Wednesday, January 21, 2026

Social Security Combined Trust Funds Projection Remains the Same Says Board of Trustees

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Projections in 2020 Report Do Not Reflect the Potential Effects of the COVID-19 Pandemic

The Social Security Board of Trustees today released its annual report on the long-term financial status of the Social Security Trust Funds. The combined asset reserves of the Old-Age and Survivors Insurance and Disability Insurance (OASI and DI) Trust Funds are projected to become depleted in 2035, the same as projected last year, with 79 percent of benefits payable at that time.
The OASI Trust Fund is projected to become depleted in 2034, the same as last year’s estimate, with 76 percent of benefits payable at that time. The DI Trust Fund is estimated to become depleted in 2065, extended 13 years from last year’s estimate of 2052, with 92 percent of benefits still payable.
In the 2020 Annual Report to Congress, the Trustees announced:
* The asset reserves of the combined OASI and DI Trust Funds increased by $2.5 billion in 2019 to a total of $2.897 trillion.
* The total annual cost of the program is projected to exceed total annual income, for the first time since 1982, in 2021 and remain higher throughout the 75-year projection period. As a result, asset reserves are expected to decline during 2021. Social Security’s cost has exceeded its non-interest income since 2010.
* The year when the combined trust fund reserves are projected to become depleted, if Congress does not act before then, is 2035 – the same as last year’s projection. At that time, there would be sufficient income coming in to pay 79 percent of scheduled benefits.
“The projections in this year’s report do not reflect the potential effects of the COVID-19 pandemic on the Social Security program. Given the uncertainty associated with these impacts, the Trustees believe it is not possible to adjust estimates accurately at this time,” said Andrew Saul, Commissioner of Social Security. “The duration and severity of the pandemic will affect the estimates presented in this year’s report and the financial status of the program, particularly in the short term.”
Other highlights of the Trustees Report include:
* Total income, including interest, to the combined OASI and DI Trust Funds amounted to $1.062 trillion in 2019. ($944.5 billion from net payroll tax contributions, $36.5 billion from taxation of benefits, and $81 billion in interest)
* Total expenditures from the combined OASI and DI Trust Funds amounted to $1.059 trillion in 2019.
* Social Security paid benefits of $1.048 trillion in calendar year 2019. There were about 64 million beneficiaries at the end of the calendar year.
* The projected actuarial deficit over the 75-year long-range period is 3.21 percent of taxable payroll – higher than the 2.78 percent projected in last year’s report.
* During 2019, an estimated 178 million people had earnings covered by Social Security and paid payroll taxes.
* The cost of $6.4 billion to administer the Social Security program in 2019 was a very low 0.6 percent of total expenditures.
* The combined Trust Fund asset reserves earned interest at an effective annual rate of 2.8 percent in 2019.
The Board of Trustees usually comprises six members. Four serve by virtue of their positions with the federal government: Steven T. Mnuchin, Secretary of the Treasury and Managing Trustee; Andrew Saul, Commissioner of Social Security; Alex M. Azar II, Secretary of Health and Human Services; and Eugene Scalia, Secretary of Labor. The two public trustee positions are currently vacant.
View the 2020 Trustees Report at www.socialsecurity.gov/OACT/TR/2020/.

Tips on staying healthy in an unhealthy time

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Oklahoma Medical Research Foundation immunologist Eliza Chakravarty, M.D.

Isolation has become the new normal as we all do our part to end the spread of Covid-19. But while we’re separated, experts at the Oklahoma Medical Research Foundation say there are important steps we can take to maintain our psychological and physical health.
1. Stick to a schedule
The lack of a set daily routine can be disruptive. Resist the urge to stay up late and sleep in, as it disrupts your body’s circadian rhythms, said OMRF immunologist Eliza Chakravarty, M.D.
“Sleep deprivation also causes stress hormones like cortisol to rise, signaling the body to go into fat-storage mode by slowing your metabolism,” said Chakravarty. “And when you’re sleepy, you eat more, which can put you on a slippery slope.”
2. Get moving
Research shows that even 30 minutes of moderate exercise lowers blood pressure, strengthens bones, improves mood and helps maintain muscle mass, said OMRF researcher Holly Van Remmen, Ph.D.
“Getting outdoors when the sun is shining boosts your physical and mental wellbeing,” said Van Remmen. “Do some gardening, mow the lawn, go on a long walk—whatever gets you off the couch.”
3. Say no to junk food
“Resist the temptation to graze all day long out of boredom,” said Chakravarty. “If you snack, have healthy options on hand like veggies and hummus, fruit or nuts.”
It’s no secret that obesity has a severe negative impact on health in a variety of ways. And that can be compounded by coronavirus, which appears to take a severe toll on people suffering from obesity-related conditions like heart disease and diabetes.
4. Stay connected
Sunshine and fresh air can work wonders for your mood, but so can maintaining contact with friends and family—from a distance. “Pick up the phone, send emails or write letters to stay in touch,” said OMRF President Stephen Prescott, M.D. “Even though we’re not together physically, we don’t have to be alone.”
5. Take a news break
“There’s a difference between staying informed and dwelling on never-ending commentary and speculation,” Chakravarty said. “Instead, go sew, paint, learn a hobby or rediscover an old one. Be creative.”
We don’t know when this pandemic will end, said Chakravarty. “But how you come out when it’s over depends a lot on the decisions you make now.”

Trial by Fire: A First Year ER Nurse Describes COVID-19

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Hailee Stull, RN works in the Emergency Department at INTEGRIS Southwest Medical Center.

Talk about on the job training, Hailee Stull became a registered nurse less than a year ago. Now, she finds herself working on the frontlines of a worldwide pandemic.
“I never imagined something like this would happen in my lifetime, much less my first year on the job.”
Stull works in the Emergency Department at INTEGRIS Southwest Medical Center. She says it has been amazing to watch her team rise to the challenge. “Policies and procedures for the COVID-19 situation have been frequently changing since the beginning of the outbreak. We’re dealing with changes sometimes from shift to shift and doing our best to keep up and stay informed.”
She adds, “I’ve watched my coworkers adapt and thrive with every change thrown our way. It has been fascinating to watch and experience the creativity, teamwork and generosity on full display.”
Stull says patients and visitors have been impacted by the ever-changing environment as well. “They’ve had to deal with visitor restrictions, symptom screenings at every entrance and waiting in their cars to be seen. This crisis has proven to me just how resilient we all can be.”
But she admits caring for coronavirus patients on top of other emergencies can be a juggling act. “My role as an ER nurse is to not only care for COVID-19 patients, but to also care for other emergent patients. People are still breaking bones and having strokes. Those things don’t stop just because of a virus.”
Stull’s sense of duty helps her push past the fear. “Dealing with the unknown is always scary. I have seen what this virus has the capability to do to people. It is frightening to put myself in direct contact with this virus,” she reveals.
However, as a nurse this isn’t the only frightening disease I am in contact with. I do the best I can to protect myself while caring for my patients.”
Stull says she has always wanted to be a nurse and nothing, not even a pandemic, can change that. “I have always been a caregiver at heart and always will be – long after this pandemic is a thing of the past.”

RN’s First Love to Last Love – Editor’s Note: As part of the American Nurses Association “Year of the Nurse” campaign, National Nurses Month begins May 1st. During This very difficult time and in support of Oklahoma Nurses – we have devoted a large portion of our publication to nurses throughout the state. Please join us in saying THANKS!

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story and photo by Vickie Jenkins, Staff Writer

Growing up in Holdenville, OK in the late sixties, people considered this as golden town living; a safe place to live, small in size and friendly folks. At the tender age of twelve, Barbara McDougal was like most girls, beginning to notice those once dreaded species called boys. She began to push her childish ways to the side, knowing that she would soon be a teenager. Barbara took notice of a certain boy that had just moved to the neighborhood, only one block away from her. She peeked out the window each time he walked by her house as he adventured out, exploring the mighty streets in the neighborhood.
As Barbara and her girlfriends gathered, Barbara found herself secretly pointing this boy out, telling them how cute he was, along with a firm statement of, “Someday, that boy is going to be mine.”
It wasn’t long before Barbara became more interested in this new boy in town. She would casually be sitting on the front porch at the most convenient planned out times. It wasn’t long before this boy walked by her house, stopping to introduce himself. It was just like one of those love stories on the big screen; the two of them stood there, gazing into each other’s eyes, as though a light suddenly came on. They knew the love bug had gotten to both of them. They had been love-struck!
His name was Bobby Aldridge and he was sixteen-year- old. He drove around town in his blue ‘57 Chevy and Barbara remembers the car being far out! After a few visits between the families and getting to know each other a little better, Barbara was allowed to meet Bobby for lunch at the local Dairy Queen. They spent their time holding hands as they listened to the juke box play some of their favorite music; Donavan’s Hurdy Gurdy Man and Tommy James and the Shondells. Soon, the relationship between the two of them progressed and they were inseparable!
In this time and age, when a boy liked a girl, he gave her a token of his love by giving her a drop, a necklace with the boy’s initials on it; Bobby’s initials being RLA. Now, they were going steady! The relationship between Barbara and Bobby was going perfect!
It was in 1970, that Barbara got the news that Bobby and his family were moving from Holdenville, to Oklahoma City, OK. No, this couldn’t happen! Both families hated to see the sweet couple separate but it had to be. Bobby’s dad had taken on a new job in Oklahoma City, OK. After the move, frequent visits were made by Barbara as her parents would drive to OKC, allowing Barbara to spend as much time as possible with Bobby. Little did they know that their relationship would be coming to an end in the near future.
Life brings changes when we least expect it and our paths take off in different directions.
Barbara graduated in 1974 and attended Oklahoma State University. This was a whole new world for her; college, new friends and discoveries of being an adult. Barbara became an LPN in 1978, working in Stillwater, OKC and even moved to Dallas, Texas for a while. Barbara realized that she needed to go back to school for her RN. She moved back to OKC in 2007 to begin RN school at OSU/OKC.
Time moves on. Barbara had just finished one of her classes and decided to go a near-by restaurant for lunch. As she sat at a booth, she noticed a gentleman sitting at a booth, across the room, not far from her. Taking a second look, he looked very familiar. Was it Bobby? With a feeling of nervousness and a little flushed, she got up and walked over to him. Yes, it was Bobby! They enjoyed talking to each other and reminisced about old times. Their love story picked up where they left off.
Barbara and Bobby were married on October 7, 2017. Barbara wore his initials, RLA as a charm on her charm bracelet in their wedding. This was the something old for her wedding.
Now, it’s the year 2020. Bobby is a homebuilder in OKC and Barbara is an RN at Mercy Rehab Hospital. Today, they still hold hands as they listen to some of their favorite music; Donavan’s Hurdy Gurdy Man and Tommy James and the Shondells.
From first love to last love, fifty-one years later and the love is still growing.

Stride Bank N.A. Helping Even More Local Businesses with PPP Round Two

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Stride Bank has managed to secure over 400 SBA PPP loans and saved an estimated 6,407 jobs

The staff at Stride Bank has been working around the clock for weeks now to ensure local businesses are approved for the Small Business Administration’s Payroll Protection
Program loans. The funds may have run out for the initial phase of the program, but Stride isn’t slowing down their efforts any time soon.
As the federal government works to provide a second wave of SBA PPP funding, Stride Bank is putting in the extra effort to ensure anyone left out of phase one funding will find relief with phase two.
So far, throughout this process, Stride Bank has managed to secure over 400 SBA PPP loans, provided over $59 million in potentially forgivable funds and saved an estimated 6,407 jobs.
When asked how Stride has managed to secure so much funding and ensure the approval of so many loans, Kevin Guarnera, the leader of Stride Bank’s dedicated SBA team, responded, “We’ve been a part of our community for over 100 years. We’re not about to quit on anyone now. Local small businesses are in trouble, and they’ve been thrown a lifeline. It’s our job to make sure as many small businesses as possible secure that lifeline and find safety.”
Guarnera and his team have been sought out by others in the industry as the experts on getting these loans approved quickly and efficiently. By understanding the guidelines inside and out and working overtime to get applications processed, the team at Stride has helped numerous local businesses find that lifeline.
“When you’re a part of a community, you protect it and everyone in it. We won’t stop until this is over,” added Guarnera.
Founded in 1913, Stride Bank is an Oklahoma-based financial institution that holds over $800 million in assets.
Offering a full range of financial services such as consumer and commercial banking, mortgage, wealth management, and treasury management, we have also developed and currently manage highly specialized payment solutions for several national fintech companies. While we are unwavering in our pursuit to continue innovating and offering new financial solutions, we will always remain loyal to our community banking roots in Oklahoma. We have branches throughout Oklahoma in Enid, Tulsa, Oklahoma City, Bartlesville, Blackwell, Woodward, and Mooreland. Member FDIC. Equal Housing Lender. Learn more at www.stridebank.com.
Debbie Blacklock is the Senior Vice President and Manager of the Stride Bank Healthcare Division. Founded in 1913, Stride Bank is a full-service, Oklahoma-owned-and-operated financial institution with offices in Oklahoma City, Tulsa, Bartlesville, Enid, Woodward, Mooreland, and Blackwell. As an industry leader throughout the U.S. in real-time, next-generation payments, Stride Bank provides mobile banking and a full spectrum of Treasury Management Services. The Stride Bank Healthcare Division provides loans and other financial solutions for senior housing, long-term care, specialty hospitals, surgery centers, physicians, dentists, and other ambulatory healthcare providers. Debbie has 21 years of commercial banking experience in Oklahoma with over nine years in the healthcare space. Stride Bank, Member FDIC, Equal Housing Lender.

Publisher’s Note: Upon finding out our local financial institution was not able to secure SBA loans, we were forced to look elsewhere. Because we “were not a customer of theirs,” three other banks refused to even look at our application for the PPP loan. Fortunately, we made contact with Stride Bank, who worked diligently to secure our PPP even though we were not currently a customer. This publication does not generally recommend or endorse one business over another, but Stride Bank won our respect. A special thanks to Debbie Blacklock, Senior Vice President, Manager of Healthcare Banking at Stride Bank, N.A. for her hard work. OKNT recommends Stride Bank to our Healthcare Friends. VISIT US AT: https://stridebank.com/

 

Guardian Angels Concierge service in trying times

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Diana Hendrix is the owner of Guardian Angels Concierge Service. Photo provided

by Bobby Anderson, Staff Writer

Social distancing. Infection risk. Quarantines.
The news during this pandemic has been enough to make your head spin.
Fear has been prominent no matter who you listen to and nearly everyone agrees – at least for now – it’s probably a good idea to just stay home.
For more than 30 years, Diana Hendrix worked in nursing home administration. She understands that life does go on and she also understands vulnerable populations.
That’s why six years ago she started Guardian Angels Concierge Service.
Little did she know that her business one day would be saving lives.
“Most of my seniors are pretty concerned. They don’t want to get sick,” she said. “They don’t understand why all this is happening but they still don’t want to get sick and don’t want their families to get sick.”
That’s where Guardian Angels comes in, to provide essential services during this time. Grocery shopping, light housekeeping and cooking still remain essential and Hendrix and her staff are able to provide those services.
”The one thing I’m trying to get out there is don’t be afraid to call us. Just because this is happening in the world if you need help call us,” Hendrix said. “I can do a certain amount of interviewing on the phone and pulling things together without actually being with a client. But even when I do have to see a client we’re very protective.”
In business since 2014, Hendrix brings her healthcare administration experience to her clients.
“I thought there would be a better way to help our seniors but I didn’t want to do any nursing. There are plenty of nurses out there and home health agencies. So I started out grocery shopping and making sure seniors ate and took their medicine.”
Grocery shopping and cooking was the easy part of.
Per regulations, Hendrix isn’t allowed to administer medication to clients but she can be there to remind her patients when they’re due.
The big thing I try to do for every family is try to find a solution for whatever is going on in their life,” Hendrix said.
As most non-essential stores have closed, errands are fewer for Hendrix.
“We’re still doing a lot of cooking which we do a lot of breakfasts, sandwiches for lunch and we do a great deal of crockpot and casserole cooking so clients can have them several days,” Hendrix said.
Hendrix and her staff are still able to still walk pets and provide other services just on a limited basis.
“We’re not taking any of our furry friends to the vet right now,” she said. “The vet I use is saying unless it’s an emergency we’re not really going into the vets.”
Another service is escorting patients to doctor’s appointments, which has taken on a new look.
“What they’re doing is they’re saying stay in your car and we’ll call you when the doctor is ready to see you,” Hendrix said. “They’re saying the fewer the better. They’ll take my client’s temperature, escort them into the doctor’s office and turn around and bring them back to the car.”
“They’re not wanting people to be in the waiting room at all.”
Things may look different but Hendrix and her staff are getting things done in this new normal.
“We’re trying our hardest not to go to stores. We’re doing as much as we can online,” said Hendrix.
Shoe coverings are donned before going into a client’s homes as well as gloves and sanitizing wipes.
Right now, the largest service is Hendrix is fulfilling is home organization including down-size packing. Regular housekeeping and laundry is also offered.
“When I started to look at the governor’s list to see if we were necessary,” she said. “The reason we fell into that essential spot was that if we didn’t come the client would not be able to do it. Picking up a load of laundry is hard for clients who use a walker or wheelchair. Making their bed, running a vacuum cleaner are things they need help with to stay at home.”
As the quarantine wanes on, Hendrix has noted her regular clients call more often.
But Hendrix and her staff are still there and talking with clients and reminiscing with them, brighten their days as they go along.
“It’s amazing I’m talking to them almost every day and I’m telling my staff to make sure you give them a call,” Hendrix said. “Those that started out with me … they’re still calling me.”
“I commend every administrator out there because I know they have a hard job.”
You can find out more about Guardian Angels online at guardianangelsokc.com or on Facebook.

SAVVY SENIOR: Do Pneumonia Vaccines Protect Seniors from Coronavirus?

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Dear Savvy Senior, Do currently offered vaccines against pneumonia provide seniors any protection against the coronavirus disease? I’ve always been bad about getting vaccinated, but this coronavirus pandemic is causing me to change my thinking. Pro-Vax Patty

Dear Patty,
This is a great question. Because the coronavirus (COVID-19) attacks the lungs and respiratory system, many readers have asked whether the pneumonia vaccines, which are administered to millions of patients each year, might protect someone if they contract the coronavirus.
But unfortunately, the answer is no. Vaccines against pneumonia, such as pneumococcal vaccine and Haemophilus influenza type B vaccine, do not provide protection against the new coronavirus.
This virus is so new and different that it needs its own vaccine. Researchers are in the process of rapidly developing a vaccine against COVID-19, but it is expected to take at least a year before it’s ready.
Having said that, you should also know that there are several other important vaccines the Centers for Disease Control and Prevention (CDC) recommends that all seniors should get up to date on after the coronavirus pandemic dies down. Here’s a rundown of what they are, when you should get them, and how they’re covered by Medicare.
Flu vaccine: While annual flu shots are recommended each fall to everyone, they are very important for older adults to get because seniors have a much greater risk of developing dangerous flu complications. According to the CDC, last year up to 647,000 people were hospitalized and 61,200 died because of the flu – most of whom were age 65 and older.
To improve your chances of escaping the seasonal flu, this September or October consider a vaccine specifically designed for people 65 and older. The Fluzone High Dose or FLUAD are the two options that provide extra protection beyond what a standard flu shot offers. And all flu shots are covered under Medicare Part B.
Pneumococcal vaccine: As previously stated, this vaccine protects against pneumonia, which hospitalizes around 250,000 Americans and kills about 50,000 each year. It’s recommended that all seniors, 65 or older, get two separate vaccines – PCV13 (Prevnar 13) and PPSV23 (Pneumovax 23). Both vaccines, which are administered one year apart, protect against different strains of the bacteria to provide maximum protection. Medicare Part B covers both shots if they are taken at least a year apart.
Shingles vaccine: Caused by the same virus that causes chicken pox, shingles is a painful, blistering skin rash that affects more than 1 million Americans every year. All people over age 50 should get the new Shingrix vaccine, which is given in two doses, two to six months apart. Even if you’ve already had shingles, you should still get this vaccination because reoccurring cases are possible. The CDC also recommends that anyone previously vaccinated with Zostavax be revaccinated with Shingrix because it’s significantly more effective.
All Medicare Part D prescription drug plans cover shingles vaccinations, but coverage amounts, and reimbursement rules vary depending on where the shot is given. Check your plan.
Tdap vaccine: A one-time dose of the Tdap vaccine, which covers tetanus, diphtheria and pertussis (whooping cough) is recommended to all adults. If you’ve already had a Tdap shot, you should get a tetanus-diphtheria (Td) booster shot every 10 years. All Medicare Part D prescription drug plans cover these vaccinations.
Other Vaccinations
Depending on your health conditions, preferences, age and future travel schedule, the CDC offers a “What Vaccines Do You Need?” quiz at www2.CDC.gov/nip/adultimmsched to help you determine what additional vaccines may be appropriate for you. You should also talk to your doctor during your next visit about which vaccinations you should get.
To locate a site that offers any of these vaccines, visit VaccineFinder.org and type in your location.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

One Pandemic — Two Brutal Outcomes

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Nurse Beth Bierig.
Nurse Beth Bierigweb

Story and photos by Darl DeVault

While Oklahoma seniors have been the most vulnerable to COVID-19, our modern heroes, medical health professionals, have also been impacted by this huge stress event.
Medical outcomes are stark. There are no proven therapies to treat or cure the disease. In Oklahoma, the vast majority of COVID-19 deaths are in seniors 65 or older, as high as 80 percent. The statistics go on and on, unchanging in dire descriptions of how vulnerable aging bodies are to the pandemic.
Another group shares a vulnerability every bit as brutal in descriptions. Our medical health professionals are the next highest death rate in America. Besides the brutal numbers of deaths, there is another facet of their suffering.
They are repeatedly exposed to preventable unmanageable stress. This immersion in the onslaught of a pandemic has the potential to inflict post- traumatic stress disorder.
In honor of the 200th birth anniversary of Florence Nightingale, the World Health Organization (WHO) has designated 2020 as the “Year of the Nurse and Midwife.” Since National Nurses Week is celebrated soon from May 6 through May 12 it is appropriate to ask one “What are you going through?”
Nurse Beth Bierig said last week from New Jersey, “Working on a floor of all COVID-19 positive patients whose change in status happens quickly without warning, makes you feel constantly guarded as to when your own medical health will quickly turn badly as well. You don’t have time to even comprehend how scary the silent killer surrounds every piece of air you work in, but it weighs heavily on your mind.”
Bierig, from Hackensack University Medical Center, goes on to explain how having a servant’s heart can put a nurse in harm’s way. “While performing life sustaining measures on your patients and respiratory fragments flood the air in the process, you can’t help but wonder, will it be saving their life that takes mine?” she said. “I don’t know the effects it will have on myself or other people, because everyone has had different experiences. Every nursing specialty has their own traumas and people are generally drawn to what they can handle.”
Also, “the support nurses receive after this will affect their long-term mental health pertaining to this situation. The whole situation has affected everyone strongly, not only health care providers. We’re living in a historic time and hopefully we all learn from it.”
From the respiratory therapists who manage ventilators, and technicians that manage ICU equipment to the direct caregivers, stress can be overwhelming. The heroes who share their servant’s heart signed up to be properly supported and use their knowledge and ability to affect positive change. Again, at present, there are no proven therapies to cure COVID-19.
Some health care professionals function where they are overwhelmed by the sheer number of deaths that take place right in front of them. Sometimes as often as hourly, these deaths may inflict a PTSD future on the frontlines of medicine.
For those healers who were constantly worried about their own health because of a shortage of personal protective equipment life can change. Just the apprehension of spreading the disease to their family could have a dire outcome.
COVID-19, the severe respiratory illness caused by the novel coronavirus pandemic is extremely transmissible. Properly protected ICU critical care team workers being readied for patient interaction look like preflight prep before blastoff for our moon missions.
These heroes may share an almost as strong an impact as the vulnerable seniors who perished. Some may suffer grave symptoms of psychological stress impacting their ability to deliver medical health care in the future.
Every psyche is different in the many roles played by helping healers who suited up to sustain the COVID-19 patients. Science tells us women are twice as likely to suffer PTSD symptoms.
This pandemic is something different. The onslaught of stress can change brain wiring for the worse — at the level to create PTSD. Later, some may seek to stay away from the situations that remind them of the traumatic events.
Some caregivers may not be able to adaptively overcome the stress and adversity while maintaining normal psychological and physical functioning.
The potential for PTSD is when an individual is placed in a situation where they do not have all the needed equipment, weaponry, support by colleagues in numbers needed, or proper support from superiors. This is also fueled when they feel they do not have the proper protective material and are forced to go in harm’s way relentlessly when they fear for their own survival. On April 3, Oklahoma showed 10.6 percent of its confirmed cases were health care workers.
Situationally produced and yet self-imposed is the stress of sleeping in their cars in their hospital parking lot because they do not want to bring potential illness and death home to their families. This can result in the development of PTSD, depression and other psychiatric disorders.
In a medical scenario where our heroes ran toward the danger and healing is supposed to take place that sounds extremely abrupt. But in many of our hospitals that were overwhelmed by COVID-19 patients presenting repeated unmanageable stressors, that is exactly what was happening.
Often nurses and doctors in COVID-19 hotspots made life and death choices, deciding who was to live and who was to die because of a limited number of ventilators and limited ability to intubate. And there was the randomness of patients dying right in front of them as these patients first entered the hospital.
We must be honest. Nurses and doctors are human and cannot escape that negative impact. People who signed up to work around the sick also take great pride in learning all the ways to be healers.
To suddenly be immersed in the onslaught of hourly and daily negative scenario can have a permanently deleterious effect on the human psyche. It remains to be seen if overwhelming the individual at a high morbidity level has a lasting effect. We know brainwave activity that negativity establishes can create specific pathways in the brain that were not there before.
How do we know what effect this has on these brave people’s body and spirit when these pathways are never compensated for? These individuals may have anxiety and depression from these days forward.
The wild card in all of this are brave medical health professionals who contracted COVID-19 themselves, while trying their best to help others. Hundreds have died around the world. Yes, they signed up for this profession, but not to suffer the same as their patients.
Another stressor is some hospitals, such as the University of Oklahoma Medical Center, are cutting pay and hours because of the strict emphasis on COVID-19 leaving them cash poor.
“A grateful nation will likely create a fund offering therapy and treatment for front line medical professionals who have health problems traceable to saving lives similar to the federal World Trade Center Health Program,” Oklahoman Kara De La Pena, APRN, said. “Considering for many of us who took on preventable risks, the James Zadroga 9/11 Health and Compensation Act of 2010 will be held up as a model for providing us medical treatment. That program is funded through 2090 now.”
The seniors saved and whole world thank our heroes and seek restorative insight into the medical outcomes thrust upon the healers who fight to keep people alive.

Inspector General Warns About New Social Security Benefit Suspension Scam

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The Social Security Office of the Inspector General has received reports that Social Security beneficiaries have received letters through the U.S. Mail stating their payments will be suspended or discontinued unless they call a phone number referenced in the letter. Scammers may then mislead beneficiaries into providing personal information or payment via retail gift cards, wire transfers, internet currency, or by mailing cash, to maintain regular benefit payments during this period of COVID-19 office closures.
As of Tuesday, March 17, 2020, local Social Security offices are closed to the public due to COVID-19 concerns. However, Social Security employees continue to work. Social Security will not suspend or decrease Social Security benefit payments or Supplemental Security Income payments due to the current COVID-19 pandemic. Any communication you receive that says Social Security will do so is a scam, whether you receive it by letter, text, email, or phone call.
Social Security will never:
* Threaten you with benefit suspension, arrest, or other legal action unless you pay a fine or fee.
* Promise a benefit increase or other assistance in exchange for payment.
* Require payment by retail gift card, cash, wire transfer, internet currency, or prepaid debit card.
* Demand secrecy from you in handling a Social Security-related problem.
* Send official letters or reports containing personally identifiable information via email.
If you receive a letter, text, call or email that you believe to be suspicious, about an alleged problem with your Social Security number, account, or payments, hang up or do not respond. Report Social Security scams using our dedicated online form.
Learn about Social Security services during the COVID-19 pandemic, by visiting our Coronavirus Disease (COVID-19) page.

Behind the Mask: A nurse’s view

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Becky Lewis RN, MSN, CIC, is the system director of infection prevention for INTEGRIS, Oklahoma’s largest health system. - Bobby Anderson, RN (INSET)

story and photo by Bobby Anderson, Staff Writer

At the time, none of us knew.
The patient we received from the emergency room was breathing 40-50 times a minute and maxed out on oxygen.
The bipap – the last line of oxygenation before a ventilator – wasn’t keeping up and the patient was struggling.
We knew the Coronavirus – or more technically, Covid-19 – was a thing.
Like all hospitals around us, there were whispers of a handful of patients on our campus being tested for it.
But they were in the ICU or on a separate floor, being taken care of by nurses with special personal protective equipment, wearing helmets and facemasks with powered air-purifying respirators.
Meanwhile, our patient was in respiratory distress.
Lab tests, chest x-rays and CT scans were reviewed along with a late call about the patient’s history.
The situation called for an ICU level of care.
The call from the patient’s doctor revealed COVID 19 was highly suspected.
That’s when COVID-19 became real for all of us in the room.
Outside the room, five respiratory therapists, the house supervisor and my charge nurse huddled together.
Eyebrows and voices raised.
The people I looked to most in the hospital for answers were without them.
Not only that, they were scared.
The bipap ventilation system was effectively aerosolizing the already contagious virus.
In layman’s terms, the high pressure flow made the viral particles even smaller and easier to transmit.
The surgical masks we were all wearing aren’t designed to be effective against the virus.
Two days later we learned the patient died while on a ventilator.
The day after that we learned results were positive for COVID-19.
Direct exposure was declared and all of us barred from returning to work for 14 days.
Nearly two weeks later we’re still learning.
Now I take my temperature twice a day and monitor for symptoms while logging everything online.
A fever over 100 degrees. A cough. Vomiting and diarrhea. Body aches.
All are symptoms of infection.
I haven’t been tested nor will I be tested unless I develop symptoms.
But my goal throughout this pandemic isn’t to complain or blame others. My goal, when I’m not at the bedside after my quarantine ends, is to highlight individuals who are helping turn the tide.
One of those individuals making a difference is Becky Lewis.
Lewis RN, MSN, CIC, is the system director of infection prevention for INTEGRIS, Oklahoma’s largest health system.
This virus has affected us all in different ways: personally, professionally and emotionally.
In Becky’s own words:
I see my family less and work more.
It is necessary but it is hard.
My five-year-old asks me when the sickness will be gone and my almost two-year-old cries when I come home because he knows that means it’s time to go to bed.
I come home and immediately start looking at any new common guidance documents from the CDC and the like to see if there were any revisions or updates overnight.
Every day I identify three to five items to focus on and work toward providing recommendations or guidance for each and relay that information to the system. The amount of updated or new information to digest is astounding.
I am currently on day 49 of non-stop COVID work. I am tired to my bones but know what I am doing is necessary and important work. I am working to keep our patients and caregivers safe.
I worry about the fear factor for our teams on the front line and the misinformation that can feel stronger than science.
My first week on the job as an infection preventionist was during H1N1 and it was wild, but we didn’t have the same social media presence that we do now and it is a strong element to work with and around.

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