How Ethical Are WE Healthwise?

Would you inform your boss about a chronic illness before its effects are visible?

Interesting question, right? “How Ethical Are WE Healthwise?”

We often criticize others in the health professions for actions we consider inappropriate. Yet, we rarely question our own behavior.

With this in mind, here are excerpts from a recent Sunday NY Times’ ethicist column written by Kwame Anthony Appiah.

What Would YOU Do?

Excerpts of Question (name withheld): 

During my brief tenure, my boss has increased my responsibilities, promoted me, and proposed changing my position to be more in line with my previous employment. In essence, he is slowly transforming my work into the dream job I discussed during my interview. I suspect he has done so to ensure that I remain, not knowing that I am ill.”

“I have yet to tell my boss about my diagnosis. Legally, I suspect I am not obligated to, unless I need to take leave from my job. Yet morally, should I not at least advise my boss, particularly given his mentorship of me? I recognize that some of the potential requirements of my new job — frequent travel, increased responsibilities, extended time away from my instrumental supports — may be unsustainable 12 months from now, if not sooner. However, I am currently able to perform. What is my duty here?”

Excerpts of Response from the Ethicist (Kwame Anthony Appiah):

“As an employee, you are entitled to keep your diagnosis to yourself until it impairs your performance; and as long as you can fulfill the essential functions of your position, your employer must make reasonable accommodations for your emerging disabilities.”

“But as you’re well aware, you have another morally relevant relationship with your boss. This is someone you care about and who cares about you. That personal relationship brings burdens as well as benefits. On the one hand, your personal bond with him gives you the reasonable expectation that he won’t exploit what you tell him to your disadvantage, at least to an extent consistent with his duties as your boss. On the other hand, it also places a special demand on you to speak with him honestly. You may feel that you owe it to him to give him time to plan for your eventual decline and departure. More time, perhaps, than you would if you were dealing with a faceless institution.”

Click the image to read the full Q&A.

How Ethical Are WE Healthwise?
Illustration by Tomi Um.

 

Food and Arthritis

Food do’s and don’ts for those with arthritis.

Do you have arthritis? If yes, do you have questions about what you eat?

Consider the following information from a recent article by Amanda Barrell, writing for Medical News Today:

“Many people find that making changes to their diet can help with osteoarthritis symptoms, which include pain, stiffness, and swelling. Osteoarthritis is the most common form of arthritis, affecting over 30 million adults in the United States. It develops when the cartilage in the joints breaks down over time.

“This article will look at which foods people with osteoarthritis should include in their diet and which they should avoid. We also bust some common food myths regarding arthritis.”

“It is not possible for specific foods or nutritional supplements to cure osteoarthritis, but, according to the Arthritis Foundation, certain diets can improve people’s symptoms.”

Some foods have anti-inflammatory capabilities which can help reduce symptoms while other foods may amplify them. The right diet can help to improve osteoarthritis in the following ways.”

Click the image to learn about some do’s and don’ts.

Food and Arthritis
 

At-Home Activities to Stimulate Us

Engage your body and mind. Think positive.

On Tuesday, we looked  at what we should do now – cleanliness. Today, we look at in-home activities to stimulate us.

Food for Thought: At-Home Activities to Stimulate Us

As we seek to find our own routine, we turn to the Automobile Association of America (AAA) for suggestions. According to the AAA:.

“News of the COVID-19 is everywhere. And many people try their best to stay healthy and help slow the virus’s spread. Due to high transferability, acts like social distancing, working remotely ,and self-quarantining are used as precautionary measures. Stuck inside the house for a while? Make make the most of it. Here’s how to stay busy, entertained, productive and healthy at home.”

        • Home maintenance — Start with home projects you’ve been meaning to get to, like small repairs or organizing a junk drawer, closet, and so on.. Go through your fridge, pantry, and cabinets, getting rid of anything expired.
        • Self-maintenance —  Take care of your physical and mental health, and know how to keep your mind busy,
        • Use technology — Watch movies. Play video games. Listen to music. 
        • Connect with others — Text. Face Time. Call..
        • Get creative — Do something artistic, like drawing, painting, scrapbooking, crafts, or writing. 
        • Engage your brain — If you enjoy learning, take online classes, quizzes or try watching some how-to videos/tutorials. Do crossword puzzles and/or Sudoku. Read a good book.
        • Connect with others — Text. Face Time. Call..

To conclude, click the image to read more.

What We Should Do Now - Activities to Stay Occupied

What We Should Do Now – Cleanliness

Be smart. Follow these tips.

This week, we add to our two posts from last week. About the Coronavirus and Coronavirus Thoughts from a High-Risk Perspective. Today, we look at what we should do now – cleanliness. Thursday, we look at activities we can do to productively occupy ourselves.

Update from the author: For the most part, I stayed at home last week. Went out to the supermarket a couple of times and ate out once. However, as of today during my routine checkup, my endocrinologist (Dr. T) told me to stay at home. Period! And when Dr. T speaks, we listen. After all, he saved my life with his early discovery of my pancreatic cancer.

Food for Thought: What We Should Do Now – Cleanliness

The number one COVID-19 tip is overwhelming related to cleanliness. Washing our hands regularly for at least 20 seconds. Reducing how often we touch our faces. Washing down surfaces we and others touch. Even cleaning our cell phones. And more!

Just yesterday, Futurity ran an article on the importance of cleanliness from Neal Buccino of Rutgers University. Some highlights from that article:

    • “The CDC recommends daily disinfection for frequently touched surfaces such as tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. The CDC also recommends the use of detergent or soap and water on dirty surfaces prior to disinfection.”
    • “Whatever cleaning solution you use, let it remain in contact with the surface long enough to kill viruses and other pathogens. The time depends on the chemical. Don’t use different cleaning agents at the same time. Some, if mixed, can create dangerous and poisonous gases.”
    • “Bleach can be diluted with cold water to make an effective disinfectant against bacteria, fungi, and many viruses — including coronaviruses. Be sure to follow the directions on the label of your bleach.”
    • “You can dilute alcohol with water (or aloe vera to make hand sanitizer) but be sure to keep an alcohol concentration of around 70% to kill coronaviruses. Many hand sanitizers have a concentration of about 60% alcohol. And Lysol contains about 80%. These are all effective against coronaviruses.”
    • “Vinegar, tea tree oil, and other natural products are not recommended for fighting coronaviruses.”

To read more at Futurity, click the image.

What We Should Do Now - Cleanliness
“Whatever cleaning solution you use, let it remain in contact with the surface long enough to kill viruses and other pathogens. The time needed will depend on the chemical.” (Credit: Getty Images)

 

Coronavirus Thoughts from a High-Risk Perspective

As older and less-healthy adults, what are we to do?

On Tuesday, we looked at the coronavirus in terms of facts versus myths. Now, we offer coronavirus thoughts from a high-risk perspective.

As those of you who read Living Well While Surviving Cancer already know, the author of this blog (Joel Evans) is a pancreatic cancer survivor with a compromised immune system. As well as a Type I diabetic. And a senior citizen. That puts me in the highest-risk category if I contract COVID-19.

Something else to worry about. Or not. After all, what am I supposed to do now? I refuse to lock myself in my house. But what smart things should I do?

Psychologically, I was fine until the CDC issued an advisory for older adults. According to a CNN report:

[On Thursday March 5, 2020] “Amid a coronavirus outbreak in the United States, the U.S. Centers for Disease Control and Prevention is encouraging older people and people with severe chronic medical conditions to stay at home as much as possible.'”

“This advice is on a CDC Web site, according to a CDC spokeswoman. Early data suggest older people are twice as likely to have serious illness from the novel coronavirus, according to the CDC.”

“The CDC guidance comes as two top infectious disease experts with ties to the federal government have advised people over 60 and those with underlying health problems to strongly consider avoiding activities that involve large crowds. Dr. William Schaffner, a Vanderbilt University professor and longtime adviser to the CDC, said these two groups should consider avoiding activities such as traveling by airplane, going to movie theaters, attending family events, shopping at crowded malls, and going to religious services.”

Also, check out the CNN video.

My Advice to Myself

In light of the CDC’s warning and my health status, what am I to do? My answer for ME (which may be different than your advice for YOU) is to BOTH be smart and live life every day.

I will go out to restaurants, but not to movie theaters. Linda and are rethinking our vacation plans and not going on the cruise we were planning. Also, the thought of air travel does not excite me. I will wash my hands more often and more thoroughly.  I will continue my volunteer work at United Cerebral. I guess I will fist pump rather than shake hands, even though this seems somewhat silly to me.

When I started thinking about doing this post, I looked for information from AARP. And as expected, it has a terrific section of its Web site devoted to COVID-19:

“Older Americans and adults who take routine medications to manage chronic conditions, such as high blood pressure and diabetes, should make sure they have ‘adequate supplies’ on hand as the number of confirmed COVID-19 cases continues to climb in the U.S.”

“Avoiding sick people and washing your hands often are two preventive strategies public health experts have been pushing to help slow the spread of COVID-19. Older Americans living in areas that are experiencing spikes in coronavirus cases may also need to think about the actions they take to reduce exposure to the virus.  This may include social distancing strategies, such as teleworking and avoiding large public gatherings.”

“Health officials also advise taking everyday steps that can prevent the spread of respiratory viruses. Wash your hands often with soap and water (scrub for at least 20 seconds), and use alcohol-based hand sanitizer when soap is not an option. Avoid touching your eyes, nose, and mouth with unwashed hands. And cover your coughs and sneezes. “

Click the image to read a lot more from AARP.

Coronavirus Thoughts from a High-Risk Perspective

Easy-to-Use Health Quizzes for YOU

See how much YOU know.

Last month, we provided a cancer prevention checklist from the American Institute for Cancer Research (AICR).

Today, we present easy-to-use health quizzes from AICR. They’re quite informative. See how well you do.

Easy-to-Use Health Quizzes for YOUEasy-to-Use Health Quizzes for YOU

Easy-to-Use Health Quizzes for YOU