Preparation, Not Fear: Tips For Working and Living in Isolation during COVID-19

Hit the news right now and you’ll see almost nothing but sadness and negativity about COVID-19. Rightly so; it’s a pandemic; it’s a rapidly accelerating #globalhealthemergency, and not enough seems to be done by many leaders til it’s too late.

As we mentioned, it’s easy to feel despondent and helpless about the future. We can’t fix everything, but we can focus on the things we can. The current projections are that this will be around for at least a few months, if not, longer; and decisions on working, studying, travelling, and socialising are changing rapidly literally overnight. If you’re not used to working, studying or living in isolation or confined quarters, what can you do?

How are some ways to prepare for home isolation or working from home:

1) Keep up your exercise, eating and daily health routines

It’s absolutely vital that we keep up our immunity, whether we have access to gyms and sports groups in normal life, or steps, water bottles, exercise bands and barbells at home. Download a fitness app (such as this one, which has home exercises you can do without gym equipment!); watch YouTube for free fitness classes; do some starjumps, pushups, lunges, and squats every hour; do a few walking laps or light jogs within the confines of your home every hour; take a break from the screen every hour so your eyes can adjust. And yes, it’s okay to let the sunlight in (though wear sunscreen if you sit in direct sunlight); no one’s said that COVID-19 seeps through windows at present!

Obviously, if you’re in quarantine because you fit the criteria for recent overseas travel or immediate contact with a confirmed COVID19 case, which is what the current Australian Government guidelines are for testing, you will need to take it easy and self-monitor more closely for signs of symptoms, rather than exercising yourself through respiratory failure in the worst case scenario. But, you have good judgment; use it.

And, of course, use the chance to cook (or learn to cook!) some delicious, nutritious healthy meals for yourselves

2) Keep up your daily hygiene routines as though you’re still going to the office/uni/school

Seems like a silly thing to say, but it’s quite common when working from home to be tempted into staying in pajamas without a shower all day! The WHO Handwashing recommendations for preventing COVID-19 is not just for handwashing; taking a shower obviously will help wash off any germs just like washing your hands will. We were befuddled to see the local supermarket handwash shelves stripped bare, yet creaking with 1-litre bottles of shower gel right next to it!.

Plus, keeping your daily hygiene routine also helps reset your “home” mindset for “work/study”, and thus help you with your productivity.

3) I’m unemployed/a casual worker unpaid during isolation/unable to do my usual job at home because I’m a mechanic or otherwise

We’re not going to make light of this; it’s a huge issue for millions of people around the world, and there is a LOT that needs to be done by Governments, employers, insurers and other structures to help protect you in times like these. And, it is scary.

Instead of focusing on the negative, let’s think about the positive. The time off may just be for two weeks. Or even a month in some cases, or longer, which is daunting, and in the realm of what you CAN’T control. But think about the following, which you CAN control:

  • Is there some skill or unique knowledge I have that I can turn into a product or service offering online or over the phone? Could you be a coach? A tutor? Write and sell an eBook? Sell an online course? Platforms like Teachable and Thinkific provide free classes on how to plan, create and launch an online course, simply with your laptop. It can take time, but it can be as simple as you need. You don’t necessarily need to film with your face in front of the camera if it doesn’t suit you. The best thing is, once COVID-19 is over, or even beforehand when quarantine is over, your product or service can still be there, running along in the background when you return to work, or when you hit the ground running looking for other jobs. That’s basically your side-hustle helping you with an additional income stream, no matter what your employment situation is at any stage in your life; no matter how small the income may be at first; and during isolation, it helps to keep your mind active and focused on a goal and outcome to prevent worrying about the unknown.

  • What have I always wanted to do or wished for more time for, but couldn’t because I was working/studying? Barring the ones like “travel to Europe” or “hike Kilimanjaro”; perhaps you’ve wanted to spend more time with your children; organise your photo albums; learn to paint; reorganise your home; learn to dance; or other things that you could do at home. In fact, “travelling to Europe” could still be done, kind of, virtually, with a decent VR headset and travel film- search online for suggestions. Buy eBooks or read free travel blogs stacked with photos upon photos of Greece, Venice, the Caribbean… or write up your own travel memoirs into a blog or book yourself.
    And in terms of learning to dance or paint - online class portals like Skillshare and CreativeLive have thousands of free or low-cost classes you can take to pick up a new skill.

  • Speak to your local welfare sources; to your employer; to your bank; to your service providers (electricity, etc) about what sort of assistance they can provide, if any. Some may be willing to defer or freeze payments temporarily while you’re in sudden hardship, though this may be more difficult when the rest of your country is in lockdown. But if you don’t ask, you don’t know. And some employers in Australia have committed to paying their casual staff if they are suddenly isolated or quarantined due to COVID19.

4) Keep your mind healthy. Meditation; mindfulness; yoga; deep breathing; and other calming techniques are useful in all kinds of situations, and for all ages and demographics. Isolation can be tough; you may miss the everyday social interactions you didn’t realise you get from the workplace or school or study institution; learning a meditation technique can be incredibly helpful for keeping your mind and body strong. Yes, meditation has significant health effects on the body, including lowering blood pressure, preventing illness, and improving your immunity. It may not prevent you from falling sick (including from coronavirus, unfortunately), but can help your mindset and physical health if you do happen to fall unwell, or if a loved one falls ill.

5) Keep social. Home isolation doesn’t mean you have to switch off your phone! Make time to call a friend each day. If you’re home with family or friends, make time for just having your usual meals together; exercising together; learning a fun new activity together; or playing board games together. An interesting article in the BBC recently showed some unexpectedly positive benefits from working from home and spending more time with loved ones in forced isolation in Wuhan and other parts of China.

6) Talk to someone for help. It’s also okay to speak to a phone or telehealth counsellor over Skype, Facetime or other platforms if you’re having trouble coping. If your employer offers an Employee Assistance Program (EAP) or other free confidential counselling service for their workers, you can access this over the phone or video call as a benefit of your employment. The Australian Government has finally approved funding for Medicare-enabled telehealth consults for GPs to see possible coronavirus and chronic illness patients remotely without having to physically come into the clinic, where they may be exposed to coronavirus or potentially infect others. There are numerous online psychologists and counsellors, with varying fee structures (mostly private out-of-pocket funding in Australia at the time of writing); and other telehealth services in other specialties including Psychiatry, Endocrinology, Rheumatology, Dietetics, Physiotherapy, and other specialties, which, if you see a current Specialist, you may be able to access. All it takes is a quick phone call or email to find out.

7) Your temporary quarantine/isolation is a gift that others don’t have. It may not seem like it immediately; but if you think about the poor doctors who died in Wuhan during the initial outbreak, while the world was trying to figure out what this mysterious new virus was; what the incubation period was; and how to prevent its spread; if you think about the several months’ head start you and your country have in identifying the cause and knowing more about what to expect from COVID19; we are truly, incredibly fortunate, and if we all act together with #compassion and #kindness, we still have time to fight this and stop this horrible disease from spreading and worsening its effects on the world.

These are just some tips to start out with; we may well add more but for now, enjoy this post, let us know if you found it helpful!

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Some thoughts on preparing for the Novel Coronavirus COVID-19

With the alarming spread of COVID-19 on everyone’s minds, it can be easy to feel helpless and dismal about the future. Life’s about accepting what we can’t control, and managing what we can. Here are a few suggestions for you to take action now, and not wait for a pandemic or otherwise to be declared.

  1. WASH YOUR HANDS PROPERLY. WITH SOAP.

We’ve had many people asking; “should I wear a mask? Should I avoid certain areas of town?” All the masks in the world would be useless to prevent infection transmission if we didn’t have proper hand washing technique, that anyone can do, as endorsed by the World Health Organisation (WHO). 

Sing “Happy Birthday To You” twice while washing. That’s the recommendation. (Aloud, if you wish!)

SOAP is key. And frequently. If you cough. If you sneeze from hay fever. Before and after you eat. 

If no soap, use alcohol-based hand rub. 

This goes for the flu as well. Influenza is not just spread by airway droplets; it is actually spread through contact transmission, ie. hands and other surface contact, just like gastroenteritis. Coronavirus (which is a name for a group of respiratory viruses, hence COVID-19 for the name of this particularly virulent subtype) is also spread in this way, just like the common cold. Hence, HANDWASHING WITH SOAP is important. 

I can’t emphasise it enough. Handwashing saves lives. And it’s annoying when people cough and sneeze without covering their mouths and noses in public (an accident is an accident, but if you’re being a tool, that’s just rude). And in Australia, we’re not at the stage right now where our Government is saying we have to wear masks as a precaution. And even if we were, we’d still say- WASH YOUR HANDS WITH SOAP. 

2. Minimise hand-to-hand transmission

So yes, avoiding handshakes is reasonable. 

3. Pay attention to the latest health updates from your local Government health authority. 

Your Federal or State Government; or the equivalent authority wherever you live, will be able to give you up to date advice in your area; on whether it’s safe to go out; to go to work/school; to attend particular events. Listen to the real news, not fake. 

Speaking of real news; drive-thru coronavirus testing has apparently taken off in Daegu, South Korea. Seems like a great way to reduce exposure risks to the community- and to healthcare workers (and their families), too.

4. Prepare for Online Work/Study/Telehealth

One of the only business models that would actually benefit from COVID-19 is telemedicine. 

The RACGP is calling on the Federal Government to allow a short-term Medicare rebate for Telehealth services to help enable consultations while minimising risk of infection transmission. In the US, where Telehealth is more mature, telemedicine providers are ramping up their capabilities and patients are being warned to expect more consultations online.

It won’t just be healthcare. Schools and universities are already in the midst of online classes for those stranded by travel bans and restrictions. EY and other multinational firms have cancelled some business travel and moved to online conferencing to reduce risks to their employees. We foresee professional development conferences and workshops increasingly being moved online across all industries.

So, if you have a remote working/studying option, prepare early for this, as a snap decision could be made by your Government/institution in a day.  Or if you’re self-employed, now would be a great time to see what services you could move online.

5. Pay attention to your travel insurance.

If you’re planning to travel somewhere, check what your travel insurance’s Product Disclosure Statement covers.

6. Be kind and compassionate

There’s absolutely no excuse for racism. Ever. 

It is NOT the fault of someone’s ethnicity or appearance that this virus has appeared. It’s APPALLING how ignorant people can be, and how widespread rudeness is. 

Health systems and local industries beyond health are already overstretched. By putting your prejudices in front and pointing fingers at people of particular appearance (and we’ve been victims of this!), you’re simply displaying how ignorant you are, and wasting time and energy alienating the very people who are trying to help you, or who are your neighbours in your local communities

No one wanted coronavirus to happen. It’ll be easier to get through together without hatred and fear.

Fashion and Sustainability: How Can Medical Workers Get Involved?

Next week, I’m excited to attend LEGACY Summit, presented by Ndless: The New Normal and Fashion Revolution.

LEGACY Summit is a Responsible Fashion Summit. It will have huge talks and workshops on sustainability; ethical work practices; the health issues of the textiles and fibres we wear and consume; and the impact of fashion on our planet. Whether you’re a startup, a consultant for McKinsey (who’ll be there too!), a student, or a curious industry outsider wanting to learn more, it’ll be fantastic to attend and meet great friends sharing the same interests.

It’s incredible (and btw, heads-up for my new project below!), and I can’t wait because it’s something I don’t really get to talk about with other doctors except as a consumer.

Living in Cairns last year, everyone was very conscious of sustainable living and recycling practices. The Great Barrier Reef is on our doorstep, and Banana, Sugar Cane farmers and Daintree rainforest residents and visitors coupled with the proximity to cyclones and the isolation of rural living meant that locals were very conscious of how we could save the planet, one small step at a time.

That includes being one of the first cities in the world to promote paper straws at their bars. Kids running projects like Straw No More on Instagram have done huge things to promote international awareness. Locals were alarmed that international tourists would be served canned drinks on board the Reef ferries; and then find that plastic straws included with the cans were often dumped into our beautiful ocean!!

Coral bleaching from global warming was also a frequent topic in the Cairns Post, and even the changing lifestyle habits of crocodiles were discussed in the media as a potential consequence of global warming. (Hint: the risk is higher in the summer, or wet season in the Far North. But really, just don’t swim in the waters up there, and beware the yellow signs warning of crocs!)

Anyway, as healthcare workers, and as a doctor, I frequently find that I’m having to explain myself when I tell even close friends that I like fashion.

Yes, I love getting dressed up, I love understanding my style choices, and I LOVE understanding the impact of textiles on my own body when dressing for humidity vs frigid temps (and that’s been a frequent consideration when flying between Cairns and Victoria, the ACT and Tasmania in winter!).

But I also love global health, and the fact that the whole world, from Hong Kong Tatler to Calvin Harris to our supermarkets, is talking about sustainability. (Medical Pantry is also inspired by this!)

I think it’s silly and ignorant to dismiss fashion as frivolous. We could spend all day talking about the body shaming issues that have led many to believe this. But as the planet’s largest industry, as clinicians and healthcare workers (and social enterprise startups!), it would be amiss of us to not acknowledge fashion as an important topic that can be worked on by doctors, nurses, physios, dietitians (plant-based fibres, anyone?), podiatrists (think of the great sole materials that can be made from fabric offcuts! Think of Allbirds shoes and other cool startups!), and others in medicine and healthcare.

At any rate, our patients care. It would be wrong to not acknowledge that.

Tickets are still available for Legacy Summit. Other ways you can get involved in the conversation:

1) Attend talks like those at VAMFF (on this week!) and other local fashion festivals

2) Participate in Fashion Revolution

3) Form a blog. Yep, I’m putting together a new blog and podcast, Incredible Wearable, that will explore the intersection between fashion tech, sustainability and health. You can start by following @incrediblewearable on Instagram.

4) Advocate with your College if you’re a member. The RACP has a portal for Climate Change resources for Doctors, including links to The Lancet studies.

5) Open your mind and heart to the possibilities when you don’t silo industries and topics into separate categories. Garment workers in developing nations working in factories with poor ethical practices suffer the health consequences of these practices. Healthy eating for the planet is also an important topic that’s related. EAT Foundation is a recommended resource to get involved with.

6) Global Ideas and other global health events and forums, and webinars, and ecourses, and MOOCs (see our Resources page!) are all great ways to get involved and learn. Once we grow together, we’ll have stronger voices to advocate for all this.

What are your thoughts? How are you involved in sustainable fashion?

The Australian Startup Aiming For Zero Waste In Healthcare

Globally, there’s been increasing awareness - and action- regarding sustainability and climate change.

Healthcare is no different.

Have you ever wondered what happens to the tonnes of unused, sanitised medical supplies found in well-stocked hospitals and clinics in the developed world?

The pristine cannulas and IV drips. The instruments in the operating room. Even the surgical gloves.

Melbourne anaesthetist Dr Martin Nguyen studied this with Hospital Sustainability expert Dr Forbes McGain and their team, and was perturbed by the findings that, in one week in Melbourne, 23% of waste generated from six operating rooms was recyclable. Was it feasible to recycle this waste? The study showed that, yes, it was, both financially and with infection control integrity.

This brought Martin back to his journeys on medical missions trips, where, he says, “in isolated pockets of Vietnam, I noted these communities were in desperate need for medical supplies, but did not have connections or the resources to reach out.” Furthermore, “we discovered (through our research) that there were unused items thrown out into landfill. This practice upset many staff who were avid reducers and recyclers at home, but had to be wasteful at work. They were keen to collect and donate these supplies, but did not know where to send it to.

“This is where the inspiration for Medical Pantry came from. The Medical Pantry sits in the middle to match the needs of undeserved communities with the generosity of the givers.”

Since inception, Medical Pantry has successfully donated high quality, unused clinical goods to communities worldwide, including in Tonga and Papua New Guinea. Led by Martin and a team of eager volunteers, goods are readily donated from hospitals and clinics, and are given to recipients usually via clinicians on missions trips and other aid ventures. Goods can also be used locally; wildlife sanctuaries have benefited, along with local businesses in Victoria’s Western Health district; local clinics may run short, and mechanics find the unused, sterile kidney dishes useful! However, Martin envisages a future where tech enables donors to match recipients’ needs directly online, saving further costs, time and resources that can then be put to use expanding the reach of their work.

A hospital in Papua New Guinea using donated goods from the Medical Pantry.

A hospital in Papua New Guinea using donated goods from the Medical Pantry.

“Our ultimate goal is for the Medical Pantry to not exist at all - for there to be no waste from the healthcare system,” says Martin. “But, while there is waste, the Medical Pantry will find a second life for medical supplies and stop it heading to landfill. I hope in future, this will be a national program with collection/distribution centres in each major city in Australia. I believe the data collected will raise awareness and feedback to those in healthcare to help achieve zero healthcare waste.”

Currently, Medical Pantry is in the running for up to $100,000 in local government grants to help with more permanent warehousing, distribution and storage. (People with Victorian addresses can vote for Medical Pantry to receive funds in this grant, until 5pm, Monday 17 September.) However, to fulfil its dream of recycling goods in other cities and expanding its reach, it will need more funding and support beyond this grant. It’s amazing what impact local work can have on global health.

To reach out to Medical Pantry regarding funding or other support, please visit medicalpantry.org or facebook.com/medicalpantry.

All images in this article courtesy of Medical Pantry.