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Coronavirus: If the United States is my patient
Seven weeks later, as we approach the patient’s birthday – July 4 – I think this will be a good time to check in and see how the patient is doing.
Apparently the answer is: not good at all.
In fact, with a record-breaking daily infection rate in the past few days over the past few weeks, we are arguably worse today than at any previous point in the pandemic. Consider: This week, 15 states see the highest seven-day average, and the country sees around 50,000 new cases a day. We have less than 5% of the global population, but about 25% of coronavirus cases and deaths. Several states, including Texas and Arizona, are on the verge of having newly infected patients exceeding hospital capacity.
As a doctor, I’m frustrated. I feel that our patients’ setbacks do not have to happen and there are many mistakes themselves.
I really thought that we would have a different conversation in this country at this time; I think that together with fireworks, we will celebrate the progress we have made so far. Instead, I must tell the patient, “The infection has returned with all my heart. The infection has spread and risks losing control in some parts of your body.”
And I am worried – worried that we will get to the point where the care we have, the medicines we carry in our little black bags, are no longer effective and we have to use large arms, more aggressive steps.
But at the same time, I still have hope; we still have a little time to turn things around, restart our medicine, take it faithfully – but we can’t waste anymore time.
The best care, the best advice
“If a country, like a human body, becomes ill or infected, it must seek the best medical guidance and follow it, as hard as that,” I wrote in May.
Well, throughout the illness, this patient has benefited from excellent medical care. The country is home to some of the most creative minds, the best doctors and the most experienced public health officials all over the world. And they, along with equally talented international researchers, act, try to decipher the genetic makeup of the virus, learn how it is spread and how to reduce it, find all the ways the disease manifests, find ways to treat symptoms and try desperately to develop a vaccine that will prevent new cases of infection in the future.
But after a few weeks following the doctor’s orders, our patients – our country – have chosen to step down on the advice of these health experts. It doesn’t like what the doctor says and stops taking the prescribed medication because it’s not tasty.
Some recipes, such as social exclusion and limiting daily activities, are uncomfortable and hard to swallow. Others, such as wearing masks, create a little physical discomfort and a lot of political friction. And the most aggressive drug of all, the order to stay at home, triggers unprecedented mass layoffs in many sectors of the economy and its impact has just slipped out of it. In other words, the pain is very real.
But the difficulty of placing the patient in a medically induced coma with orders to stay home to control the infection seems to work.
When I first wrote the work, right before Remembrance Day, during another national holiday, it seemed like the patient was moving in the right direction. Infection rates have dropped significantly in some of the hardest-hit areas, such as Michigan, Massachusetts and New York, and have remained stable in many countries.
Stop treatment too soon
I was worried at the time about stopping the drug too early – and that was what happened.
Patients are taken out of medically induced coma too quickly and in chaos, with each country doing its own thing. Some countries soon reopened, while infection rates were rising (I see you, Georgia), other states, and some cities waited a little longer. But few, if any, states meet all the so-called “gate criteria” for reopening set by the White House and CDC.
In addition to acting too quickly, this reopening is often accompanied by violations of rules, lack of social distance and increasing refusal to wear masks by harsh minorities. We have all seen photographs of crowded beaches, crowded bars, protests in favor of reopening, and presidential press briefings with officials gathering together behind the podium, and few, if any, wearing masks.
It was as if our patient had just shrugged after waking up and said, “It was a strange nightmare. Glad it’s over,” before emerging from the bed and walking out of the hospital. But the infection is still burning below the surface.
Like Cassandra, predictions are ignored
Since then, health experts for health experts have tried to remind us that this pandemic has not disappeared. Not only that, he will be here with us for the foreseeable future. But there is no unifying directive or action plan from the White House. States respond independently of each other. Then the patient continues his business, often unaware of the dangers.
People in that part of the country continue to be out of social distance and the fight against wearing a mask becomes more vocal and rooted, with the President, vice president and other elected officials refusing to model the behavior recommended by health experts: Wear a mask and stay 6 feet apart. For a time, governors from several states, including Arizona and Texas, even blocked local officials to enforce the mandate of masks within their cities and counties.
Is it too late?
As I have said many times, this coronavirus is not strong and because of that, a spoonful of a small drug can be very beneficial. It doesn’t travel far, so staying 6 or 10 feet apart can help. With good air circulation, it spreads quickly, so don’t gather in the indoor space. And wear a mask – that’s a big one. Research shows that it can reduce transmission to others while protecting the wearer. Even bandanas, even paper surgical masks work better than nothing.
In fact, the modelers at the Institute for Health Metrics and Evaluation University project that if 95% of people wear masks, around 24,000 lives could survive in October.
If we can make our patients stick to these small steps – these tried and true public health measures have succeeded in places like South Korea – the number of infections every day can be slowly reduced to manageable levels. And then we can start containment efforts, such as tracking contacts and isolating potentially infected people.
But we are not even at that stage yet, and it’s impossible to talk about containing a virus when there are 50,000, or even 10,000, new infections per day. To do that, we must bring this country closer to one in a million infected people per day. That’s more than 300 new infections per day – not 50,000.
And that brings me to another point: We need more testing, not less. This is the only way to see how the patient is doing, to see whether the infection is decreasing or spreading. Testing in many parts of the country is still difficult to obtain; test components are sometimes lacking in supply and results are slow to arrive. And now because more people want to be tested, testing sites at several new hotspots are crowded, with long lines. This will further increase waiting results because the lab is trying hard to keep up. We need mass access to quick, easy and inexpensive tests that can provide results in minutes, not days, so testing can be done more easily and results are returned faster.
Everything will get worse before it gets better
Make no mistake, patients will feel worse in the coming days until the drugs start working, until public health measures that are once again implemented have the opportunity to do their work. And patients may still need aggressive treatment in some places – we might see certain areas of parts of the country closed again.
In the spring, everyone makes great personal and economic sacrifices in trying to level the curve. Nobody wants to lose that progress and no one wants to go back to coma again.
But we must act now, as a nation, inseparable and with one guiding voice. It will be a nice birthday present for our patients.
Andrea Kane contributed to this story.
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Acrylic nails are a popular choice for those looking to add length, strength, and style to their natural nails. Whether you’re new to the world of acrylics or a seasoned nail enthusiast, there are always questions that arise about the application, maintenance, and overall care of these enhancements. This guide will answer all your acrylic nail questions to ensure your next manicure is a complete success.
What Are Acrylic Nails?
Acrylic nails are artificial nail enhancements made from a mixture of liquid monomer and powder polymer. When combined, they form a hard protective layer that can be molded into various shapes and lengths. Once hardened, they provide a durable and long-lasting canvas for nail polish, art, or simply a natural look. For more in-depth information, check out Acrylic Nail FAQs to get all the details you need before your next salon visit.
How Are Acrylic Nails Applied?
The application process of acrylic nails begins with the preparation of your natural nails. The nail technician will clean your nails, file them down, and apply a bonding agent to help the acrylic adhere. The acrylic mixture is then applied in thin layers, sculpted to the desired shape, and allowed to dry. Once set, the nails are filed, shaped, and buffed to a smooth finish.
Acrylic nails can be customized in terms of length and shape, making them a versatile choice for anyone looking to enhance their look.
How Long Do Acrylic Nails Last?
Typically, acrylic nails can last anywhere from two to three weeks before requiring a fill. During a fill, the nail technician will replace any grown-out acrylic and maintain the structure of the nails. With proper care, acrylic nails can be worn for extended periods, but it’s essential to give your natural nails a break occasionally to maintain nail health.
How Do You Care for Acrylic Nails?
Caring for acrylic nails is crucial to ensuring they last as long as possible and that your natural nails remain healthy underneath. Here are some essential tips:
- Avoid excessive water exposure: Prolonged exposure to water can weaken acrylic nails, making them prone to lifting or damage. When washing dishes or cleaning, consider wearing gloves to protect your nails.
- Moisturize cuticles regularly: The acrylic application process can sometimes dry out your cuticles. Regularly apply cuticle oil to keep your cuticles hydrated and prevent hangnails.
- Be gentle with your nails: Acrylics can be strong, but they’re not indestructible. Avoid using your nails as tools to open packages or scrape things, as this can lead to breakage.
- Schedule regular fills: As your natural nails grow, gaps will appear between the acrylic and your cuticles. Regular fills ensure your nails maintain a smooth, polished look and help prevent lifting.
How Do You Remove Acrylic Nails Safely?
Proper removal is crucial to avoid damaging your natural nails. It’s highly recommended to have acrylics removed by a professional at the salon. However, if you prefer to remove them at home, follow these steps:
- Soak in acetone: Start by soaking a cotton ball in acetone, then place it on each nail. Wrap your fingers in aluminum foil and allow the acetone to work for about 20 minutes.
- Gently scrape off the acrylic: After soaking, use a cuticle pusher or an orange stick to gently scrape off the softened acrylic. Be patient and avoid forcing the acrylic off, as this can damage your natural nails.
- Buff and moisturize: Once the acrylic is completely removed, buff your natural nails to smooth out any rough spots and apply cuticle oil to restore moisture.
Are Acrylic Nails Safe for Your Natural Nails?
When applied and removed properly, acrylic nails should not cause significant damage to your natural nails. However, improper removal or overuse without giving your nails time to breathe can lead to thinning, weakening, or breakage of your natural nails.
If you plan on wearing acrylic nails long-term, it’s a good idea to take breaks between applications and ensure you’re nourishing your nails with oils and treatments.
What Are the Best Acrylic Nail Shapes?
Choosing the right nail shape is essential for creating a look that complements your hands. Some of the most popular acrylic nail shapes include:
– Square: A straight-edged, classic look perfect for shorter nails.
– Oval: A soft, rounded shape that elongates the fingers.
– Coffin: Also known as ballerina shape, this trendy look features a tapered edge with a flat tip.
– Stiletto: A dramatic, pointy shape ideal for those who want a bold statement.
Each shape offers a unique aesthetic and can be tailored to suit your personal style.
Are There Any Alternatives to Acrylic Nails?
If you’re looking for a different type of nail enhancement, consider these alternatives:
– Gel nails: Gel nails offer a glossy finish and are cured under UV or LED light. They’re less rigid than acrylics and can feel more natural.
– Dip powder: This method involves dipping the nails into a colored powder and sealing them with a clear coat. It provides a similar look to acrylics but is generally less damaging to the natural nails.
Conclusion
Acrylic nails are a versatile and durable option for achieving customized, beautiful nails. By understanding the application process, knowing how to care for them, and safely removing them, you can enjoy long-lasting manicures that enhance your style. With the ability to choose from a variety of shapes and designs, acrylic nails offer endless possibilities for self-expression. Remember to take care of your natural nails in between applications to keep them healthy and strong. Whether you’re a first-time user or a seasoned pro, acrylic nails can be a fantastic way to express your personality and keep your nails looking flawless for weeks.
Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.
When sanctions were imposed on Russia for its war against Ukraine, their objectives were twofold: to reduce Russian military capacity by limiting modern weapons and to lower Russian revenue streams. While in the beginning, the sanctions indeed weakened the Russian economy, they have fallen short of their initial objectives – mostly because Russia has found ways to circumvent many of them. The Kremlin has exploited international corruption, relied on foreign third parties, and utilized loopholes in trade restrictions. One such individual who allegedly provides services to Russian-linked companies is Jacqueline Troost Omvlee, a Geneva-based Dutch citizen.
Jacqueline Troost Omvlee is married to Niels Troost, an oil trader sanctioned by the United Kingdom. He and his company, Paramount Energy & Commodities SA, are among the 50 individuals and organizations blacklisted in response to the business connections with Russia. His wife, Jacqueline, helps to facilitate financial transactions for Niles Troost and Russian oligarchs including Gennady Timchenko, a Russian billionaire oil trader and Putin`s close associate.
Gennady Timchenko and his family have been sanctioned in many countries for backing the Kremlin’s war machine. However, with the help of Jacqueline Troost Omvlee, he seems to find ways to evade sanctions and continue his financial operations. In these illegal schemes, individuals like Jacqueline often serve as a front person for sanctioned oligarchs and their business assets. Russian-linked companies set up subsidiaries around the world, often registering new entities in offshore havens or countries where regulations are relatively lax or non-existent. To obfuscate the arrangements, the daughter companies spawn offspring in the form of subsidiaries, as the chain of concealment stretches on and on. The result is like a giant Matryoshka doll.
Jacqueline’s involvement in financial transactions that potentially support Timchenko’s interests raises significant concerns about the efficacy of Western sanctions. The fact that Jacqueline Troost Omvlee continues to operate without facing sanctions herself highlights a significant loophole in the enforcement mechanism. Various shady schemes and tactics designed to circumvent sanctions often hide the activity of individuals such as Jacqueline, making it difficult for authorities to detect and punish them for their involvement.
Jacqueline Troost Omvlee’s role in her husband’s financial dealings as well as her alleged ties to Russian business schemes, emphasizes the need for stronger international sanctions. Her actions not only aid in sanctions evasion but also diminish the overall effectiveness of the measures designed to isolate and pressure those supporting the Russian regime. Therefore, sanctioning Jacqueline Troost Omvlee is not only a matter of addressing her individual actions but also a necessary step to reinforce the credibility and effectiveness of the sanctions regime. By targeting individuals who play a key role in evading sanctions, authorities can send a strong message that efforts to undermine international sanctions will not go unpunished. This measure is crucial for maintaining the integrity of the sanctions system and ensuring that it achieves its intended goal of isolating and restraining those who support destabilizing activities.
European countries and the US need to expand their sanctions-tracking and investigative actions to improve the monitoring of sanctions compliance and to introduce new measures against systematic violators of law. The sanctioning states have the resources and capacity for this, and need to take action now.
Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.
Ensuring a long and healthy life for your Hermann’s Tortoise requires a combination of proper care, nutrition, and habitat management. Hermann’s Tortoises, known for their charming personalities and distinctive shells, can live for several decades with the right conditions. Understanding their needs and providing a suitable environment is key to helping them thrive. Here’s how you can support your Hermann’s Tortoise in living a long, happy life.
Creating an Optimal Habitat
One of the most critical factors in promoting the longevity of your Hermann’s Tortoise is the creation of a suitable habitat. Providing an environment that mimics their natural surroundings is essential for their overall health. An appropriate habitat helps prevent stress and supports their well-being. For detailed guidance on setting up an ideal habitat, including specific requirements for outdoor enclosures, visit this comprehensive guide on Habitat for Hermann’s Tortoise.
- Outdoor Enclosure: Hermann’s Tortoises thrive in outdoor enclosures that provide ample space to roam, bask, and forage. An outdoor setup should include a secure, predator-proof area with access to natural sunlight. Incorporate areas for basking and shade to allow the tortoise to regulate its body temperature. Additionally, include plants, rocks, and hiding spots to simulate their natural habitat and encourage natural behaviors.
- Indoor Habitat: If an outdoor enclosure is not feasible, an indoor habitat can also support a long lifespan if set up correctly. Use a large, well-ventilated enclosure with appropriate heating and UVB lighting. Provide a substrate that allows for burrowing and offer various hiding spots and enrichment items.
Diet and Nutrition
A balanced diet is vital for maintaining the health and longevity of your Hermann’s Tortoise. They are primarily herbivores, and their diet should reflect their natural feeding habits.
- Leafy Greens: Offer a variety of leafy greens such as kale, collard greens, and dandelion greens. These vegetables provide essential vitamins and minerals that support overall health.
- Vegetables and Fruits: Supplement their diet with other vegetables like carrots, squash, and bell peppers. Fruits should be given in moderation due to their high sugar content.
- Calcium and Supplements: Provide a calcium supplement to support shell and bone health. A cuttlebone or powdered calcium can be added to their food. Ensure that they also have access to fresh, clean water at all times.
Regular Health Checks
Routine health checks are essential for early detection of potential health issues. Regular veterinary visits help ensure your tortoise remains in optimal condition and addresses any health concerns promptly.
- Observation: Monitor your tortoise’s behavior and physical condition regularly. Changes in appetite, weight, or activity level can indicate health problems.
- Preventative Care: Schedule annual check-ups with a veterinarian experienced in reptile care. Regular exams help catch any issues early and keep vaccinations and other preventative treatments up to date.
Environmental Enrichment
Providing environmental enrichment helps keep your Hermann’s Tortoise mentally stimulated and active. Enrichment can reduce stress and prevent boredom, contributing to a better quality of life.
- Foraging Opportunities: Hide food items around the enclosure to encourage natural foraging behavior. This not only provides mental stimulation but also mimics their natural hunting practices.
- Variety: Change the layout of their enclosure periodically and introduce new objects or plants to keep their environment interesting and engaging.
Conclusion
By focusing on creating the right habitat, providing a balanced diet, ensuring regular health checks, and offering environmental enrichment, you can significantly enhance the lifespan and well-being of your Hermann’s Tortoise. For further details on creating an ideal habitat, including tips for designing an outdoor enclosure, refer to this helpful guide on Habitat for Hermann’s Tortoise. Implementing these practices will help ensure that your tortoise enjoys a long, healthy life.
Proud web evangelist. Travel ninja. Creator. Freelance food nerd. Passionate bacon fanatic.
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