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May 22, 2020
In this issue:
Dr. Cheffet on Medication vs. Lifestyle
Experiencing Pregnancy During COVID-19
The 3M's to better health
Re-opening San Diego 
Video: Coronavirus: New Facts about Infection Mechanisms 
Video: How Easily Germs Spread
 
HAPPY MEMORIAL DAY! 
Thank you to all those who have served or are currently serving our country in the military. We are forever grateful for your service. Have a safe and wonderful weekend!

 
HOLIDAY HOURS:
8 a.m. - 12:00 pm Friday, May 22
CLOSED. Saturday, May 23
CLOSED Sunday, May 24
CLOSED Monday, May 25
8:00 a.m. - 4:30 p.m. Tuesday May 26
Dr. Shannon Cheffet met with patients via Zoom to discuss various medications. You can view the session below, and hear how taking medication
is not a life sentence, but a bridge to health
while adopting lifestyle changes that can
maintain your health.
Experiencing Pregnancy During the Time of COVID19
 
Within a mere two months, people around the globe have come to share one common feeling: anxiety. Initially, it was the fear of how this virus could spread, who was at risk, and how we could prevent getting exposed. Then as the numbers grew, it became the deep worry for not just ourselves, but our aged and immunocompromised love ones. As the months passed, the economic burden on our communities kept our stress levels constantly elevated. Physicians and practitioners have rapidly increased our access to patients to discuss not only the health concerns of this virus, but the spiritual and mental impact as well. There is one particular population that we want to recognize who have a unique situational stress: the expectant mother.  
 
As these women proceed through their days, working or caring for their families, they are also physically supporting a growing life. Pregnant women will likely have frequent thoughts of this virus and what they need to do to protect their child. In addition, they are not sure of who can attend the birth and how day to day life will look after they bring the infant home. Studies have shown that higher levels of cortisol, a hormone released by the body in times of stress, has been linked to preterm labor, low birth weight, and miscarriage, as well as mood and metabolic disorders in the child later in life. (Dewar, 2008) Expectant moms, and even concerned dads-to-be can be supported with good communication, encouragement to stay engaged in healthy habits, and increase awareness of signs and symptoms of stress, anxiety, or depression. A phone call, check-in, or quick mail can keep moms at risk of feeling overwhelmed feeling grounded and supported.
 
Ways we can help this special population now (or anytime really):
  • Emotional support--let them know you care
  • Continued routine prenatal care--encourage keeping appointments, help with transportation
  • Education of employers on the additional risks of stress and pregnancy so unnecessary risks can be avoided in the workplace--share information with HR departments to facilitate company awareness
  • Education of spouses to help with understanding and support--keep talking to one another!
  • Education of Pediatricians to be aware of the increased stress on expectant mothers during this “corona-generation” and increase surveillance for mood disorders in the children
  • Networking/support groups on-line for pregnant women to share ways to relieve stress and anxiety during this time--encourage joining a group or forum to create community
 If you or a loved one are pregnant, and experiencing concerning levels of stress, please call and make a telemedicine appointment with your PCP so we can help you navigate this challenging time.  

Great resources for pregnant women and those who help support them:
American College of Obstetrics and Gynecology on pregnancy and breastfeeding
 
Tips on Coping with a New Baby During COVID-19
 
Parenting: Tips to Stay Calm at Home
 
Breastfeeding during COVID-19
 
If you've found yourself immobilized by stay-at-home measures, it's time to take back your mobility, movement, and toss in some meditation! Here's some great advice from Exercise Physiologist Meghan Beck!
Social Distancing and RE-opening San Diego
As restrictions are lifted for stay at home orders, we urge you to  remain mindful of the continued risk of COVID-19. It has not gone away, and a key to our success of limiting the spread in San Diego has been proper social distancing. Please wear a mask in public to protect others, and continue to practice good social distancing habits. COVID-19 is a disease with high rates of transmission and can be curtailed by simply wearing a face covering or mask, hand washing frequently, and maintaining at least 6 feet of distance from non-household members. We like to think of it this way:
 
By wearing a face covering,
I protect you and your family, and you protect me and my family. 
 
If you missed prior videos we've shared on how COVID-19 is spread via micro-droplets, please take a moment to view the videos below. Using black light and laser technology to measure the movement of micro-droplets, they demonstrate the need for continued diligence. We'd like San Diego to be successful in re-opening our economy and lives, but everyone needs to do their part. 
 
Have a wonderful weekend and stay safe!
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