Showing posts with label COVID 19. Show all posts
Showing posts with label COVID 19. Show all posts

Sunday, January 3, 2021

God, COVID, and Vaccines

 


On December 28, 2020 I was fortunate to receive the COVID-19 vaccine. Since no pictures were allowed at our immunization site (it was run by the National Guard) I posted the card verifying my receipt of the injection on social media. 

The response to posts from health care workers about the vaccine has been interesting. Responses generally fall in one of four categories. 

First are the responses that are congratulatory or express thanks. This was the most common sentiment that people expressed to me personally. 

But other people have concerns about receiving this life saving preventative treatment. People are truly struggling because they want to do the right thing, but are also worried about the possible long term effects that we don't know about yet. Because the vaccine was developed so quickly it’s expected that there will be some concerns about long term unknown consequences. The CDC is monitoring it closely (I get a text every day). Regardless, the real and known risk of continued deaths and possible long term side effects from contracting COVID far outweigh any possible unforeseen vaccine consequence in my opinion. With more than 1 out of 1000 people in the US now dead from this virus we must do all we can. I cannot fathom that there will be an as of yet unknown side effect or death rate from the vaccine that would even come close to affecting 1:1000 Americans. For credible information on the COVID-19 vaccination click HERE.

Then there are the conspiracy theories that, quite frankly, are very disheartening because they do so much damage. Some of the ones I've seen on TikTok, Instagram and other places include that the vaccine:  

  • contains a microchip
  • alters your DNA
  • will give you COVID-19
  • is less effective than our own immune system
The best way to counter these conspiracy theories is to approach the person with compassion, remember that they truly believe these things which must be very scary, and try to educate/redirect to a reliable source of information. 

The fourth category of responses is one that as both a spiritual leader and a physician I find particularly difficult. A dear friend was posting his disappointment that he could no longer gather with his faith community due to a spike in cases in his area. He went on to say he would not even consider receiving the vaccine because to do so would mean he did not have faith in God to protect him. He was firm in his belief that not only would God protect him from the virus, but that God would protect his pastor and all those that gathered in their faith community for worship from contracting COVID. While I admire his faith, I think that it is actually the answers to our fervent prayers that God worked through the minds and hands of our scientists, helping them to develop a safe and effective vaccine with unprecedented speed. 

When I think about my friends position, I'm reminded of the old and well known "two boats and a helicopter" story. To refresh your memory: 

A storm descends on a small town, and the town soon begins to flood. As the water rises, the local pastor kneels in prayer on the front steps of the church, surrounded by water. 
Soon one of the townspeople comes by in a canoe and says, "You better get in pastor, the water is rising fast." "No" says the pastor, "I have faith, the Lord will save me."
Still the waters rise. The pastor has had to move up to the balcony because the stairs are now underwater. A motorboat comes by, and the driver shouts, "C'mon, get in. We need to get you out of here. The levee is about to give." Once again the pastor says, "I shall remain, God will see me through."
Finally the levee breaks, and the flood rushes over the church and only the steeple is visible. The pastor has climbed to the top, and is clutching the cross. A helicopter descends and over the loudspeaker the pilot says, "Grab the ladder. This is your last chance." The pastor again refuses help and says God will deliver him. 
And predictably he drowns. 
When he reaches heaven he sits down with God and asks, "Lord, I had unwavering faith in you. Why didn't you deliver me from that flood?" To which God answers, "What else did you want from me? I sent you two boats and a helicopter." 

Our prayers have been answered friends. God has sent two boats and a helicopter in the form of safe and effective vaccines. Have faith, roll up your sleeve, and do the right thing. 

Saturday, November 14, 2020

COVID-19, alcohol and other substances

 


Unfortunately for mariners, the total amount of wave energy in a storm doesn't rise linearly with wind speed, but to its fourth power. The seas generated by a forty-knot wind aren't twice as violent as those from a twenty-knot wind, they're seventeen times as violent. 

-from Sebastian Junger, The Perfect Storm: A True Story of Men Against the Sea

The September edition of The American Journal of Psychiatry has a commentary on the effects of alcohol and substance use disorders and susceptibility to COVID-19 infection and its sequelae. The authors point out that a "perfect storm" exists between the combination of COVID-19 factors and alcohol and substance use. These factors include: 

  • both alcohol and substance use decrease the immune response which increases the risk of lung infections and other complications from COVID-19
  • there are reports that COVID-19 infection can involve the brain in some people, which makes it conceivable that neurological changes related to substance use could combine deleteriously in people infected with COVID-19 and and make both disorders worse
  • cannabis and nicotine consumption are linked to specific COVID-19 risk factors (i.e. smoking anything is bad for the lungs, especially during COVID-19!)
  • inability to purchase alcohol and other substances may lead to withdrawal, as well as risky behaviors to use to counteract withdrawal symptoms
  • COVID-19 is a huge stressor, leading to increased fear, anxiety and social isolation. I am seeing this first hand everyday on the inpatient psych unit. Increased stress is related to increased substance craving, consumption, and risk of relapse. The authors make the point that it is crucial to remember that stress-, alcohol-, and drug-related alterations in brain chemistry persist even after the stressor resolves
If you would like to talk to someone about being isolated, if you are questioning if  your substance use is something to be concerned about, or have any other mental health concerns, telemedicine offers an easily accessible option. Both psychiatrists and therapists see patients virtually (check your insurance plan).  For more information on alcohol use, visit the National Institute on Alcohol Abuse and Alcoholism by clicking HERE. For more information on drug use/abuse, click HERE

For access to the full article, click HERE.

Thursday, April 23, 2020

Three minutes to decrease COVID worry

What is Acceptance and Commitment Therapy?


Acceptance and Commitment Therapy (ACT) is a form of therapy based on acceptance and mindfulness combined with behavior change and commitment. It's a form of therapy that is taught/frequently utilized in my current residency program.

One of our faculty who facilitates the resident processing group is Tom Lavin. He wrote out a 3+ minute meditation using ACT theory. While it can be useful in dealing with a whole host of stressors, it can also be very helpful in dealing with COVID-related stress/anxiety/worry that many of us may be experiencing. We might be worried about the health risks for our loved ones or ourselves. We might be worried about the financial fallout. We might be struggling with isolation, or conversely spending more time with family/housemates than we usually do. Or even just getting enough of the basic supplies... (For more on Tom Lavin's resources click here). 

Here's the meditation (shared with permission): 

Accepting, Choosing-Committing, Taking Action 
Tom Lavin MFT, LCADC, ACATA

Accept what is, as it is
Slowly... take a few deep breaths...
Allow your thoughts and feelings to emerge and just be there...
the ones you like... and the ones you don’t like...
take few more deep breaths...
and just let your thoughts and feelings be there...
Take a few more deep breaths...
and let your thoughts and feelings be there...
—not judging them and not trying to make them go away...
Just let your thoughts and feelings be there.
Accepting your thoughts and feelings does not mean you like them
and it doesn’t mean you like the situation ...
Just let your thoughts and feelings be there...let the situation be there...
and then settle into accepting what is, as it is...
If you’re having a hard time accepting what is,
go ahead and accept that you’re having a hard time accepting what is...that
you really wish the thought or feelings or the situation were different...but
they’re not...so you’re willing to accept what is, as it is...

After accepting what is as it is, focus on what’s important to you-is there
something about this you want to change---do you want to change your
perspective? Or change the situation?
What do you want to change?
If you think you can make the change, develop and plan a strategy
to make the change you discern would be good...
...then...engage in NIKE Therapy---be willing to “ just do it”...
Be willing to take positive, assertive action....

However, if you can’t change the situation and you’re struggling with
your perspective..... let go............let go...........let go.....
Let it go for today.
Just let it be.
Let it go... and move on...
Say “Yes to Life”...
... and focus your attention on other people and activities you value.


Image from the Center for Stress and Anxiety Management