Checking in with me…

May 2, 2020

This is hard. Because right now, I’ve realized that the me piece of me is being a little…ignored. The only alone time I get is if my migraine is bad enough I can’t take it. What 15 minutes of reflection? Notice how Soulful Sundays have all but vanished? It’s a little sad. How does one protect herself from vanishing in the midst of the hustle and bustle of service and more service. This is my perpetual struggle. And as I write this out, I’m smiling a little, and tearing up a little as I realize it’s yet another “test” of the skills I learned…am learning.

Old habits die hard.

But I also think that during this time, this past 6 weeks, it was going to look different. The thing is that moving forward, I will need to be intentional about making sure to feed the me that isn’t a role. And I need to pray very hard for the health to afford my husband the same opportunity.

This spoke to me today.

Sometimes, we just need a little rest.

May 9, 2020

Happy Mother’s Day

Photo of my mom and I when we went to see Michelle Obama

I was nominated for Mother’s Day “Brownch” by one of my favorite people, and an amazing chef, Julia “Chef JuJu” McNeil. When I tell you God has a blessing for you when you least expect it!

I did not realize the awesomeness that was about to take place–but I should have when two of my favorite people, Chef Dee Dee and Chef Juju were going to be a part of this. The day opened with scripture and testimony by powerhouse Kim Roxie herself, followed by a song.

We then were blessed with sprinkling after sprinkling of awesome women who are successful and fabulous and have so much to give this world. They gave tips on cooking, mock-tails and cocktails, decor, brows (of course), and given a virtual tour of the most awesome event space.

The keynote speaker was Kine Corder. She was absolutely dynamic, and spoke to us about “The Art of Starting Over.” She wrote a book about it y’all–you can get it on Amazon, and I can’t wait to get my copy!

One thing she said that stuck–“On the other side of adversity is prosperity.” In this season of adversity, we have to remember that there is ANOTHER SIDE!! And if we work it right, we will see prosperity.

This was such an uplifting experience. I love when we come together and just lift one another up! Please make sure you support Kim Roxie–her spirit is beautiful.

I missed some of the links from the event, but these were some of the amazing business highlighted:

Lamik Beauty: Vegan Makeup

Chef Dee Dee: owner of Cooking with a Twist; she also caters, and is currently doing pick up and delivery on Friday and Saturday.

Chef JuJu: She does vegan food, immune boosting juices, non-vegan meals–she’s got you covered with good food.

Morgan Falls: Beautiful event space in Alvin, Texas.

HAPPY MOTHER’S DAY BEAUTIFUL PEOPLE!!!

#ThankfulThursdays

I started this page/blog as a part of my personal journey towards mind/body/spiritual wellness. After having migraines completely turn my life upside down, I needed to be re-centered. Within two weeks of one another, I posted an article on the touting the health benefits of gratitude and had a spiritual week that brought me to a personal need to practice more gratitude

Since then, I have implemented #ThankfulThursdays. Once a week, I commit to take some time to stop and list in public things I have to be grateful for, no matter what kind of day I’m having–what kind of week I’ve had. And you know what, it has been amazing. Honestly, I try to practice this attitude daily, remembering to be thankful in moments that seem darkest has been the thing that keeps me from losing myself at times.

You see, the troubles didn’t stop with the migraines, and they won’t go away after this patch of troubles goes away either. But I as long as I’m breathing, I’ll have something for which to give thanks, and it’s important to remember that!

See some of my posts in these compilations:

#ThankfulThursdays: A Compilation, Part 1

#ThankfulThursdays: A Compilation, Part 2

#ThankfulThursdays 8/18/2022 – Kim Sims, MD

#ThankfulThursdays: 8/31-9/8/2022

African-American Risk in Corona

So this question was posed on the live session on Monday April 20, and has been being asked across the nation. I didn’t really have time to delve into a full articulate response, but I do think I hit on some points I’d like to expand and clarify here.

  1. This is likely a factor of our being the likely to have other risk factors such as metabolic diseases (diabetes, hypertension, BMI > 30). When you have a population that is much more affected by the other risk factors, you expect to see that population much more affected.
  2. This is something that is systemic, and predates the COVID-19 pandemic. In the medical community, we have been discussing social determinants of health for some time now, and this is something that largely affects the health of our black and brown communities.
  3. To further elaborate on the above comment, unfortunately, you also find that there is less access to testing in black and brown communities at this time. What we know is that without testing, we find it difficult to contain any pandemic.
  4. There is historical mistrust between the African-American community at large and the medical community. And it has been earned. With a history like experiments on those at Tuskegee and others like it, within past 100 years no less, it’s sometimes hard for the African-American community to trust that the information that is coming out is best for them. In this case, it can lead to ignoring sound health advice, and spread of illness, or worse course of illness.
  5. Many of us could not self quarantine. When you look at those who are not socioeconomically well off, they are disproportionately black and brown. Many of us were given the choice of working or not getting paid. Many of us lost our jobs and can’t afford masks and hand sanitizer. These are the things that affect outcomes.

So what can we do about it?

We can’t fix systems overnight. But we can do some things to try to make sure we are helping our communities tip the scales a bit. One thing is to donate to organizations that are specifically trying to reach those who are underserved and get them the tools to protect themselves—masks, hand sanitizer, etc.

Another—believe us when we say to remain socially distant and act accordingly. Do not go to your nail salon if they don’t come back into business with appropriate measures in place. Don’t get your hair done if your stylist isn’t protecting his/her clients by taking the financial or temporal hit to socially distance clientele and sanitize appropriately. Don’t start having parties and gatherings that violate social distancing too soon. It’s not more important than our health as a community.

Ultimately, as well, I believe we have to start focusing on our overall health. We must start educating ourselves on better eating choices and exercise, and stop glorifying diets that kill us. Eating more fruits and vegetables is good for your immune system, but also, in the long term, eating more plants and moving more, means less metabolic disease. We have to continue to fight for improved systems so that everyone has access to healthful foods and safe places for exercise. Because in the middle of a pandemic is too late to change a broken system, we have to remember the lessons and fight for change for the next time.

See links below for other discussions on this topic.

Associated Press Article

Previous Surgeon General Weighs In

How does Sars-CoV-2 operate and how does it affect the body?

It is an encapsulated RNA virus. That means it can not replicate on its own, and needs our bodies to do the work. It invades the cell, uses its machinery to replicate, and ultimately kills the cell.

When it has killed enough cells, it causes an immune response, which causes the initial symptoms you will begin to feel. It really likes the cells in the respiratory tract. In severe infections, it can also be detected in the kidneys, and we have detected virus in feces as well. At this point, it doesn’t seem to be blood born.

Most of the symptoms you have are from your body’s immune response, including what happens in severe illness causing ICU care.

This amazing picture from JAMA was found in the article linked below. It illustrates what the virus does to the body.

What Coronavirus Does to the Body

What groups are most at risk?

  • Age > 60: our immune systems get weaker as we get older. They are also weaker when we are very young (younger than 2) but for some reason, this virus hasn’t affected that population quite the same
  • Metabolic syndrome: hypertension, diabetes, obesity (BMI > 30): these things weaken our immune systems. Hypertension is turning out to be a bit less of a risk factor, while uncontrolled diabetes and BMI >40 are turning out to be significant risk factors for severe disease.
  • Coronary Artery Disease or Heart Failure–they are in pro-inflammatory states, and the illness tends to attack the heart.
  • active smokers and vapers–damages the lungs, and this illness really likes the lungs
  • males?: some thinking that it may be due to the fact that the immune function is on the X chromosome, and males only have one.
  • Immunocompromised: cancer patients on chemo, those with autoimmune illnesses on certain medications, patients with severe kidney disease, particularly those on dialysis, end stage liver disease.
  • African-Americans, Hispanics, and Native Americans-This is extremely multi-factorial, and goes back a long way. It’s more systemic than genetic–and I did a completely separate post to try to do the subject justice.
  • Chronic lung disease?: It is still being considered a risk factor, although there are clear differences between COPD and asthmatics in the data.

What medical treatments are available for a person who contracts this virus?

For someone with mild symptoms, there are no approved medical treatments. It’s the same as a cold—eat well, rest, treat symptoms. The medications that the President has suggested, or that you see being discussed on social media—those are for people who need hospitalization, when it’s possibly worth the harm these medications can cause, and these patients can be appropriately monitored. Additionally, most of these medications are experimental in even these populations, so you need to be enrolled in a study.

I did a previous post on some medications were were beginning to investigated. There have been SOOO many more investigations added since I did that post, and I will try to update when I have a chance, but at this point, for the average person, at home, the therapy is supportive. For those who are extremely interested, I have linked the JAMA article reviewing the current experimental treatments here.

What does the recovery process look like?

Not sure I can answer this question well. Those who had mild disease can recover like recovering from a cold. Those who had severe disease and ICU stays have a much more significant process and potentially lasting damage to their lungs and other organs. It looks different for everyone, but the important thing to remember is that many, many people recover.

It does remain important to try to avoid becoming infected, because as we learn more and more about this illness, we find that the recovery can really take a while, even for those with mild disease.

How do testing sites work? What options does the uninsured person have?

One great resource to how testing works, where the testing sites are located and how each of them should be accessed is here. It is updated on a regular basis and has the numbers for screening for most of the testing sites.

For patients who are uninsured, there are options with the city and county. They are offered 6 days weekly: M-W in precincts 2 and 4 in the county and Th-Sa in pricints 1 and 3. They are mobile pop up sites, which means they change locations to try to meet the needs of where they are finding the concentration of need for testing.

If you live inside city limits you should call 832-393-4220 between 9 a.m. and 7 p.m. If you are outside city limits, but inside Harris county, you should go to the website for a code for testing. They ask questions about being symptomatic because of false negatives, so they are prioritizing symptomatic patients. However, at this point, both the city and the county will test anyone who want to be tested if they have capacity, although they are prioritizing those with symptoms. The code is for line control, and the line is staffed by law enforcement officers to keep things flowing nicely.

At the county pop up sites, you drive through, you roll down your window halfway, and a nurse uses the swab to collect the sample.

There are also two stationary sites at Baytown and Katy for the county, and two city sites (locations will be researched). These sites are self swab sites, and you will be given the testing media, and instructed in collecting the sample yourself.

As recently as Friday, there are also screening sites at Walgreens locations; these will be self-swabbing sites as well.

All are free, not asking immigration status, not taking copayment.

There is a great deal of information on the covid website.

Test results take 3-5 days.

Contact Harris health if unsure if you feel you need to be evaluated: the county’s triage line is available from 9am-7pm at 713-634-1110, and they prefer you call so that you can be appropriately triaged before arriving at a hospital, and the hospital can be prepared for you, even if you need hospital care. The county hospitals (Ben Taub and LBJ) are equipped to handle COVID-19 patients.

Map of Drive Through Testing Sites

Harris County Symptom Check

Harris County COVID-19 Site

SARS-CoV-2: All your questions answered–UPDATE

It seems that Sars-CoV-2 is the gift that keeps on giving. It’s interesting. When I was first discussing the true scientific impact of what was becoming a pandemic with my father, he looked at me and said something like, “This is going to change everything forever.” I thought he was being a little over dramatic. Silly me. I should have known, my father, who is really not the dramatic type, just fully grasped the social part of the situation while I was merely blinded by the science.

My minister approached me and asked me to do this thing sort of out of my comfort zone. I like being behind my computer and writing–or one on one with a patient. But also, when you’re called to use your gifts, you do it (Luke 12:48, Matt 25:14-30)–so I said yes. Below are questions we’ll discuss. I’ll make links available as I find we discuss topics, and will try to update the topics with more detail based on questions. But please be gracious–I do have a full time job and children :-).

What is SARS-CoV-2? What is COVID-19?

How does Sars-CoV-2 operate and how does it affect the body?

 What are the symptoms of Covid-19?

What groups are most at risk?

What are some of the steps for protecting ourselves from the virus?

From a medical perspective, are we doing the right thing by practicing social distancing, and shutting down businesses?

What medical treatments are available for a person who contracts this virus?

What does the recovery process look like?

When should a person be tested?

How do testing sites work? What options does the uninsured person have?

Premiere Episode of “Prescriptions for the Pandemic

Second Episode of “Prescriptions for the Pandemic”

Previous COVID-19 post

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