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Host of symptoms, variable recovery times complicate return to work for those with long COVID – CBC.ca

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Jessica Sewell has been on and off work since she developed long COVID last June, fighting the disease’s symptoms, which she describes as “volatile.”

“I can be OK today and able to do my job, but I get a cold and I have a two-week flare-up,” said Sewell, 28, an administrative assistant in Burnaby, B.C. 

Sewell contracted COVID-19 last May, and was very sick, but said she felt well enough to return to work after her 14-day isolation. Three weeks later, she began to experience brain fog, dizzy spells, extreme fatigue and tremors. Her heart rate would shoot up to 200 beats per minute, even while standing still. 

Sewell was assessed at a long COVID clinic in July. In the weeks leading up to her diagnosis, she tried to keep working because taking time off felt like “defeat,” she said.

But, “the more you push, the more [long COVID] pushes back, and it always wins,” she said.

Unclear timeline for recovery

More than 200 symptoms are associated with long COVID, affecting the brain, heart, lungs and blood vessels, according to a 2021 study published in the Lancet. The World Health Organization says symptoms can appear up to 12 weeks after even a mild infection, and can persist for months, but also “fluctuate or relapse over time.”

Doctors are grappling with how to treat patients, but there is no known cure. 

WATCH | Doctors strive to solve long COVID as patients struggle: 

Doctors search to solve long COVID as patients fight to recover

2 months ago

Duration 6:14

Nearly two years into the COVID-19 pandemic, doctors and health experts are searching to find a cause and treatment for long COVID, while patients are simply fighting for their recovery. 6:14

Some experts fear the recent surge of infections in the Omicron wave could translate into a swell of long COVID cases in the coming months. That could have a “knock-on effect” for Canadian workplaces, in terms of illness, absences, and helping workers get back on their feet, said Peter Smith, senior scientist at the Institute for Work & Health, which studies the health and safety of working Canadians. 

He pointed to pre-Omicron research that showed roughly 10 per cent of COVID-19 recoveries developed into long COVID, suggesting 170,000 Canadians were already living with the disease last fall. It’s not known whether Omicron is linked to long COVID at the same rate, but Health Canada has recorded more than 1.2 million confirmed cases of COVID-19 since the first Omicron cases on Nov. 28. (Testing issues mean many more cases may be unrecorded).

Smith said the disease might be difficult for some bosses to grasp, given the variety of symptoms, the way it flares up unexpectedly and the unclear timeline for recovery.

But he said, “it’s a missed opportunity [for employers] not to enable these people to come back to the workplace.”

It’s a missed opportunity if employers don’t help to accommodate long COVID sufferers who want to come back to work, said Peter Smith, a senior scientist at the Institute for Work & Health. (Submitted by Peter Smith)

Before getting sick, Sewell says she was a hard worker with plans to further her education and seek promotion. But while her employer has been understanding, she says fears this time off is harming her career prospects, and feels in limbo, not knowing if she can work from day to day.

“It makes it hard to be that dependable employee that I’m used to being,” she told The Current’s Matt Galloway. 

Burden of proof is a problem

Another woman who spoke to The Current was working at a Toronto bank when she caught COVID-19 in March 2020. CBC has agreed not to name her because she fears she could face repercussions for speaking out about her employer. 

She was unable to confirm the infection due to testing limitations at the time. But when unexplained symptoms — including dizziness, headaches, chest pain, muscles spasms and nausea — flared up in June 2020, her doctor diagnosed her with presumed long COVID. 

By August, she was too ill to work. But when her employer insisted on proof of the original infection, she didn’t have it.

“My doctor had tried her best to support me, but she wasn’t able to provide the evidence,” she said. 

She enlisted a lawyer, who helped her secure long-term disability support through her employer’s provider.

It’s time to act for all these people suffering from these debilitating conditions.– Simon Décary

Simon Décary, a professor of rehabilitation at the Université de Sherbrooke, said this burden of proof could become a problem, because testing capacity collapsed during Omicron.

While the required proof varies by workplace, Décary thinks employees with long COVID shouldn’t need a positive PCR test result to prove they were previously infected with COVID-19. Instead, health-care providers could be trained to diagnose long COVID based on the WHO definition, with that diagnosis accepted by employers, he said. 

Criteria for claims changing in Ontario

On Friday, the Workplace Safety and Insurance Board announced that Ontarians who believe they contracted COVID-19 at work can make a claim without a positive PCR result, but should try to get a medical opinion or rapid test to confirm their infection. 

Workplace compensation boards around the country vary on this requirement. The Saskatchewan Workers’ Compensation Board insists on a PCR test confirming the original diagnosis; while in Quebec, CNESST stipulates that priority workers who can access PCR tests will need one for a claim, but workers who cannot access PCR tests will have their claim assessed in “good faith.”

Up to Dec. 31, the WSIB has approved 31,363 claims related to COVID-19 workplace infection. The Current asked how many of those claims are related to long COVID symptoms, but the organization did not provide a figure.

In a statement, the WSIB said it provides financial support until workers are “safely able to return to work,” and that 86 per cent of claimants did so within 16-30 days. 

“If people experience symptoms after they have recovered and returned to work, they could come back to us to see if they are eligible for additional benefits,” the statement continued. 

WATCH | COVID-19 long-haulers adapt to new normal:

What Comes Next: COVID-19 long-haulers adapt to new normal

8 months ago

Duration 3:29

As Ontario slowly reopens, COVID-19 long-haulers are still trying to adapt to their new normal. Ismaila Alfa spoke with Amara Possian about her struggles with the disease. This is the second installment of a Metro Morning series exploring how the pandemic has changed people — and what comes next. 3:29

If infected outside the workplace, workers across Canada might be left to rely on their employer’s paid sick days or health-care benefits, before applying for up to 15 weeks of employment insurance from the federal government

In B.C., Sewell used up her sick days, then applied for provincial financial support. But a backlog in processing claims meant she had to dip into her savings.

“You’re supposed to be trying to stay stress-free … it’s hard to do that when you’re slowly watching your savings dwindle down to nothing,” she said. 

Décary thinks the federal government should recognize long COVID as potential grounds for disability, to help patients access appropriate supports.

“It’s time to act for all these people suffering from these debilitating conditions,” he said.

The Current asked Health Canada whether there are plans to recognize long COVID as a grounds for disability support, but has not yet received a response.

Return to work needs communication, flexibility

In Toronto, the bank worker is still off work nearly two years after contracting COVID-19. She suffers from fatigue, heart palpitations and muscle cramps. She said her employers hired someone to fill in for her temporarily, and told her that she can return when she’s well enough, but she doesn’t know when that will be.

She said that alongside coping with her illness, she had to cope with “the stress of knowing that my employer felt that I wasn’t ill enough to be off, when I couldn’t even get out of bed.”

Smith said “trust on both sides” is key to a successful return to work for those suffering from long COVID, and it takes flexibility and frequent communication. In light of testing issues during Omicron, he thinks “we should focus less on the condition and more on what the symptoms are.”

Simon Décary, a professor of rehabilitation at the Université de Sherbrooke, said more should be done to help Canadians living with long COVID. (Submitted by Simon Décary)

That means patients could discuss their daily work with health-care providers, who could pinpoint what parts of their job might still be doable without inflaming their symptoms, he said.

Workers could then communicate clearly to their employers: “‘This is what I can do. This is what I’ve been told I can’t do,'” he said.

The employer could also consider temporary assignments, and try to give employees autonomy and flexibility over when tasks are completed.

Sewell contracted COVID-19 for a second time in December. But after a mild infection, she returned to work this month.

She wants employers to “lead with empathy,” and understand that the illness may be very limiting for staff.

“[Working] may be the only thing they’re going to do that day. They may be sacrificing going to their kid’s activity, or taking a shower, or having a home-cooked meal for their family,” she said.

“If we’re choosing work and being at work, just understand what that really means.”


Written by Padraig Moran. Produced by Alison Masemann and Joana Draghici.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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