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RE: Strategies to support Healthcare Providers during the Covid-19 Pandemic – CMAJ
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We thank Wu and colleagues for their important commentary regarding potential psychological effects of Covid-19 on health care providers (HCP) (1). Our group of multi-disciplinary oncology providers was formed to support oncology HCP, a group at high risk of burnout (2). We outline additional strategies we developed which complement this commentary.
HCP wellness is a spectrum from engagement to burnout; we recognize that individual characteristics, experiences, and organizational factors can influence ones position on this spectrum (3). Our approach follows five key considerations for HCP during Covid-19, developed by Shanafelt (4). At the organizational level, our group advocates to ensure the first three principles (hear me, protect me, and prepare me,) are factored into decision-making and communication.
We developed resources aligned with the support me, and care for me categories. First, CREATE (Compassion and REsilience TEam-building) pairs a psychosocial professional with clinical managers to offer support and embed low dose interventions into clinical teams using a coaching and psychological first aid model. Second, we created a toolkit with information on accommodation, grocery delivery, safety, coping, and mental health resources. We also implemented the Buddy Up program to foster connectedness, by asking HCP to form groups of twos or threes and check-in daily via phone, email, or text message. Other interventions include virtual coffee mornings to debrief, online exercise programs, and virtual meditation lounges led by trained physicians. These provide tailored options for HCP to achieve connection, mindfulness, movement, and meaning.
The Covid-19 pandemic is an unprecedented event that has challenged HCPs wellness and resilience; however, it provides a unique opportunity to address institutional gaps in dealing with such stressors. We hope that organizations continue hearing, protecting, preparing, supporting, and caring for HCPs beyond this pandemic.
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RE: Strategies to support Healthcare Providers during the Covid-19 Pandemic - CMAJ
LMU developing Doctor of Physical Therapy program in Knoxville – Times Tribune of Corbin
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HARROGATE, Tenn.Lincoln Memorial University-DeBusk College of Osteopathic Medicine (LMU-DCOM) is developing a Doctor of Physical Therapy (DPT) program at its LMU-Knoxville location (9737 Cogdill Road). The program will begin taking applications for its inaugural class summer of 2020 for an anticipated May 2021 start date.
Physical therapists (PTs) are movement experts who optimize quality of life through prescribed exercise, hands-on manual therapy and patient education. PTs teach patients how to prevent or manage their condition to achieve long-term health benefits. PTs practice in a variety of health care settings including outpatient orthopedics, inpatient acute care, cardiopulmonary, pediatrics, wound care, neurological spinal cord injury, stroke rehabilitation, geriatrics, amateur and professional sports rehabilitation and more.
The demand for physical therapists in the workforce is at an all-time high and will continue to grow as the population ages and the need for mobility services increases, said Associate Program Director Dr. Kellee Harper-Hanigan. LMU holds a deep commitment to meeting the health care needs of communities in Appalachia and beyond, and the new DPT program will help train PTs to meet the growing need.
There are more than 209,000 licensed physical therapists in the United States today and the number is growing. The U.S. Bureau of Labor Statistics projects a 22 percent increase in employment opportunities for physical therapists between 2018 and 2028. The physical therapy profession was ranked by U.S. News and World Report, as #10 for Best Health Care Jobs of 2020 and #15 for 100 Best Jobs of 2020.
The LMU-Knoxville DPT program will offer a thoughtfully organized curriculum designed to integrate traditional didactic educational content with contemporary clinical experiences that emphasize the importance of evidence-based and patient-centered care.
There are few programs that can offer the unique opportunities that LMUs Doctor of Physical Therapy program provides, said Harper-Hanigan. Students have an opportunity for interprofessional education with other LMU health care professional programs, use of state-of-the-art facilities that include a human cadaver laboratory and multiple high-fidelity medical simulation learning spaces, and faculty experienced in PT research and contemporary evidence-based patient care.
LMU is offering three pathways of entry to the program. Freshmen can enter the 3+3 program, an accelerated academic track that enables students to complete their Bachelor of Science and Doctor of Physical Therapy degrees in six years, as opposed to the traditional seven years. Current LMU students and transfer students from other institutions may also enter the program after completing the prerequisite coursework. For those who have already completed their bachelors degree, but want to pursue a Doctor of Physical Therapy, they can do so without having to take the Graduate Record Examination (GRE).
The program is in the pre-candidacy stage of the accreditation process and will be applying for candidacy December 2020 with the application for full initial accreditation submitted Fall of 2023 to the Commission on Accreditation in Physical Therapy Education (CAPTE).*
For complete information on admissions and application requirements, visit: http://www.LMUnet.edu/dpt.
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LMU developing Doctor of Physical Therapy program in Knoxville - Times Tribune of Corbin
COVID-19 resources: specialties and allied health – Pulse+IT
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Written by Kate McDonald on 21 April 2020.
Genie Solutions
Genie Solutions says its practice management platform, including its Genie desktop and Gentu cloud offerings, is providing tools to help meet the changing requirements of practices and their patients during the crisis.
Gentu is a cloud platform that can help practices wanting to enable telehealth and improved remote access. New filtering and bulk communications functionality has been added to identify and communicate with patients based on appointment date ranges, as well as COVID-19 risk factors. Special pricing has been made available for telehealth-related applications.
Genie is also offering discounted and flexible additional licences to meet the need for increased remote access and telehealth. Customers can also now add online patient registration to their software, a new service that allows patients to provide detailed demographic information and telehealth consent online, reducing the time spent in waiting rooms.
SMSs relating to COVID-19 are being discounted by 50 per cent to assist practices with the increase in patient communication volume, backdated to March 1.
MBS item changes related to telehealth are being provided for seamless updates to billing and the company says further telehealth-related services are being expedited.
Genie Solutions website
Clinic to Cloud
Clinic to Clouds practice management platform allows clinicians to offer telehealth appointments to patients through its customised appointment schedule, patient portal and compatibility with telehealth providers such as Coviu.
The integrated cloud technology creates a fully functional virtual practice, meaning patients who begin to display symptoms for COVID-19 can meet with their doctor remotely, avoiding the need for them to present to a medical clinic.
In addition to facilitating telehealth, Clinic to Cloud also offers additional features to triage patients and tailor up-to-date messages before attending appointments such as batch SMS, automated appointment reminders and recalls.
Clinic to Clouds patient portal also can provide customised screening questions and securely share the latest updates of how the practice is responding COVID-19.
DermEngine
MetaOptima has launched a teledermatology module to help skin cancer GPs and dermatologists to continue to operate during the social isolation and quarantine periods. The module gives practices the ability to remotely extend care to patients with a connected patient portal app for secure image acquisition.
DermEngine is the skin cancer management platform used by Sonic Healthcare's IPN clinics, Australian Skin Cancer Clinics and Sonic HealthPlus clinics as well as Healius and Fullerton Health clinics across Australia, and other GPs and dermatologists in Australia and New Zealand.
MetaOptima has developed a targeted onboarding approach for staff and invited patients to ensure they remain connected to the practice at every step. DermEngine's telederm module is also designed to accommodate private billing requirements through flexible payment options.
The company also markets theMoleScope, a skin magnifier that patients can use to image their moles and share the images with their dermatologist.
DermEngine website
Firstcheck
Firstcheck is offering its store and forward direct to consumer teledermatology solution to clinicians to enable remote servicing of patients with skin issues during the coronavirus outbreak.
Approximately 20 per cent of GP appointments in Australia and New Zealand involve a skin complaint and appropriate triage and remote advice using asynchronous store and forward teledermatology has the potential to free up GP time, Firstcheck says.
Firstcheck has developed a smartphone dermoscope that costs just $25 and enables mobile teledermoscopy and general teledermatology services as well as its main skin cancer applications.
Firstcheck website
TrackActive
TrackActive is making its physiotherapy and hand therapy exercise prescription software free for 90 days to help clinics stay open during the pandemic and service patients by telehealth.
TrackActive allows practitioners to create and send customised exercise programs to patients via PDF, a secure mobile web login or to the TrackActive iPhone or Android patient app. The software features clear instructional images, video and descriptions.
Patients are able to log program completion, session difficulty and symptoms through their mobile phone. Practitioners can use a dashboard to stay informed and get a snapshot of their patients progress in between or before consultations. It also has PROMs capabilities.
The software is integrated with the Cliniko and Nookal practice management systems.
TrackActive website
Oculo
Eye health clinical communications networkOculo has launched video conferencing technology in its platform to support teleophthalmology and teleoptometry.
Oculousers can conduct teleconsultations directly from theOculoplatform, which can be used as a standalone system but is also integrated with some electronic medical records and with Topcon's Harmony image management system.
For the COVID-19 pandemic,Oculohas formed a partnership with Optometry Australia to give its members access to theOculoplatform, including the new telemedicine feature, for an initial six-month period.
The service connects optometrists and ophthalmologists with each other and with their patients, reducing the need for in-person consultations. The video conferencing technology is a HIPAA-compliant WebRTC service.
Oculo's telehealth website
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COVID-19 resources: specialties and allied health - Pulse+IT
Increased COVID-19 testing in Hawkesbury – The Review Newspaper
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The Hawkesbury and District General Hospital (HGH) is inviting all citizens concerned about COVID-19 to be tested at the Hawkesbury Assessment Centre. The province recently published new guidelines regarding testing criteria and is calling for an increase in the number of tested people to help prevent the spread of the virus and to protect vulnerable people and communities.
Do you have symptoms or do you fear having been in contact with an infected person? Just come for a test at the COVID-19 Assessment Centre in Hawkesbury. Prevention is our best line of defence against the spread of the virus. No appointments and no referrals are needed. All you have to do is show up between 9 a.m. and 5 p.m., Monday to Friday, says Dr. Suzanne Filion, Vice-President of Development and Integration at HGH.
The most common symptoms of COVID-19 are fever, cough, or difficulty breathing. Other signs of infection may include new or worsening respiratory symptoms such as a sore throat, runny nose, sneezing, nasal congestion, hoarse voice, or difficulty swallowing.
Sometimes, an infected person may show less common symptoms such as unexplained fatigue, confusion, falls, worsening of a chronic condition, nausea, vomiting, diarrhea, abdominal pain, chills or headaches. So if you or a loved one have any of the symptoms, please come for a test. It is quick and easy, and it can protect you and your family, adds Dr. Julie Maranda, HGH Chief of Staff.
The province recommends that anyone with symptoms or that has been in close contact with a confirmed case be tested. People considered at a higher risk should also be tested, including healthcare workers, long-term care and retirement homes residents, first responders (firefighters, police officers and paramedics) and other caregivers. The recommendation extends to essential services workers in grocery stores, food services, maintenance, transportation and utilities.
The COVID-19 Assessment Centre is located at 750 Laurier Street in Hawkesbury. The centre is managed by HGH in partnership with the Eastern Ontario Health Unit. Business hours are 9 a.m. to 5 p.m. Monday to Friday.
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Increased COVID-19 testing in Hawkesbury - The Review Newspaper
F.D.A. Approves First In-Home Test for Coronavirus – The New York Times
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The Food and Drug Administration on Tuesday said it had granted emergency approval to the first in-home test for the coronavirus, a nasal swab kit that will be sold by LabCorp.
The agency said that LabCorp had submitted data showing the home test is as safe and accurate as a sample collection at a doctors office, hospital or other testing site.
With this action, there is now a convenient and reliable option for patient sample collection from the comfort and safety of their home, Dr. Stephen M. Hahn, the F.D.A. commissioner, said in a statement.
Patients will swab their own nose using a testing kit sent by the company, and will mail it in an insulated package back to the company. The test, called the Pixel, will be available to consumers in most states, with a doctors order, the agency said.
LabCorp said that it would first make the tests available to health care workers and emergency workers who may have been exposed to Covid-19 or be symptomatic, and that it would be making the self-collection kits available to consumers in the coming weeks. The company also noted that because the tests are done by consumers in their own home, it would cut down on the demand for masks and other protective equipment that is usually needed to collect testing specimens.
The company said the test will cost $119. Consumers will have to pay out of pocket for the test, a company spokesman said, and see if their insurer will reimburse them.
As the virus spread in the United States, several companies rushed unauthorized home kits to the market, even though the F.D.A. had said it had not evaluated whether they worked properly.
Many of those companies then suspended their marketing of the kits. But one company, Vault, which normally sells testosterone to men, began advertising a Covid-19 kit using saliva on April 14. The F.D.A. has not approved that company to sell a testing kit, and a notice on Vaults website said the tests are currently unavailable until at least Wednesday.
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F.D.A. Approves First In-Home Test for Coronavirus - The New York Times
Coronavirus and Men: Why Is the Virus So Much More Deadly to Men? – GQ
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There is so much we dont understand about the novel coronavirus, down to seemingly basic things like how infectious it is and how long social-distancing lockdowns might need to last. One attribute of the virus that has become clear, however, is that more men than women are dying of Covid-19, the infectious disease that coronavirus can cause in humans. This sex pattern has held across countries hit hard by the pandemicin China, Italy, and France, men have died of Covid-19 at higher rates.
This pattern has also held in the United States. A recent analysis of Covid-19 deaths in 13 states, conducted by The Washington Post, bears out the trend: In every one of those states, Post reporters wrote earlier this month, men died more frequently, and that was even the case if they made up fewer total cases of the disease to begin with. In New York City, more than two men have died for every woman.
According to Sabra Klein, Ph.D., a professor of microbiology and immunology at the Johns Hopkins Bloomberg School of Public Health, current data shows that if men get infected, they are at greater risk of a more severe outcome. The honest truth is we dont know why men are suffering a worse outcome from Covid-19, she says. Regardless of what we know about why thats happening, we do know that it is happening.
Now doctors, immunologists, and researchers of infectious diseases are trying to determine why thats the case. Pinning down the precise cause has proven tricky. But there are several hypothesesand these are just that, hypothesesthat might explain why Covid-19 is killing more men than women.
Our immune systemmade up of microscopic first respondersis the bodys front-line defense against infections. Its response to pathogens is broken up into two parts. Theres the innate portion that youre born with, which weakens as you grow older. Then theres the adaptive portion, which is a blank slate at birth but grows stronger as you age and your body is exposed to antigensforeign bacteria and viruses, but also vaccinesthat induce an immune response in order to produce disease-fighting antibodies.
Generally, womens immune systems are stronger, says Roger Seheult, M.D., a practicing pulmonologist in southern California who is treating patients with Covid-19. A growing body of literature suggests that the sex disparity in immune response comes down to a basic genetic difference you remember from middle-school bio: Women are born with two X chromosomesone from Mom and another from Dadwhile men are born with one X chromosome and one Y chromosome.
According to Klein, there are more than 60 genes on the X chromosome associated with immune function. Generally speaking, there shouldnt be any advantage to having two X chromosomes: The genes on one of the X chromosomes are randomly inactivated. Nonetheless, about 15 percent of the genes on the inactivated copy of the X chromosome remain active.
Some of the genes have a greater expression in immune response in some women compared with men, Klein says. One such X-chromosome gene codes for a protein called "toll-like receptor 7," which assists in immune surveillance in order to detect viral RNAthe single-strand genetic codes that make up the novel coronavirus.
Hormones like testosterone and estrogen regulate various aspects of the bodys immune response. Testosterone can reduce inflammation, but also suppress the immune response required to clear a virus. Estrogen, meanwhile, binds to cells in the immune system to kick-start the production of antibodies. And what produces testosterone? The testicles, of course.
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Coronavirus and Men: Why Is the Virus So Much More Deadly to Men? - GQ
Police: Flemington Man Was On Heroin When He Crossed Double Yellow Line In Head-On Crash – Rutherford Daily Voice
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A Flemington man was under the influence of heroin when he crashed his pickup truck into another driver in Readington Township, said authorities who charged him.
Jordon Weber, 29, was headed northbound on Route 523 at Ivy Court when he crossed over the double-yellow lines and hit a Whitehouse driver heading traveling southbound in a Volkswagen around 1 p.m. April 16, Readington Township Police said on Facebook .
Police found Weber had been using heroin, and a search of his car turned up a syringe and an empty heroin fold -- as well as two vials of suspected testosterone, authorities said.
Weber was transported to Morristown Medical Center with head pain, and a sample of his blood was taken for the sake of charging him with DUI, authorities said.
The other driver suffered knee and chest injuries but did not require medical treatment. Webers passenger, who owns the pickup truck they were in, was not injured in the crash, police said.
Weber faces numerous CDS possession charges as well as motor vehicle summonses for DWI, driving with a suspended license, careless driving and possession of CDS in a motor vehicle.
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Police: Flemington Man Was On Heroin When He Crossed Double Yellow Line In Head-On Crash - Rutherford Daily Voice
Endangered capercaillies caught capering on camera by Balmoral ranger service – Press and Journal
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Some of Scotlands rarest birds have been caught on camera squaring off in a spectacular mating ritual on the Royal Familys Balmoral Estate in Aberdeenshire.
The Balmoral ranger service works carefully to preserve the pinewood home of the capercaillie, a huge ground-dwelling grouse known for its unusual call that sounds like knocking.
As part of their conservation work, the team has put in place a number of wildlife camera traps throughout the Deeside estate in order to keep an eye on the small population resident in Balmoral.
Over the past month, the male birds, which are much larger than the females and have striking black plumage, have been taking part in a key part of the breeding season called lekking.
The ranger teams cameras managed to photograph the birds in the height of lekking, showing off their impressive fan of tail feathers and aggressively competing with each other as they seek to mate with the smaller, brown-coloured females.
The species is highly endangered and at risk of extinction in Scotland due to years of population decline caused by factors including habitat loss and collisions with deer fences.
There are now thought to be little more than 1,00 capercaillies in the UK today.
Glyn Jones, head ranger at Balmoral Estate, said: The birds are very aggressive in these fights. They are full of testosterone and can sometimes be badly injured.
Capercaillie numbers have gone down a lot over the past 30 years and although the population has stabilised a bit, it is still at a very low level and theyre currently a very rarely seen bird.
They are very endangered in Deeside.
Theres a bit more of a stronghold for the species elsewhere in Scotland, like up in Speyside, but theres really not a lot of them left here.
Monitoring them with these cameras in the forest is important for our conservation, and we were really lucky to capture the birds actually lekking.
By monitoring them this way, its non-invasive and were not disturbing them.
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Endangered capercaillies caught capering on camera by Balmoral ranger service - Press and Journal
Why do more men die from coronavirus than women? – The Conversation AU
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All over the world in China, Italy, the United States and Australia many more men than women are dying from COVID-19.
Why? Is it genes, hormones, the immune system or behaviour that makes men more susceptible to the disease?
Read more: More testing will give us a better picture of the coronavirus spread and its slowdown
I see it as an interaction of all of these factors and it isnt unique to the SARS-Cov-2 virus the different response of men and women is typical of many diseases in many mammals.
In Italy and China deaths of men are more than double those of women. In New York city men constitute about 61% of patients who die. Australia is shaping up to have similar results, though here its mostly in the 70-79 and 80-89 age groups.
One major variable in severity of COVID-19 is age. But this cant explain the sex bias seen globally because the increased male fatality rate is the same in each age group from 30 to 90+. Women also live on average six years longer than men, so there are more elderly women than men in the vulnerable population.
The other major factor is the presence of chronic diseases, particularly heart disease, diabetes and cancer. These are all more common in men than women, which might account for some of the bias.
But then we must ask why men are more vulnerable to the diseases that put them at greater risk of COVID-19.
Men and women differ in their sex chromosomes and the genes that lie on them. Women have two copies of a mid-sized chromosome (called the X). Men have only a single X chromosome and a small Y chromosome that contains few genes.
One of these Y genes (SRY) directs the embryo to become male by kick-starting the development of testes in an XY embryo. The testes make male hormones and the hormones make the baby develop as a boy.
In the absence of SRY an ovary forms and makes female hormones.
Its the hormones that control most of the obvious visible differences between men and women genitals and breasts, hair and body type and have a large influence on behaviour.
The Y chromosome contains hardly any genes other than SRY but it is full of repetitive sequences (junk DNA).
Perhaps a toxic Y could lose its regulation during ageing. This might hasten ageing in men and render them more susceptible to the virus.
But a bigger problem for men is the male hormones unleashed by SRY action. Testosterone levels are implicated in many diseases, particularly heart disease, and may affect lifespan.
Men are also disadvantaged by their low levels of estrogen, which protects women from many diseases, including heart disease.
Male hormones also influence behaviour. Testosterone levels have been credited with major differences between men and women in risky behaviours such as smoking and drinking too much alcohol, as well as reluctance to heed health advice and to seek medical help.
The extreme differences in smoking rate between men and women in China (almost half the men smoke and only 2% of women) may help to account for their very high ratio of male deaths (more than double female). Not only is smoking a severe risk factor for any respiratory disease, but it also causes lung cancer, a further risk factor.
Smoking rates are lower and not as sex-biased in many other countries, so risky behaviour cant by itself explain the sex difference in COVID-19 deaths. Maybe sex chromosomes have other effects.
The X chromosome bears more than 1,000 genes with functions in all sorts of things including routine metabolism, blood clotting and brain development.
The presence of two X chromosomes in XX females provides a buffer if a gene on one X is mutated.
XY males lack this X chromosome backup. Thats why boys suffer from many sex-linked diseases such as haemophilia (poor blood clotting).
The number of X chromosomes also has big effects on many metabolic characters that are separable from sex hormone effects, as studies of mice reveal.
Females not only have a double dose of many X genes, but they may also have the benefit of two different versions of each gene.
This X effect goes far to explain why males die at a higher rate than females at every age from birth.
And another man problem is the immune system.
Weve known for a long time that women have a stronger immune system than men. This is not all good, because it makes women more susceptible to autoimmune diseases such as lupus and multiple sclerosis.
But it gives women an advantage when it comes to susceptibility to viruses, as many studies in mice and humans show. This helps to explain why men are more susceptible to many viruses, including SARS and MERS.
There are at least 60 immune response genes on the X chromosome, and it seems that a higher dose and having two different versions of these gives women a broader spectrum of defences.
Sex differences in the frequency, severity and treatment efficacy for many diseases were pointed out long ago. COVID-19 is part of a larger pattern in which males lose out at every age.
This isnt just humans it is true of most mammals.
Are sex differences in disease susceptibility simply the by-catch of genetic and hormone differences? Or were they, like many other traits, selected differently in males and females because of differences in life strategy?
Read more: Dry, wet, barking, hacking: a guide to coughs in the time of coronavirus
Its suggested that male mammals spread their genes by winning competitions for mates, hence hormone control of risky behaviour is a plus for men.
Its also suggested female mammals are selected for traits that enhance their ability to care for young, hence their stronger immune system. This made sense for most mammals through the ages.
So the sex bias in COVID-19 deaths is part of a much larger picture and a very much older picture of sex differences in genes, chromosomes and hormones that lead to very different responses to all sorts of disease, including COVID-19.
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Why do more men die from coronavirus than women? - The Conversation AU
Want to know how to lose weight? Theres one thing thats GOT to go from your lockdown diet – T3
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During lockdown weight gain is perhaps inevitable, and not necessarily the end of the world. But if you want to lose weight or at least not put on too much extra weight there is one thing you can do that is almost certain to help. It is very obvious when you think about it, and arguably not that easy, but it will give positive results, and perhaps it might not have occurred to you before.
So, you want to know how to avoid isolation weight gain at home? There is one item in a lot of people's diet that could be easily cut and would result in losing weight faster. You guessed it: the culprit is alcohol. No one needs a lecture about why alcohol is bad for your health but I think a lot of you don't realise how consuming alcohol effects your diet and your weight loss. Or your weight gain, more accurately.
If Google Trends is anything to go by, everyone seems to be having more booze than usual now that we are in full lockdown. And in the case of the UK in particular, that is saying something.
Best protein shake blender: there are brands other than Nutribullet, you know
Let's get one thing out of the way right at the beginning: the best way to lose weight is not to exercise more, but to eat less. Especially now that we have to stay indoors almost all the time, eating the same amount of food as we used to will result in us putting on weight. Cutting back on calories of any sort will help you in your weight loss battle. No news there.
There are a lot of misconceptions about alcohol and as I mentioned above, I'm not here to lecture anyone about just how bad it is to consume alcoholic beverages. Sure, some types of alcohols contain certain micronutrients (like minerals) that can be beneficial for health, but this doesn't outweigh the negative effects of these drinks.
One very important thing to realise about alcohol is that it is basically pure carbohydrate. Carbs are one of the three main macronutrients your body needs to function; the other two are lipids (fats) and protein. This doesn't mean your body needs alcohol to function, on the contrary. Drinking alcohol adds nothing to your diet, alcohol calories are just 'empty calories'.
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Just how many calories, though? There are a few options that are considered 'low-calorie' drinks, like vodka and diet coke. Although diet coke can be considered free of calories (still pretty bad in every way) a double shot (50 ml) of vodka contains over 100 calories. You would have to run 10 minutes to burn off those calories and that is just one drink.
Shop alcohol-free beer at Amazon UK
How about beer? A small bottle (12 oz/355 ml) of Goose Island IPA is 208 calories, twice as much as what's in a double shot vodka plus diet coke combo. And whoever has only one small bottle of beer when they drink? That's right, no one.
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Maybe wine? A bottle (750 ml) of Cabernet Sauvignon is just under 600 calories, meaning that two medium glasses (approx. 175 ml) contain around 250-300 calories.
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The best idea, of course, is to keep your alcohol consumption to the minimum. As I mentioned in the 'how to lose weight at home' article, being mindful about your diet and food/drink intake can help. Before you pour yourself another drink, ask yourself: do I want another drink? Am I bored? Is there another task I'm putting off by drinking?
Admittedly, on some occasions, especially during social gatherings, it is pretty challenging to get out of drinking at least some alcohol. When everyone is having beers and wines around you, the social pressure on you to have one too could be immense. Even in these cases, there are ways to reduce consumption.
If you are a wine drinker, have a soda spritzer instead of just a glass of wine. You would still get the sensation of having a wine in a wine glass, but you also drink plenty of water, which dilutes the alcohol and makes it easier for your body to digest it more efficiantly.
If you are more of a beer drinker, see if there are any low calorie/alcohol-free beers in stock. A bottle of alcohol-free Holstein is only 8 calories (!) and there are plenty of low-cal options out there, especially if you live in the US.
And in any case, if you drink a glass of water after you had a drink, your stomach will fill up sooner and you will feel fuller sooner, making you less likely to drink too much alcohol. It also helps with hangovers, too.
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Want to know how to lose weight? Theres one thing thats GOT to go from your lockdown diet - T3