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In many ways, we have come a long way since March when the pandemic first began, but in other ways, we have not.Infections and hospitalizations around the country from COVID-19 are rising quickly, as the United States just surpassed 250,000 deaths from COVID-19. The country is also setting records for the number of positive coronavirus cases. It has forced states to consider similar shutdown measures to the ones we saw in spring.Michigan, Washington state, Oregon, and New Mexico are mostly closed, as states like Colorado have recently announced more closures coming this weekend, including moving restaurants to take-out and delivery only.“It has been very busy [in the ICU] and it has really, as you mentioned, gone up in the last two weeks,” said Dr. Julia Limes of UCHealth in Colorado.Dr. Limes has been spending the last few weeks working out logistics for the ICU at the University of Colorado Anschutz Medical Center.“We have started deploying people from other parts in the hospital to come and help us on both the COVID floors and in the COVID ICU,” said Dr. Limes.“We already surpassed the numbers from the first surge, so it’s like what’s next?” added Maddie Smith, a critical care nurse in the hospital’s COVID-19 ICU.Smith has worked in the hospital’s COVID-19 ICU since March. She says the fear, stress, and unpredictability of this current surge might have consumed her once more if it was not for the lessons learned in the COVID-19 unit during the spring months.“We just know how to treat them better, and we know how to intervene with interventions, so that’s been really helpful,” said Smith.In the spring, hospitals were experimenting with different drugs to treat serious COVID-19 complications. Since then, the FDA has approved Remdesivir as a treatment option for certain patients 12 and older, based on findings that it helped some patients recover faster.Smith says doctors and nurses are now more familiar with the arc of how a patient might respond to symptoms so they can manage bed space and ventilator use better.All this comes as both Moderna and Pfizer announced this week they have both developed vaccines with 95 percent effectiveness.“[Caring for patients] is easier and it’s smoother than it was in the spring,” said Dr. Limes.Not only has patient care gained more clarity, but so too has self-care on the part of first responders, according to Smith.“It was hard,” she said. “I think the biggest part that got to all of us is these people don’t have family to be with. That first surge, it all hit us pretty hard because of the sadness that happened down here. We just kind of lean on each other to get through it.”How far this current wave will go is unknown, but by drawing from the past, these first responders say they will be ready to deal with it no matter what is thrown their way.“We just have a better sense of the trajectory, and that is hugely valuable as we go into this next surge,” said Dr. Limes. 2962

In the middle of a pandemic, 13-year-old Jade stood in her kitchen with her phone in her hand, listening intently to the instructions coming from the other end of her Zoom call.It was her first time attempting to make Rice Krispies Treats.“Cooking is one of my favorite things to do, but I still have a lot of things to work on,” she explained as she mixed a small cup of marshmallow with the cereal she’d already poured into a bowl.For Jade and countless other kids across the country, the COVID-19 pandemic has meant a sudden absence of social time with friends who they’d typically see at school. For Jade, the pressures of the pandemic can often be incredible loneliness, even with her grandma, grandpa and mom living at home with her.“Two months ago, we were all hanging out. Now we’re all home. It’s really hard, but I’m getting used to it now,” she said.Before the pandemic began, Jade was enrolled with the group Big Brothers Big Sisters of Central Massachusetts. In an effort to make sure Jade is handling the pressures of the pandemic, Jade’s “Big Sister” and mentor Angela Potts has been scheduling weekly Zoom calls.From the very start of quarantine, the pair decided baking would be the way they would bond from afar.“It keeps your mind off of everything negative that’s going on in the world,” Angela said from her kitchen as she added chocolate chips to the Rice Krispies Treats that she was making.Each week, the pair chooses a recipe, then they schedule a time to cook together. Even though they aren’t meeting in person, it still gives Angela a chance to check on her mentee.“If she needs someone to talk to, to reach out to, I’m here for her and I hope she knows that,” Angela added.Across the country, Big Brothers Big Sisters has turned to virtual meetups to make sure vulnerable kids and teens are still getting one-on-one time with mentors.“Now is the time that kids need that extra support. The world is just in chaos, so we’re letting them know they aren’t alone,” said Courtney Evans who works for the nonprofit.Until Big Brother and Big Sisters can meet with their mentees again safely in person, the organization says virtual meetups are making sure kids don’t slip through the cracks. 2221

It seems Americans were hungry and thirsty on Election Day.On Twitter, Google trends revealed that searches on Election Day of “fries near me” and “liquor store me” were at “all-time highs." 198

In May, most chain restaurants will have to post calories on their menus. Some restaurants already do adhere to the new federal requirement. But just how accurate are these calorie counts? People like Jodi Rogers, a realtor who tries to eat healthy and exercise a few times a week, says she doesn't count every calorie but she finds calorie listings helpful when ordering. She admits sometimes she feels bombarded by all the numbers. "I see them pretty much everywhere I go, I feel like," she said. "I think it gives you a little bit of guidance as to what you're looking at and what you might actually be consuming."The test included calorie counts on three items from three national chains. The test included two club sandwiches with fries from Denny's. The menu said there would be 1100 calories in each order. McDonald's promised 540 calories for its signature Big Mac. The test included two sandwiches and no sides. The test also included two Steak and White Cheddar Paninis from Panera. Each should have 940 calories.The food was taken by The Now to a lab for testing. The technician ground up and scientifically analyzed the food to find out how many calories were in each. The results showed that the menus can sometimes be inaccurate.At McDonald's, the 540-calorie sandwiches came out just slightly higher at 581 calories and 552 calories. That's not much of difference, said dietitian Jessica Crandall. "If the recipe calls for a teaspoon of mayo put on a sandwich, maybe when the person in the line who is making the sandwich uses a tablespoon instead," said Crandall.At Panera, the food didn't come in over; it was exactly the opposite. The sandwiches were expected to have 940 calories but measured in with 149 fewer calories and 205 fewer calories.At Denny's the sandwich and fries should have been 1100 but both were over, one by 180 calories and the other by 110.Crandall said, "It's an extra two or three hundred calories. If someone is trying to lose weight that can actually hold their weight loss."Think of it this way: Jodi would have to work out for an extra 18 minutes just to burn those extra 180 calories.No one regulates whether menus are accurate. The FDA says restaurants must explain how they came up with the calorie results only if the FDA asks. The FDA says the requirement to list calorie counts on menus "applies to restaurants and similar retail food establishments if they are part of a chain of 20 or more locations, doing business under the same name, offering for sale substantially the same menu items and offering for sale restaurant-type foods."Jodi says she doesn't expect every restaurant to be perfect and she still plans to use calories listed on the menu for some general guidance and will keep exercising. "I think you have to give yourself a little bit of wiggle room and realize that whoever's preparing the food probably isn't getting exactly the same serving size and it might not be exact same food as what was provided in their test kitchen," she said. 3129

It’s easy to overeat during the holidays with all the delicious offerings. The average holiday meal has about 3,000 calories, according to the Calorie Control Council. That doesn’t even include alcohol you may consume!"People kind of let themselves go, because they think it's okay,” says physical trainer Brian Brenzels. “Because they have an excuse to not workout and eat everything."  However, don’t stress too much. The average person only gains two pounds during the holidays, according to a study published in Psychology and Behavior.  But if that two pounds scare you, how can you avoid it?When tomorrow comes, and you're faced with an abundance of food, Brenzels says to grab the smallest plate.   “If you grab the bigger plate, you tend to fill it up completely,” he says. “You grab the smaller plate, you fill it up, that's still a quarter of the portions you would eat."  When it comes to leftovers, give it away.   "A lot of people are eating all the leftovers,” Brenzels says. “Send the leftovers home with people in small increments. Set yourself up for success."  And once Friday morning rolls around, make sure you get back at it.   "Still wake up, even if it's a walk, get up,” the trainer recommends. “Get moving, get that metabolism going. Get that workout in in the morning, and then its right back to normal."  Whatever you do, Brenzel says, don't wait till the New Year to make your resolution to get fit.  "Make your resolution right now,” he says. “Friday. Friday morning, you wake back up and you get back to it."    1619