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Everything you do during the day comes with making decisions. With quarantines lifting, you're now faced with a whole new set of decisions on what is safe to do.Experts say that's made more overwhelming because we still don't know everything about COVID-19 and you may be getting mixed messages from leadership.“So, you might have a governor saying one thing. You might have a mayor wanting something different happening in the local community,” said Dr. Lynn Bufka, Senior Director for Practice, Research and Policy at APA. “So, it becomes very difficult for the average person who's not an expert in these matters to figure out how to make decisions.”Bufka says this kind of cognitive overload or "decision fatigue" can make the simplest choices seem more exhausting, like what to wear or what to have for dinner.Bufka suggests two ways to take the pressure off. First, accept that it's not easy right now so it's okay to be imperfect. And second, set up a new routine. Even just rotating the same few outfits can help cut down on the decisions you have to make.“We don't really think about how much thinking and how much mental effort goes into what we do in the day,” said Bufka. “Every time we make a decision, that's a little bit of mental effort.”Bufka says our normal routines before, during and after quarantine will all look different. So, you may not be able to just go back to what you did before the outbreak to cut stress. 1448

DENVER — The Colorado Department of Health and the Environment has approved a major change to the way state birth certificates work.During its monthly meeting on Wednesday, the board voted to allow more identifying options for birth certificates. There will now be four options: male, female, X and intersex.The move follows a state change on Nov. 30 to driver’s licenses and identification cards that added the third option of "X" for a person’s sex. When a child is born, their birth certificate will only have three options: male, female and intersex. "X" is left out since it is not a biological characteristic, Chris Wells with the department of helath and environment said. It will be available for adults who want to amend their birth certificates.The board of health also approved simplifying the process to change the gender identity on a birth certificate. Under current requirements, a person must undergo gender reassignment surgery and prove it to a judge in order to qualify for the change to their birth certificate. Under the newly approved rules, those wishing to change their identities would simply need to fill out a form — no surgery required. Minors will also need a note from either a doctor or a mental health professional supporting the transition. Those who want to change their gender identity can only do so once without a court order. Advocates for the new rules said the gender reassignment surgeries are expensive and those who want to change their gender identity may not even want the surgery."Transgender individuals often face significant discrimination in the employment housing and healthcare and having a birth certificate that accurately describes exactly who they are is huge in reducing the discrimination," said Emma Shinn, a transgender former marine. She was in attendance Wednesday morning. This decision comes in the wake of a civil lawsuit brought by a 13-year-old against the state after he was not allowed to change his gender identity on his birth certificate. This is one of several changes the LGBTQ community is fighting for. Two others could play out in the Colorado state legislature during the next session:First, advocates said they want state ID cards to change the identifying wording from “sex” to “gender” in order to better correlate with how people feel about their identity, rather than how they were born.Second, advocates want a change to Colorado law when it comes to a transgender person switching their name to better reflect their gender. Right now, Colorado law requires a transgender person to seek a court order and print their old and newly chosen names in the newspaper three times within 21 days before officially making the switch. Advocates said that requires these individuals to out themselves to their entire community unnecessarily. 2827

Creating vape juice, the liquid inside e-cigarettes, is a complicated process, that someone like George Cassels-Smith can talk for hours about. Cassels-Smith’s knowledge of e-juice and the electronic tobacco business stems from his family’s long history in traditional tobacco. In the early 1900s, his great grandfather ran a company around flavoring cigarettes. His father took the business over and eventually, it fell into his hands after his father passed. “I lost my father due to cigarettes,” said Cassels-Smith. “He was a lifetime smoker. He had three heart attacks and two strokes and cancer twice, and that’s why I entered into manufacturing e-juice.”The family business is now eLiquidTech, located outside Maryland. “I’d like to try and help people with their nicotine dependence with a safer alternative,” he said.When it comes to the safety of vaping, the Centers for Disease Control says almost 1,500 people around the country with a reported a history of vaping have been hospitalized with acute lung illnesses. More than two dozen people have died from it. “For the last 10 years, there have been relatively no health risk associated with it or very low,” said Cassels-Smith. “Now, all of a sudden, people are dropping like flies. What has been new that’s been introduced?”The CDC is still trying to figure that out. However, that question bothered George Cassels-Smith so much, he decided to test every product eLiquidTech makes. The test revealed, “that we were not introducing a biological problem to the agents that we compound.”Weeks of talking with other vaping manufacturers and industry insiders has left Cassels-Smith believing the cause of the outbreak may stem from black-market products or people introducing additional substances to legally manufactured vaping products. His strongest suggested culprit is THC. “I have a hypothesis that it is cannabis related,” Cassels-Smith said. “Those are oil-based products for delivering big aerosol, as opposed to PG glycerin-based, which is for making nicotine products.”Around 78 percent of the people who have come down with vaping related illness, or who have died, have reported using THC liquids in their e-cigarettes. However, the CDC has not definitively pointed to that being the cause of this outbreak. The CDC’s current statement on the cause of the rash of recent lung illnesses and deaths is, “At this time, FDA and CDC have not identified the cause or causes of the lung injuries in these cases, and the only commonality among all cases is that patients report the use of e-cigarette, or vaping, products.”“I would ask the CDC and the FDA to carefully look at the delineation into scrutinize what these elements are associated with,” said Cassels-Smith. “We need to do more effort to find out what is exactly doing this.” Answers would help eLiquidTech’s business, which typically it produces 80,000 to 100,000 kilos of vape juice. But this month, it is only projected to produce 10,000. Answers would also help George-Cassel Smith’s conscience. “With people dying, I need answers. I need to sleep well at night,” he said. “I am doing everything I can to make sure I am not part of the problem.”But most importantly, answer would help families, losing love ones around the country from vaping related illnesses. 3305

Christopher Columbus changed the world by connecting Europe to the Americas. He is also accused of committing brutal acts against indigenous people. So on Columbus Day, one teacher wore a t-shirt that read “Columbus was a murderer.”“I wanted to wear this shirt to spark discussion,” said Emma Howland-Bolton. She says she wanted to have a conversation with her fifth-grade students at Clipper Multicultural Magnet Honors Academy in the Detroit Public Schools Community District, about how there are different perspectives. But instead, a school administrator asked her to take off the shirt. She soon feared she would be disciplined.“I was informed that my shirt was my opinion and I countered with it is a fact,” Howland-Bolton said. 747

CHICAGO — An infant cut from his mother's womb in a gruesome crime opened his eyes briefly on Sunday for his father. Marlen Ochoa-Lopez, 19, was nine months pregnant when she was killed and her unborn baby — a little boy — was cut from her womb. The infant is reportedly in grave condition and on life support in the neo-natal intensive care unit, according to CNN. Friends and family of the baby's mother released an image of the baby and his father together in a hospital room this week.There will be three days of visitation for Ochoa-Lopez on Thursday, Friday and Saturday. Her funeral will follow the Saturday visitation at the Mount Auburn Funeral Home in Stickney, Illinois. So far three people have been arrested in connection with the crime. 763

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