Pages

Monday, November 23, 2020

Americans Are Planning a Different Kind of Holiday This Year


My longtime friend Christine grew up in Chicago and most of her large extended family are still firmly rooted in the Midwest. Thanksgiving has always been the time when her family gathered. Much more than Christmas, Thanksgiving has been their time for traditions—the same favorite recipes—no deviation allowed, ever. Annual walks along the shores of Lake Michigan, holiday shopping along the magnificent mile. Long lunches, dinners and conversations. As long as I can remember, she braved long lines, colds and flu, pregnancy, snowstorms and airport closures to be with her family at Thanksgiving.

But this year, her family is putting their traditions on hold

They’ve been frantically emailing and texting for the last few months. Time has taken its toll. Many family members are now in the high-risk group—older, with conditions that make them vulnerable to infection. One nephew has asthma, an uncle recently had a kidney transplant. They’ve considered gathering as usual, but excluding those who are high-risk. But for those who need to fly to the Midwest for the holiday, there is too much resistance. This family will put off their traditional Thanksgiving for the first time in more than 50 years.

Covid cases are on the rise, and each day exceeds the previous day’s record

“I’m not going to tell people not to have a family gathering, because mental health is important, now more than ever,” says epidemiologist Saskia Popescu, PhD, an assistant professor at George Mason University. “But I can’t in good conscience say, ‘Yeah, it’s okay to have a big celebration.’ There is no 100% safe way for two households to get together for the holidays in any area where Covid is circulating, which currently includes the entire United States.”

It’s not just the gatherings, but the getting there

Airplanes have good ventilation and air filtering, but you can’t control who sits near you. If one of those passengers is shedding virus, your risk rises.

If you must go, reduce the risk:

  • Move gatherings outdoors, weather permitting.
  • Wear masks except when eating.
  • Maintain as much physical distance as possible, with six feet as a minimum (more is better).
  • Limit time spent with others, especially indoors.
  • If you must be inside, open the windows if possible, to increase ventilation, or get an air purifier or upgrade your whole-house air filters to help reduce the concentration of any virus particles. If someone is shedding the coronavirus, it can build up in a poorly ventilated space, and the risk grows with each passing minute.

We’re all feeling increased levels of anxiety

We’re all on edge. The chaos of the campaign and the election. An uncertain economy, the insecurity of our jobs—the added responsibility for schooling our kids. Covid adds another layer of ambiguity and fear.

Experts advise us to start the holiday talks with family now

“If you’re the person who’s ready to walk through the door at Aunt Jen’s house, know that your siblings, cousins, and other family members may not be comfortable joining you. We suffer a lot because we are waiting for things to change, as opposed to accepting what is,” says Karen Dobkins, Ph.D, a professor of psychology at UC San Diego. The holidays will be different this year, and there’s no use crying over the loss. Once you’ve accepted the insanity that is 2020, you’re ready to take the next important step.”

This is the time to make new traditions

Rather than fighting the inevitable change and mourning the loss of your traditional holiday, create a new tradition.

  • Think about what you value most about the holiday and replicate it in your own home.
  • If Thanksgiving is about food, replicate that meal in your own home. Get the whole family involved in its preparation. Share it via Zoom with your extended family.
  • This is the season for giving. So many people have lost their homes and livelihoods in the North Bay fires. Contributing to this or other causes could become your new tradition and a way to introduce your kids to the spirit of sharing.
  • Think about family walks, games or bike rides. The possibilities are endless.

Celebrate being together, being grateful for what you have. It’s been a tough year!

Covid has prompted many of our clients to create Living Trusts

Many of our clients are gaining some peace of mind by creating or updating their Living Trusts. Naming your heirs and identifying how you want your estate to be distributed ensure that your family will avoid the painful Probate process.

Our Trust package includes a Power of Attorney and an Advance Healthcare Directive. It also includes a Pour Over Will, and for those families with children under 18, this means that they can name a Guardian rather than having the court appoint one for them.

Best of all, we guide you through it and we prepare the legal documents. At California Document Preparers, for most of our services, we charge one flat fee. We’re helpful, compassionate and affordable.

We service the entire East Bay and North Bay areas

Berkeley, El Cerrito, Richmond, Pinole, Alameda, San Leandro, Castro Valley Newark, San Lorenzo, Concord, Alamo, Danville, Lafayette, Orinda, Moraga, Pleasant Hill, Martinez, Pittsburg, Antioch, Brentwood, Oakley, Discovery Bay, Pleasanton, San Ramon, Livermore, Tracy and Fremont. Our clients also live in the Napa Valley, Benicia, Vallejo, Martinez, Fairfield.

Tuesday, November 10, 2020

Will Covid-19 Reduce the Severity of Flu Season?


Eight months and counting. We can’t get a safe, effective COVID vaccine soon enough. We long to strip off our masks and hug our friends and families again. To throw open the doors of restaurants, bars, theaters, concert halls, movie theaters and sports venues and embrace life once more. But experts caution us that a vaccine may not be the panacea we seek.

What we can learn from the flu vaccine

Let’s take a look at our annual flu shots. Flu vaccines are approximate 50% effective in preventing infection from each season’s flu bug. Flu vaccines are administered annually because the mix of viral strains varies from year to year. Even if the viruses don’t change significantly, our immunity wanes.

Scientists continue to learn about the coronavirus, and they know that it mutates. “If a vaccine was developed that is 50% effective in preventing COVID, it would still be licensed,” said Michael T. Osterholm, infectious disease specialist at the University of Minnesota. “We’d like a higher degree of effectiveness, but as with the flu vaccine, 50% protection is better than zero.

“It will disappear, like magic”, is so not going to happen

Even after being immunized against COVID, we may still have to wear our masks, practice social distancing and frequently wash our hands. It’s not “just disappearing, like magic”, as President Trump predicted.

The good news: We may see a less severe flu season this year

The protective COVID measures that we’ve been practicing well may affect our winter flu season. Experts look to the Southern Hemisphere as a predictor. Australia had a quester flu season this year. “We think that’s because people have been using measures to prevent COVID-19”, said Dr. Kristin Englund, an infectious diseases expert at the Cleveland Clinic in Cleveland, Ohio. Dr. Christopher Ohl, a professor of infectious diseases at Wake Forest Baptist Health in Winston-Salem, North Carolina, agreed that “there is a little bit of hope that the flu season will be a little less severe this year.”

  • Our manic use of hand sanitizers and handwashing will help keep the flu bug at bay.
  • Masks will reduce the airborne transmission of COVID and the common flu.
  • For those who get the flu after being immunized, the illness is likely to be significantly less severe.
  • Health care professionals are optimistic that this also may be the case with a coronavirus vaccine.

Experts are concerned about winter and the convergence of flu and COVID

Health care workers are now focusing on the rate of infections this winter. COVID cases are on the rise here at home and in other countries.

  • In Europe, where COVID is on the rise again, there are new restrictions. Paris has imposed a curfew. London has banned people from different households from meeting indoors.
  • In Iowa and North Dakota, where there are no mask mandates, the virus is surging, with more than 20% positivity rates.
  • Hospitals in some parts of the country have reached capacity, yet the White House’s Office of Science and Technology is celebrating the end of the pandemic. It is no longer controlling the virus.
  • Incredibly, Florida has completely opened up its economy—bars and restaurants, gyms and theaters–no masks or social distancing.

Experts worry that the confluence of COVID and our normal flu season could overwhelm the health care system. Pneumonia can be a complication of the flu, which would further burden hospitals—many with a limited number of ventilators.

Those most vulnerable are seniors, children under five and pregnant women. And as we’ve learned from COVID, those with preexisting conditions are especially at risk.

For those over 65, a high-dose flu vaccine is now available

For people 65 and older, an inactivated vaccine called Fluzone High-Dose is now available and covered by Medicare. It is especially recommended for people living in nursing homes and long-term care facilities. According to a study published in The New England Journal of Medicine, the high-dose vaccine was 24% more effective in preventing flu in older adults than the standard-dose vaccine.

When to get your flu shot? Right now.

October is the ideal time to get a flu shot to ensure that it lasts through the flu season.

COVID has created an urgency on many levels, including creating a Living Trust

As the COVID crisis drags on, more clients are scheduling appointments to create or update their Living Trusts. Our Trust package includes a Power of Attorney and an Advance Healthcare Directive. It also includes a Pour Over Will, and for those families with children under 18, this means that they can name a Guardian rather than having the court appoint one for them.

Creating a Trust helps provide peace of mind during these uncertain times. Best of all, we guide you through it and we prepare the legal documents. At California Document Preparers, for most of our services, we charge one flat fee. We’re helpful, compassionate and affordable.

We service the entire East Bay and North Bay areas

Berkeley, El Cerrito, Richmond, Pinole, Alameda, San Leandro, Castro Valley Newark, San Lorenzo, Concord, Alamo, Danville, Lafayette, Orinda, Moraga, Pleasant Hill, Martinez, Pittsburg, Antioch, Brentwood, Oakley, Discovery Bay, Pleasanton, San Ramon, Livermore, Tracy and Fremont. Our clients also live in the Napa Valley, Benicia, Vallejo, Martinez, Fairfield.