- Mar 2022
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www.proquest.com www.proquest.com
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“As a neonatologist, ... prior to COVID, I had maybe attended two to three deliveries in the medical ICU because it’s not common for women of childbearing age in their 20s and 30s to be critically ill and sick,” she said. Now, she said, “I truly cannot remember the last time I was on call at night and did not have to attend a COVID delivery. We’re just seeing a lot more complications in moms who you would expect to be healthy.”
She is reflecting on her work before COVID, and during. What she is seeing more mothers having complications because of COVID.
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“I think people have this idea, and you see this over and over again, that this is basically a cold or this is essentially the flu. And I think for a lot of people, that’s been their personal experience. But when you look at it as a whole, that’s again just not true,” Bernstein said “... And a lot of people have said things like people aren’t dying ‘of’ COVID, they’re dying ‘with’ COVID. And when you look at the number of excess deaths over the last couple of years, that’s just, quite frankly, untrue.”
Adding to the conversation: Those who don't die of COVID sometimes get "Long COVID" or they now live with other deficits like: brain damage, psychological issues, diminished lung capacity, or some organ failures. I'm sure more things will emerge over time.
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Not all those who posted their own stories of chronic illness were visibly young and healthy, though. Some were seniors, and some posted images of their medical treatments or hospital beds as they receive care for COVID-19.
Pointing out that illness can look any type of way. There is no standard for how being sick is supposed to look like.
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“But I do have that underlying condition that puts me at increased risk,” she said. “I think sometimes people do have this preconceived notion of what someone with multiple chronic illnesses looks like. And unfortunately, that makes it easy to kind of dismiss some of these things. ... People say things like, ‘Well, you don’t look sick to me,’ and that may be the truth. But it doesn’t make the underlying condition or what you deal with on sometimes a daily basis any less true.”
The idea that if you don't look sick, you're probably not sick.
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“I went from running long distances to passing out after walking up a flight of stairs,” Bernstein said. “For quite some time, it really drastically altered my life and the things that I was able to do.”
symptoms for mono can be: * Fever * Fatigue * Sore throat * Swollen lymph nodes * Sore muscles * Loss of appetite
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mono
mononucleosis = the presence of an abnormally large number of mononuclear leukocytes, or monocytes, in the blood. - definition pathology
Mononucleosis is an infectious illness that’s usually caused by the Epstein-Barr virus (EBV). It’s also called mono or “the kissing disease.”
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that chronically ill patients have such low quality of life anyway that they aren’t worth protecting
Some people have this idea that if your sick, it's ok if you die because you are probably not living anyway.
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One reason Bernstein said she included her picture is that she looks healthy and young, contrary to images that people may have in their minds
She is pointing out that "Hey, I'm sick but I don't look sick".
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Utah Department of Health reports that 81% of the state’s coronavirus deaths were patients who were “high risk,” only 52% of hospitalizations were of people deemed to have risk factors for serious illness.
UDOH reported: 81% of COVID Deaths = High Risk people 52% of Hospitalizations = At Risk for serious illness.
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asthma
asthma = "How many people in Utah have asthma? 10.8% of Utah adults (18+) (around 250,949 adults), have current asthma" (https://health.utah.gov/asthma/data/#:~:text=How%20many%20people%20in%20Utah,adults)%2C%20have%20current%20asthma)
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obesity,
obesity = "More than one-fourth of all adults in Utah were obese in 2020 (29.4%, age-adjusted rate; 28.6%, crude rate)". (https://ibis.health.utah.gov/ibisph-view/indicator/complete_profile/Obe.html#:~:text=More%20than%20one%2Dfourth%20of,28.6%25%2C%20crude%20rate)
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diabetes
diabetes = "Approximately 186,706 people in Utah, or 8.0% of the adult population" (https://diabetes.org/sites/default/files/2021-11/ADV_2021_State_Fact_sheets_Utah_rev.pdf)
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But Utah health officials have said about half of the state’s adults are at elevated risk of serious illness from the coronavirus.
This tells me that many doesn't even know they have comorbidities.
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“If I get Covid, I could very well die. I exercise. I have a good diet. I’m ‘healthy’ apart from the fact that I have one lung. This is a comorbidity that some people think means my life doesn’t matter.”
Kelly Scaletta points out that even though she tries to keep herself healthy she would still be affected by COVID-19. She doesn't fit "The look" of someone who is sick.
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The implication, for many who fall into those categories, is that their lives are not worth as much as those who are young and illness-free.
What someone might hear if they fall within the category for those who would be most affected by COVID-19.
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those categories
those with pre-existing conditions, or elderly.
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implication
the act of implying:
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Now thousands of people have shared their own stories about living through the pandemic with chronic illness — and about coping with remarks from media personalities and even health officials that minimize the human toll of COVID-19 because deaths and hospitalizations disproportionately affect people who are old or have underlying medical conditions.
Comments made by Media, and Health Officials was minimizing the COVID-19 deaths and illnesses because most or some of those affected were older or had comorbidities.
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“What I was seeing in the hospital and ... the patients that I was caring for and the families, and then my own personal experience ... was kind of in conflict with a lot of the things I was reading in the news, on Twitter and actually hearing from friends, about the pandemic being over and about omicron being mild and no big deal,” Bernstein said in a news conference this week.
What was being said in the New and Media were not matching up with what Dr. Bernstein was seeing and experiencing with her patients. COVID-19 wasn't over, and it wasn't mild, and it was a big deal.
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#IHaveAPreexistingCondition
I will look this hashtag up later, it might helped with my research for "Invisible Illness".
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“Does the face of #chronicIllness look different than you thought?”
A different way of saying "You don't look sick" as a statement about herself - "I don't look sick, but guess what". kind of thing.
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neonatologist
the study of the development and disorders of newborn children.
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dismissed
to discard or reject:
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devalued
to deprive of value; reduce the value of.
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