alt attribute; its file name is whatisnotmeditation.jpg

I want to start by defining meditation. According to Wikipedia, “Meditation is a practice where an individual uses a technique – such as mindfulness, or focusing the mind on a particular object, thought, or activity – to train attention and awareness, and achieve a mentally clear and emotionally calm and stable state.”

Meditation isn’t about becoming a different person, a new person, or even a better person. It’s about training in awareness and getting a healthy sense of perspective. You’re not trying to turn off your thoughts or feelings. You’re learning to observe them without judgment. And eventually, you may start to better understand them as well.

Types of Meditation:

Although there isn’t a right or wrong way to meditate, it’s important to find a practice that meets your needs and complements your personality.

There are 9 popular types of meditation practice:

  • Mindfulness Meditation
  • Spiritual Meditation
  • Focused Meditation
  • Movement Meditation
  • Mantra Meditation
  • Transcendental Meditation
  • Progressive Relaxation
  • Loving-Kindness Meditation
  • Visualization Meditation

Mindfulness Meditation:

Mindfulness meditation, my favorite and specialty, originates from Buddhist teachings and is the most popular meditation technique in the West. In mindfulness meditation, you pay attention to your thoughts as they pass through your mind. You don’t judge the thoughts or become involved with them. You simply observe and take note of any patterns. This type of meditation is good for people who don’t have a teacher to guide them, as it can be easily practiced alone.

Spiritual Meditation:

Spiritual meditation is used in Eastern religions, such as Hinduism and Daoism, and in Christian faith. It’s similar to prayer in that you reflect on the silence around you and seek a deeper connection with your God or Universe. This practice is beneficial for those who thrive in silence and seek spiritual growth.

Focused Meditation:

Focused meditation involves concentration using any of the five senses. Try counting mala beads, listening to a gong, or staring at a candle flame. As the name suggests, this practice is ideal for anyone who requires additional focus in their life.

Movement Meditation:

Although most people think of yoga when they hear movement meditation, this practice may include walking through the woods, gardening, qigong, and other gentle forms of motion. Movement meditation is good for people who find peace in action and prefer to let their minds wander.

Mantra Meditation:

Mantra meditation is prominent in many teachings, including Hindu and Buddhist traditions. This type of meditation uses a repetitive sound to clear the mind. It can be a word, phrase, or sound, such as the popular “Om.” It doesn’t matter if your mantra is spoken loudly or quietly. After chanting the mantra for some time, you’ll be more alert and in tune with your environment. This allows you to experience deeper levels of awareness.

Transcendental Meditation:

Transcendental Meditation is a popular type of meditation. This practice has been the subject of numerous studies in the scientific community. This practice is for those who like structure and are serious about maintaining a meditation practice.

Progressive Relaxation:

Also known as body scan meditation, progressive relaxation is a practice aimed at reducing tension in the body and promoting relaxation. Oftentimes, this form of meditation involves slowly tightening and relaxing one muscle group at a time throughout the body. This form of meditation is often used to relieve stress and unwind before bedtime.

Loving-Kindness Meditation:

Loving-kindness meditation is used to strengthen feelings of compassion, kindness, and acceptance toward oneself and others. Because this type of meditation is intended to promote compassion and kindness, it may be ideal for those holding feelings of anger or resentment.

Visualization Meditation:

Visualization meditation is a technique focused on enhancing feelings of relaxation, peace, and calmness by visualizing positive scenes or images. With this practice, it’s important to imagine the scene vividly and use all five senses to add as much detail as possible. Many people use visualization meditation to boost their mood, reduce stress levels, and promote inner peace.

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The Hypocrisy of Washington


Hi there my beautiful lovelies! Hope you guys are doing well and staying safe. Today, I want to update on COVID-19 and the hypocrisy of Washington leaders, and the current administration.

Coronavirus Update:

Washington

As of this moment, according Johns Hopkins University, 225,239 have died due to the coronavirus in the United States, and 8,636,995 Americans have been infected so far. Worldwide the number is 1,154,857 dead and 43,117,883 infection. As I have mentioned earlier, the US represent only 4% of the world’s population but over 20% of total COVID-19 infection worldwide.

I never thought in my life that the US will be in this situation compared to the rest of the world. For decades, we have warned about another pandemic but did not see the outcome to this extent as the one we are seeing so far. When did we become so complacent?

What is most amazing is that as, frontline essential and health workers sacrificing so much to keep everyone safe, the administration is ignoring the basic CDC and the Task Force recommendation. When did we become complacent to so much hypocrisy?

Washington Politics

As you have seen in the recent news that four of this administration’s inner circle have been infected with COVID-19, exposing the leaders to the virus. If we follow the basic CDC and the Task Force recommendation, if you come in contact with someone who has been infected with the coronavirus, you have to quarantine for at least 14 days. Nevertheless, we see the top of leaders of this administration holding a large rallies, and plan to hold more during the 8 days before the General Election of 2020.

Why is it that the current administration and Washington politicians are acting as if they are above everyone else in the United States? My dear lovelies! I try to focus on the big picture, not the politics of things. My focus has always been health, healthcare equity, and population health. Now, things I care about the most are put in jeopardy. Over quarter million Americans are dead and millions are infected with a deadly virus that do not look at politics, race, socioeconomic status or anything else for that matter. So, why does this nations coronavirus task force leader have little regards for the lives of its people?

Everyday, we see the current administration campaigning among large crowd, with little social distancing and blatant regard for the public health guidelines. I cannot imagine what the family of the quarter million Americans are going through.

Moreover, those who survived, many will have a lasting health impact on their health due to COVID-19. My aunt spent over two months in the ICU fighting for her life with ventilator. She was able to beat the virus, but at what cost? She needs to use supplemental oxygen all the time; her other organs are affected. I have also seen a relative loosing her life to the disease.

We know the cost of the pandemic or our daily lives, but we all are taking so much steps and making sacrifices to battle this pandemic and keep our loved ones safe. Why can’t the Washington leaders understand that and show a little sympathy and compassion? Why can’t they lead by example? What has the world has come to? There is a little regards from one another. Has the life of millions of people become dispensable?

My dear lovelies! I am not endorsing one party over another, but lives matter to me. I don’t support one over another, but as part of living with intension, I try to make every decision based on my core values, one of which my compassion for others. Their struggles matter.

In the meantime, please subscribe to this blog or follow me if you have a WordPress account.  Don’t forget to check out my Facebook Page and follow me on Instagram @forevernij. Are you on Bloglovin? Also please subscribe to my YouTube channel. Let’s support each other. Please follow me and comment below with your information so that I can follow you back.

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Self-love

Love Yourself Unconditionally | Self-Love Healing Meditation for Sleep


Self-Love:

Self-love

Hi there my beautiful lovelies! Hope you guys are doing well and staying safe. Today, we will be doing affirmations for boosting self-esteem and reaching a higher self through self-love.

What is Self-Love?

Self-love

These affirmations will help boost unconditional self-love and self-compassion with peace, relaxation, and calm. You can do this before sleep and peacefully drift off to sleep nicely. The self-love meditation will help you shower yourself with love. You do not need to be anything more or do anything more to be worthy of your love. You simply must receive the love you deserve. So the intention of today’s self-love meditation is to shower yourself with love.

These affirmations for self-esteem relaxation includes affirmations to increase self-esteem and confidence and promote a general feeling of calm. Use this guided meditation to love yourself unconditionally. As mentioned in a June 2016 Huffington Post article, The fastest, most direct route to self-awareness and learning to truly love yourself, is meditation. Meditation takes us straight to our true selves. It teaches us about forgiveness, compassion, and acceptance.

Self Love Through Guided Meditation:

Meditation can work wonders for stress reduction and overall improvement of your mental headspace. Its popularity has risen over the years. Every few years, the National Institutes of Health (NIH) conducts a health interview survey that looks at the habits of people in the US, known as the National Health Interview Survey (NHIS). Part of the survey looked at habits like yoga and meditation. The most recent survey in 2017 showed that between 2012 and 2017, the number of people regularly meditating tripled. In 2012, only 4.1% of people survey practiced yoga, but that number spiked up to 14.2% in 2017.

You may not think meditation is for you, but we all need more self-love in our lives. The right kind of guided meditation makes it easy. A guided meditation for self-love increased confidence & feeling a universal connection to your inner power. Be yourself!

Did you find this affirmation meditation helpful? If yes what about this meditation that helped? Please comment below.

In the meantime, please subscribe to this blog or follow me if you have a WordPress account.  Don’t forget to check out my Facebook Page and follow me on Instagram @forevernij. Are you on Bloglovin? Also please subscribe to my YouTube channel. Let’s support each other. Please follow me and comment below with your information so that I can follow you back.

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Final Part of The Balancing Chakra Series Through Guided Meditation – Crown Chakra or Sahasrara


Crown Chakra or Sahasrara:

Hi, there my lovelies! Hope you all are doing well and staying safe. Today, I will share with you the final part of the balancing Chakra series through guided meditation. We will open up and balance the crown chakra or Sahasrara.

What is the crown sacra or Sahasrara?

The Crown Chakra is the 7th and final chakra. It is located on the top of the head, an area called the crown. This point is said to be where energy enters the body. If the crown chakra is blocked, the energy can’t get to other chakras, the mind or the body, which sounds awful! The crown chakra pulls all of the other chakras together.

The crown chakra is called the Sahasrara Chakra in Sanskrit, which means the thousand-fold chakra. The lotus symbol for this chakra also has 1000 petals (though my drawing may have slightly fewer). One of the best methods of balancing this spiritual crown chakra is silence. Allowing yourself time and space to think and be really helps the crown chakra. For this reason, meditation is very effective for healing and balancing the crown chakra.

Location of Crown Chakra:

Crown Chakra is located at the crown of the head. The gift of this chakra is experiencing unity and the selfless realization that everything is connected at a fundamental level. The energy of crown chakra allows us to experience mystical oneness with everyone and everything in nature.

The most commonly accepted location for the crown chakra is at the top of the head or slightly above the head. It sits like a crown, radiating upwards, hence its name. The Crown chakra is primarily associated with the pituitary gland, and secondarily to the pineal and the hypothalamus. The hypothalamus and pituitary gland work in pairs to regulate the endocrine system. Because of its location, the crown chakra is closely associated with the brain and the whole nervous system.

People must not mistake the personal spiritual connection of the seventh chakra with religion. Religion is rooted in group followings, suggesting in numbers we are safe. Spirituality is an individual experience directed towards releasing fears of the physical world and relating to the divine and knowing the divine is in all of us.

Element Associated With Crown Chakra:

The element associated with Crown Chakra is thought. This energy center is associated with the element of thought, connection to spirit, universal consciousness, enlightenment, wisdom, unity, and self-knowledge.

Crown Chakra Color:

Purple Glowing Nanotechnology, computer generated abstract background

The crown chakra is most commonly represented with the color white, although it can also be depicted as deep purple. The auric color of crown chakra energy can also be seen as gold, white, or clear light.

No explanation of the crown chakra symbol meaning would be complete without an exploration of the colors used to depict it — violet and white. Violet is the traditional color associated with spiritualism and intuition, while white is commonly accepted as a hue of purity, forgiveness, and renewal. Taken together, these colors are a good marriage of hues for the energy center that governs your ability to forgive, awaken and hone your intuition, and also cleanse and renew yourself physically, emotionally, and spiritually.

Crown Chakra Symbol:

The symbol of the Crown chakra is composed of a circle, a thousand petals. The dominating color of the crown chakra symbol is white. Its petals are multicolor, like a rainbow. The circle is sometimes compared to the symbol of the full moon.

The 1,000-petaled lotus symbol associated with the crown chakra is one that possesses transcendental meaning. Also known as the Sahasrara chakra, the crown chakra is the energy center of spiritualism and universal knowledge that links you to the Divine.

Mudra of Crown Chakra:

The Mudra of A Thousand Petals is the mudra to open crown chakra. Holding this mudra high above your head can open the gateway to the crown chakra’s domain of universal consciousness, divinity, and transcendence. Place the tips of your index fingers and thumbs together to touch, forming a pyramid shape.

Mantra For Crown Chakra:

The mantra associated with the crown chakra is the classic AUM, also sometimes written om. This sound is said to be the sound of the universe. It encompasses the beginning, middle, and end of everything in its three sounds (A-U-M).

My dear beautiful lovelies! Which chakra meditation do you like the best? Please leave your comment below.

In the meantime, please subscribe to this blog or follow me if you have a WordPress account.  Don’t forget to check out my Facebook Page and follow me on Instagram @forevernij. Are you on Bloglovin? Also please subscribe to my YouTube channel. Let’s support each other. Please follow me and comment below with your information so that I can follow you back.

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