It comes as medics warn the coronavirus pandemic is likely to lead to long-term mental health conditions.
Coronavirus: Half a million access suicide prevention course
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Category Archives: Mind Building
Coronavirus: UK daily death figure dips to lowest since day after lockdown
The government says if a vaccine trial is successful the UK will have 30 million doses by September.
Generative Learning
Generative learning is when you generate your own solutions to a problem or challenge, get feedback from reality, and learn from your mistakes.
This is similar to the evolutionary development model of software development, whereby you do some coding, play around with your app, and then evolve it some more.
Contrast this with learning solutions from other people. The limitation here is that other people’s solved problems probably don’t perfectly match your current problems.
When I was building my computer games business, I often came up short when trying to apply other people’s advice. They didn’t know my skills and talents. They didn’t know my concerns and limitations. Consequently, their advice would often land flat with me.
I had a similar experience when I was in a $30K per year business mastermind group in 2018. We’d do some masterminding sessions, and I’d often walk away with a collection of advice from other people that made little sense for my situation. People shared what worked for them, not what would work for me. What others advised usually didn’t align with my values, skills, customers, business model, or much else about my business. I often found it more practical to bounce ideas around with my wife.
It’s still nice to mastermind with other people, but not because their ready-made solutions will work. Masterminding is good for stimulating you to do your own experiments and explorations. I found it better for the vibe and the encouragement. The actual business advice was weak and misguided.
Where I tend to get the best results in life is from generative learning. It’s basically trial and error with a fancier name. As simple and effective as this is, people still don’t do enough of it.
It’s hard to come up with good business models that check all the boxes: lucrative, sustainable, personally fulfilling, purposeful, achievable, ambitious, fun, etc. If you apply someone else’s ready-made business model, you’ll probably feel some resistance in applying it to your own life. I think that’s because deep down, you know it’s a bit off. It’s a mismatch for you. Some people can do it, but you have to be really obedient, and many people just aren’t.
Someone else’s model can serve as a starting point for exploration, but there’s no substitute for doing the actual exploration work. Keep generating and testing your own solutions to problems.
When I look at advice on diet and nutrition, I can’t find anyone who teaches how I actually eat.
When I look at other people’s businesses, I can’t find anyone who teaches how to build and run a business like mine.
In all the relationship books I’ve read, I haven’t found any that describe how I relate to people.
I don’t know of anyone else teaching the philosophy of life that actually works for me.
There are lots of people teaching lifestyle design, but none of them teach the lifestyle that works for me.
I like being very organized, but I don’t do organizing like anyone else does. People sometimes ask me if I use some particular system. I can only do my system, not anyone else’s.
I sometimes pick up ideas from other people, but I haven’t allowed anyone to collect me as their protégé. My solutions were all arrived at through generative learning. I experimented till I found what works.
I’m actually pretty happy in my life these days. Even with the coronavirus situation, this has actually been an incredible year for me. One reason is that I’ve been moving quickly through my own forms of generative learning. For instance, the daily blogging serves as a new generative learning experience every day of the year, so my writing can evolve faster. Readers are telling me that I’m doing some of my best work ever this year, but I also think I’m doing some of my worst writing this year. I’m making more mistakes to learn faster.
If I try to directly apply what I’ve learned from other people, it always falls flat. I can’t get myself to do it. It’s always flawed. It’s always missing some key elements that would actually make it work for me.
But generative learning – good old trial and error – that’s been the most reliable path to finding solutions.
The “error” part sucks because who wants to fail? But if we can embrace the suckiness of that and know that it leads to more personalized, effective solutions, it’s easier to stomach it.
How are you personally responding to the coronavirus situation? Are you handling this situation as someone else taught you? Or are you finding your own way through this? I’ll bet you’ll get the best results by figuring out your own approach. Who else is capable to telling you how to intelligently reshape your life during these times? Only you can do that.
Let reality be the judge. Reality will show you whether your solutions are effective or not. If your solutions fall flat, accept that. I hate it when a solution that looks beautiful in the planning phase gets a failing grade from the real world. But I also know that it’s just feedback. It’s part of the learning process. And so I go back to the drawing board and try something else, just as optimistic as the previous time. I’m optimistic because I know that generative learning works in the long run.
What would happen if you embraced personal responsibility for generating your own solutions to life’s problems instead of trying to learn solutions from others? What if devising and testing solutions was 100% on you? What if no one would ever give you any advice? What if you couldn’t read or research to find any solutions?
How would you go about solving some of your problems, relying only on your existing knowledge and skills and good old trial and error? What if your only main problem solving tool was generative learning?
I’d bet that if you leaned more heavily on this tool, you could go faster. You’d stop waiting for other people to teach you things, and you’d come up with your own solutions. Some of your ideas won’t work, and you’ll learn from them. The more you explore and experiment, the sooner you’ll find what does work – for you.
Other people won’t solve your problems for you, but social support is still immensely valuable. Social support is good for generating ideas for experiments to do. It’s good for emotional encouragement. It’s good for pushing you to think bigger and to amp up your ambition. It’s good for pointing out shortcomings in your approaches. It’s good for opportunity abundance. But don’t regard other people as a pathways to fast and easy, ready-made solutions. You’re the ultimate problem solver in your life.
Health24.com | What it’s like: Heading up Charlotte Maxeke’s emergency department in the time of Covid-19
From 1 May 2020, it became mandatory for every person in the country to wear a mask in public. For hospital staff like doctors and nurses, however, wearing masks and personal protective equipment (PPE) has always been the norm even before the first Covid-19 case was confirmed in South Africa.
Medical staff have been donning and doffing – the practice of employees putting on and removing work-related protective gear, clothing, and uniforms – daily. Having to manage infection control in hospitals is after all nothing new.
They are not only treating Covid-19 cases, but are also attending to the ‘normal’ patients, who are placed in separate areas of the hospital, explains Professor Feroza Motara, head of the emergency department at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH).
“You have to wear the full PPE to protect yourself – which includes the helmet. There is a lot of donning – to put on (the clothing) and doffing (to take off the protective clothing) in between seeing patients,” says Motara.
“The full PPE is very hot and uncomfortable to wear when you wear it for long periods. It’s not heavy but it’s hot.”Motara says she feels protected when she wears her PPE.
“We have enough protective equipment. It will be a challenge if numbers go up significantly.”
PPE problems
Limited stock of personal protective equipment PPE, particularly N95 masks, has been a problem in many countries. At times in the United Kingdom doctors have resorted to wearing a surgical mask (not as protective as an N95).
In the United States, many healthcare workers have admitted that their biggest concern is that they will not have enough personal protective equipment to take care of the number of patients that are coming in.
This week the Gauteng Department of Health in a statement said it has 11 004 334 items of PPE stock on hand. Based on the current patient load, the department said this is “adequate” and has procured more.
This include body PPE (gowns), face PPE (masks), hand PPE (gloves), respiratory PPE and tools.Similar fears on PPEs have been expressed in South Africa and it is widely accepted that healthcare workers are at a much higher risk of contracting Covid-19 than the general public.
On Wednesday last week Minister of Health Dr Zweli Mkhize said that 511 healthcare workers in South Africa had by then tested positive for Covid-19.
Of these 26 had been hospitalised and two had passed away at the time. At least one more healthcare worker has died since.Gauteng Department of Health spokesperson Kwara Kekana says they are fortunate that most health workers who tested positive for Covid-19 in the province have not needed hospitalisation.
Less than five months later
The disease that we now know as Covid-19 was first reported less than five months ago in Wuhan, China. On 30 January, the World Health Organization declared the outbreak a Public Health Emergency of International Concern, and on 11 March a pandemic.
Motara remembers how she felt when the Minister of Health announced in February that Charlotte Maxeke would be a designated Covid-19 hospital.
“(It was) scary, and we were anxious when hearing about it as we didn’t know much about the problem,” she says.
In February, Charlotte Maxeke treated its first Covid-19 patient.
“The first patient who was Covid-19 positive was one of the original travellers from the Italian tour group. The patient was stable, and it was a bit scary as we knew so much less than we know now,” says Motara.
“But the patient was managed as any other patient, was treated and discharged within a week.”
South Africa reported its first Covid-19 positive case on 5 March. According to a statement by Mkhize at the time, it was a “38-year-old male who travelled to Italy with his wife”.
The two were part of a tour group of 10 people who visited Italy and arrived back on 1 March – the same tour group as the patient in CMJAH.
Many changes
Motara says that these days the atmosphere at the hospital is more stressful. “Staff are concerned about potential infection and about taking it home to their families,” she says.
While she says that there was little psycho-social support in the beginning, there are now support groups and staff are offered therapy. Staff are also closely monitored for potential Covid-19 infection.
Much has also changed in how the hospital is run. Weekends used to be busy for her unit, Motara explains. [Before lockdown] there were more trauma related cases because of increased alcohol intake.
“Presently we have added a load of Covid-19 related illnesses in addition to the normal patient load.”
She says the lockdown and the alcohol ban now means that there are “almost no trauma cases, no accidents from drunken driving, no violent fights with knives and guns”.
Kekana points out that facilities in the province have now set up triage areas outside for screening, and those presenting with flu-like symptoms are then handled accordingly based on assessment.
Inside the hospital care is also taken to keep Covid-19 patients apart from other patients.
“The medical emergency unit sees all patients but patients are now screened for Covid-19 as they enter the unit and are then separated into different areas for Covid-19 and non-Covid-19.(There is) no effect on non-Covid-19 patients as they are still seen in a separate area,” Motara explains.
“Practice has changed – now there is much more awareness of infection risk, we’re taking additional protective measures – masks, gloves, aprons, visors,” she says. “When entering area where the Covid-19 patients are, one has to take all the precautions.”
By 13 May a cumulative total of 303 Covid-19 positive patients were admitted to hospitals in Gauteng. According to a statement of the provincial health department, a cumulative number of 231 patients were discharged and 24 succumbed to Covid-19.
There are currently 48 patients being treated for Covid-19 in Gauteng hospitals.
“(It is) a bit daunting and anxious but hopefully our preparation has enabled us to deal with what’s coming,” says Motara when asked about the expected surge in Covid-19 cases.
“We have put protocols in place and chains for command regarding who gets intubated and when. These are based on evidence from overseas areas that had high numbers of patients.”
‘The greatest reward’
Motara started working as a doctor in 1991.
“I graduated from Wits University, worked as an intern at the then Johannesburg General Hospital just after it had opened up for non-white staff to be employed there,” she says.
Thirteen years later in 2004 she became the head of the emergency department at Charlotte Maxeke.
She grew up in Mbombela (Nelspruit).Motara says she became a doctor because she has always had a passion for helping others.
“(I’m) trying to do good for more than myself. I feel I can make a difference in people’s lives and communities,” she says.“Helping a gogo who is ill or a child lying at death’s door is the greatest reward for what I do.”
But with Covid-19 comes new risks.“My family are concerned about my risk and exposure and I’m concerned about potentially exposing them if I get infected,” she says.
Motara sees her two children daily but cannot see her mother or extended family. “(I) need to protect my elderly mum from any risk – but we talk over the phone or social media.
My children are old enough to understand,” she says, “so they know the risks. Although they are coping well, they are worried about me.”
*This article was produced by Spotlight – health journalism in the public interest. Sign up for our newsletter and stay informed.
Image credit: Photo supplied
Health24.com | Coronavirus morning update: Cigarette ban ‘failing’, lockdown criticism, and what the virus looks like
The latest number of confirmed cases is 14 355.
According to the latest update, 261 deaths have been recorded in the country.
There have now been 6 478 recoveries.
Of significance, according to Health Minister Zweli Mkhize, is that the country’s recovery rate is 42.4%, above the global average of 38% – while the mortality rate in SA is 1.8%, below the global average of 6.6%
So far, 439 559 tests have been conducted, with more than 18 000 new tests.
READ MORE | All the confirmed cases of coronavirus in SA
Latest news:
The ban on cigarette sales is failing in what it set out to do – and rather than stopping smokers from smoking, it could be setting up an illicit market for survival well beyond the coronavirus outbreak, a new study has found.
The study, by University of Cape Town researchers Corne van Walbeek, Samantha Filby and Kirsten van der Zee, is titled Lighting up the illicit market: Smokers’ responses to the cigarette sales ban in South Africa, and is based on a survey among 16 000 respondents.
“Our findings suggest that the ban on cigarettes is failing on what it was supposed to do,” the authors write.
“While the original intention of the ban was to support public health, the current disadvantages of the ban may well outweigh the advantages. Smokers are buying cigarettes in large quantities despite the lockdown, and unusual brands are becoming prevalent.”
The ban also does not make “economic sense”, they argue.
“While one should not exaggerate the revenue potential of excise taxes on tobacco products, since it contributes only 1% of total government revenue, it does not make economic sense to not collect this revenue.
“The current sales ban is feeding an illicit market that will be increasingly difficult to eradicate when the lockdown and the Covid-19 crisis is over. It was an error to continue with the cigarette sales ban into Level 4 lockdown.
“The government should lift the ban on cigarette sales as soon as possible.”
READ MORE | Cigarette ban is ‘failing’, can create lasting illicit market – study
The government’s phased exit from the lockdown is nonsensical and unscientific, says one of the top scientists advising it.
Dr Glenda Gray, a member of the Ministerial Advisory Committee (MAC) and chairperson of the South African Medical Research Council (SAMRC), said the lockdown should be eradicated completely, and that non-pharmaceutical interventions (NPI), such as handwashing, wearing masks, social distancing and prohibitions on gatherings, should be put in place.
According to Gray:
• Malnutrition cases were being seen in hospitals.
• The month-to-month phasing-out of the lockdown has no basis in science.
• Many lockdown regulations were seemingly thumb sucks.
The government needed to reflect on its decisions and admit it had made mistakes because the nature of the pandemic was always changing, she said.
READ MORE | Unscientific and nonsensical: Top scientist slams government’s lockdown strategy
At the beginning of May, South Africa entered Level 4, the second phase of its National Covid-19 lockdown. Some regulations setting out what people may and may not do under level 4 have been controversial and government has been criticised from various of quarters.
President Cyril Ramaphosa addressed the nation on Wednesday evening (13 May) and admitted that the government has at times “fallen short” of the country’s expectation.
“Some of the actions we have taken have been unclear, some have been contradictory, and some have been poorly explained. Implementation has sometimes been slow, and enforcement has sometimes been inconsistent and too harsh,” he said.
Ramaphosa also indicated that some regulations may change in the coming days and that most of the country should be on a level 3 lockdown by the end of May.
Spotlight spoke to six health experts about the rationale behind some of the most controversial of the current regulations
READ MORE | Covid-19: Some health experts critical of lockdown regulations
A major women’s organisation has written to the United Nations Women, pleading for it to order the Department of Social Development to stay away from soup kitchens and non-profit organisations (NPOs) in the country.
Founding member of 1000Women1Voice, Tina Thiart, said in a statement that the organisation had written to executive director of the UN Women, Phumzile Mlambo-Ngcuka, complaining about the department’s proposal to control and accredit soup kitchens.
Thiart claimed that many women’s organisations had already started soup kitchens, mobilised funding, solicited food donations, recruited volunteers and had already served thousands of meals to vulnerable communities.
“The department now proposes to control, manage and determine who can run a soup kitchen. It wants to centralise donations. We say no. Keep your hands off our soup kitchens. We as communities and non-profit organisations will decide how and when we provide food. We demand the department to stop,” Thiart said.
WHAT’S HAPPENING IN THE REST OF THE WORLD
Cases update:
For the latest global data, follow this interactive map from Johns Hopkins University & Medicine.
Late on Saturday night, positive cases worldwide were more than 4.6 million, while deaths were more than 310 000.
The United States had the most cases in the world – more than 1.45 million, as well as the most deaths – more than 88 000.
READ MORE | All the confirmed cases worldwide
Latest news:
China has confirmed that it had ordered unauthorised laboratories to destroy samples of the new coronavirus but insisted that it was due to “biosafety reasons”.
The announcement comes after Secretary of State Mike Pompeo has repeatedly said that China refused to give virus samples taken from patients infected with Covid-19 in late December last year and that officials had destroyed early samples, according to South China Morning Post.
Liu Dengfeng, an official with the Chinese National Health Commission’s science and education department, said in a Beijing briefing on Friday that the samples were destroyed to “prevent the risk to laboratory biological safety and prevent secondary disasters caused by unidentified pathogens.”
He insisted that this was not done to cover-up or hide samples from other countries, but was done strictly for biosafety reasons.”The remarks made by some US officials were taken out of context and intended to confuse,” Liu said.
President Cyril Ramaphosa addressed the nation on Wednesday evening (13 May) and admitted that the government has at times “fallen short” of the country’s expectation.
“Some of the actions we have taken have been unclear, some have been contradictory, and some have been poorly explained. Implementation has sometimes been slow, and enforcement has sometimes been inconsistent and too harsh,” he said.
Ramaphosa also indicated that some regulations may change in the coming days and that most of the country should be on a level 3 lockdown by the end of May.
Spotlight spoke to six health experts about the rationale behind some of the most controversial of the current regulations.
Professor Landon Myer, Director and Head of the School of Public Health & Family Medicine at the University of Cape Town, stressed that there are no clear right answers.
“The clear driver of all the problems, is that we don’t know enough about the epidemiology of the virus to know exactly what is going to be the most effective strategies,” he said.
READ MORE | Covid-19: Some health experts critical of lockdown regulations
The new coronavirus, named SARS-CoV-2, received its name for its crown-like spikes on its surface which can be seen under a microscope.
However, according to a news release by EurekAlert, scientists from the biomedical visualisation studio, Visual Science, have recently created a three-dimensional (3D) model of the virus at atomic resolution, which allows for the incredible ability to view individual atoms.
To create an accurate model, the team of scientists and CGI specialists used the latest scientific research that looks at the structure of coronaviruses, and communicated with virologists currently working with SARS-CoV-2.
Apart from their recent model, they also previously created models of Ebola, HIV, Zika and flu viruses.
Their HIV virion model was awarded first place at the 2010 Science and Engineering Visualization Challenge (SEVC), according to EurekAlert.
The new coronavirus isn’t just attacking the lungs: New research shows it’s causing harm to the gastrointestinal tract, especially in more advanced cases of Covid-19.
A variety of imaging scans performed on hospitalised Covid-19 patients showed bowel abnormalities, according to a study published online on 11 May in Radiology. Many of the effects were severe and linked with clots and impairment of blood flow.
“Some findings were typical of bowel ischaemia, or dying bowel, and in those who had surgery we saw small vessel clots beside areas of dead bowel,” said study lead author Dr Rajesh Bhayana, who works in the department of radiology at Massachusetts General Hospital in Boston.
“Patients in the ICU can have bowel ischaemia for other reasons, but we know Covid-19 can lead to clotting and small vessel injury, so bowel might also be affected by this,” Bhayana explained in a journal news release.
One expert unconnected to the new study said the findings aren’t surprising.
“Our emerging understanding of Covid-19 has found the disease to have multisystem involvement including the nervous, cardiac, vascular [excess clotting] and finally the digestive systems, among others,” said Dr Sherif Andrawes.
He directs endoscopy in the division of gastroenterology and haematology at Staten Island University in New York City.
READ MORE | Studies show Covid-19 can infect and harm digestive organs
HEALTH TIPS (as recommended by the NICD and WHO)
• Maintain physical distancing – stay at least one metre away from somebody who is coughing or sneezing
• Practise frequent hand-washing, especially after direct contact with ill people or their environment
• Avoid touching your eyes, nose and mouth, as your hands touch many surfaces and could potentially transfer the virus
• Practise respiratory hygiene – cover your mouth with your bent elbow or tissue when you cough or sneeze. Remember to dispose the tissue immediately after use.
Image credit: Getty Images
Health24.com | WATCH | Your breakfast may be causing you stress
The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. If you are experiencing symptoms or need health advice, please consult a healthcare professional. See additional information.
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Being Stimulant-Free
I like being 100% stimulant free – no coffee, caffeinated tea, chocolate, caffeinated soda, etc.
This means no decaf either since decaf still contains some caffeine.
I base this on lots of personal experimentation. I’ve gone some years of my life with no stimulants, and I’ve also gone for long stretches consuming coffee daily. The two modes of living are notably different.
Caffeine tends to make me obsess more over trivialities and lose focus on big picture goals. I see this pattern in other coffee drinkers often – lots of busywork type of thinking on low criticality items. It seems to make some people have a harder time focusing on long-term projects and avoiding short-term distractions.
When I consume coffee daily, I’ll check email more often. I’ll spend more time on social media. I’ll web surf more. I’ll invest in minor tasks that don’t need to be done. I’ll spend more time organizing and reorganizing instead of moving the needle forward on big projects. I’ll open more loops than I close. I’ll feel extra busy but have less to show for it.
Stimulants always drain me eventually, especially after months of daily use. That’s true even for a single espresso shot or a single cup of green tea per day. It always leads to adrenal exhaustion, and then I need to take at least several weeks off. I know I’m at this point when I can’t seem to make good progress on bigger projects, and I can tell that my mind is becoming too chaotic. I might spend 8 hours at my desk and get 90 minutes of important work done.
I love the taste of coffee, and it’s delightful to drink a cup of it, but I’ve learned that I can’t really have an occasional relationship with it if I want to function at my best. It’s way too addictive for me. If I have even a small amount, I risk slipping into the pattern of having it daily for months.
I’ve learned that it’s best to avoid chocolate too (including cacao) because chocolate is a gateway drug back to coffee. Same goes for green tea. So while I have enjoyed those in the past, I feel safer steering clear of them. I like how my brain works better when not under the influence of stimulants.
I’ve also learned not to trust my addicted brain. It has many tricks for luring me back in.
It’s just one piece of chocolate.
What if you just had a decaf or a half-caf?
You could just have a small amount?
You’re traveling, so why not indulge a little?
Hey, it’s free!
Coffee is so nice for socializing.
It’s Costa Rican coffee!
It’s 100% Kona!
The addicted brain can be downright evil sometimes.
When my mind is stimulant-free, it feels more chill. The volume of mental chatter is much quieter. I don’t feel like a rodent in a maze sniffing for the cheese constantly. It’s way easier to relax into bigger projects and stick with them with good discipline. I become much better at closing loops, and I become more discerning and careful about opening new ones.
My stimulant-free brain is more disciplined. It’s easier to get up before dawn. It’s easier to maintain good habits like exercise. And I feel fewer cravings for processed foods that go so well with coffee.
The most reliable brain booster is cardio exercise. I love the effects of that way better than coffee. Exercise rebalances my thinking while coffee tends to unbalance me. This morning I went for a 90-minute hill run, starting at 4:45am. That was a stimulating challenge, but it doesn’t create the crashing like coffee does. I feel a sense of accomplishment from running that I don’t get from finishing a cup of bean juice.
Whenever I detox from coffee, it takes about a week. It’s not too difficult to quit, but it’s way easier to slip back into addiction. I usually have mild headaches and extra fatigue on days 2-4, and then on days 5 and 6, I typically have to deal with feelings of dread and paranoia. The emotional detox is worse than the physical detox. Those feelings always pass though, and then around day 7, I start remembering how nice it feels to be caffeine-free. I remark at how calm and relaxed my mind feels.
If I want something hot to drink, I go with herbal tea. Lately I’ve been enjoying mint tea a lot.
Stimulants can too easily mask a lack of natural stimulation in our work and goals. Coffee can cover up underwhelming goals by making them seem more stimulating than they are. If you drop coffee, you may need to face that your goals and life path are duller than you’d like. Coffee hides that emotional truth from you.
Coffee can also do this in a relationship. If your relationship is underwhelming, you can drink more coffee to avoid dealing with that emotional truth. Having another cup is easier than facing the truth about your feelings.
When I drink coffee, my awareness narrows. Without coffee I feel like a much broader spectrum of my awareness comes back online again. I feel more connected to more parts of the world. I notice nature more. I hear the birds tweeting as the sun rises. And I notice the sunrise itself. Here’s a pic I took while running this morning:
When I’m caffeine-free, I become more aware of just how boring and circular social media is. I see it as more distraction than stimulation, so I spend less time on it. I become more attuned to bigger creative projects and interesting challenges. I seek stimulation through goals and challenges that appeal to me. I get more excited about the path I’m on.
I like having a stimulating life, but I’d rather get it from stimulating goals and projects instead of taking drugs. I like the emotional honesty of that. If my life is under-stimulating, I want to be able to feel that, so I can take corrective action. I don’t want to drown those feelings under espresso shots. I want to feel and experience the true reality of life.
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