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The arrival of a cancer diagnosis is something that changes your life, sometimes it helps you and sometimes it sinks you … It all depends on your vital moment and the efforts you have to make to adapt to the new life that has come to you.

There are resilient people who are able to face life’s challenges on their ownEither because they have seen the disease up close in their life or because they have a way of living that allows them to adapt to what comes to them.

Illness also helps you develop your inner strength… it is an opportunity.

For all these reasons, I think psychological care is a necessity in oncology and not an option.

The disease turns your plans upside down and changes your whole life … some of the things it brings with it are:

Modify your routine, you cannot work or fulfill your usual responsibilities. Everything seems to stop. It fills you with worries about your own body, whether it is responding well to treatment, whether this new symptom is due to your sadness and anxiety or is an indication of a worsening. You feel that you have lost control over your life and your plans have to be abandoned. Also modify your personal relationships … there are people from whom you hide the diagnosis so as not to worry them, you hide it from other people for fear of misunderstanding. Your family relationships change, especially when a family member must take charge of accompanying you and replacing you in the tasks that you used to do. You must face the fear of chemotherapy and its side effects, you must face the nausea and pain and you must also face the thoughts that tell you if you are doing well. give up the dream of being a father or mother or you will have to put it off temporarily You have to learn to live without a leg, without a breast, with hair loss lo, signs that shout out to the world your illness, that prevents you from hiding as you wish. Fear is one more companion in life … it accompanies you when you go to check-ups even if you feel good, it accompanies you when you have a bad day and you start to think that the disease has returned, it is next to you when the thought of death arrives … so common … so terrifying.Your relationship suffers because you are not feeling well and because sometimes you do not know how to communicate what you feel inside, what takes you away from others, from people who love you.

This is just a brief summary of the many things that cancer disease brings with it and how you can see, turns your whole life upside down and makes you a different person, so you also have to adapt to this new me.

Sometimes doctors do not refer the cancer patient to the psychologist because they consider that what happens to them is normal given what they are experiencing… and in part they are right, but sometimes that is the ideal time to prevent future problems, to go to an emotional professional who will guide you through this new path you are traveling.

Some signs that tell the doctor that a cancer patient needs psychological help, They are:

Patients with psychological and / or psychiatric problems prior to cancer diagnosis Patients with little or no social support Problems adapting to the diagnosis, showing denial that hinders treatment Patients with a depressed mood (emotional anesthesia, negative thoughts or rumination , insomnia, increased or decreased appetite …) for a prolonged period Presence of suicidal ideation or attempted suicide Difficulties in adapting to treatment that produces low therapeutic adherence Faced with anticipatory and conditioned nausea and vomiting during chemotherapy Family problems of Adaptation to diagnosis and treatment. Relationship problems derived from the diagnosis and treatment (discussions, sexuality, communication …). Counseling to give explanations to the children about the disease. Overload of the caregiver, with problems to handle the situation of their loved one.

We must normalize going to the psychologist. When our bodies hurt we go to the doctor … Psychologists are experts in the mind, emotions, thoughts and sometimes also in the soul.

Going to a psychology professional can make the cancer patient make stronger, that you face the disease and treatment with more serenity, can help you to live in another way, a much freer one. So if any of your patients are having a hard time, refer them to the psycho-oncologist or psychologist.

If you are patient and you are reading my words… Seek psychological help, it is a sign of maturity and that you want to feel better. I am at your disposal on my website … Access it and contact me. I know I can help you.

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Cal/OSHA Cites Santa Rosa Police, Bay Area Hospitals, Care Facilities Over COVID Violations

OAKLAND (CBS SF) — Cal/OSHA has cited the Santa Rosa Police Department, along with several Bay Area hospitals and skilled nursing facilities for failing to protect employees from COVID-19, the agency announced Wednesday.

The safety and health citations come with proposed penalties ranging from $2,060 to $32,000, depending on the severity.

Aside from Santa Rosa Police, Sutter Health’s California Pacific Medical Center Davies Campus in San Francisco, the Santa Clara Valley Medical Center main campus on S. Bascom in San Jose, and Regional Medical Center in San Jose were cited for violations of the state’s COVID-19 protocols for workers exposed to the virus.

In addition, Hayward’s Gateway Care & Rehabilitation Center, and San Jose’s Canyon Springs Post-Acute and Ridge Post-Acute were also cited.

The employers were cited for not taking steps to update their workplace safety plans to properly address hazards related to the virus, according to Cal/OSHA.

“Workers in health care and public safety are at a higher risk of exposure to COVID-19 and employers must put in place measures to protect these essential personnel,” said Cal/OSHA Chief Doug Parker in a prepared statement.

The Santa Rosa Police Department was cited for failure to screen people showing COVID-19 symptoms in March, and for not reporting to Cal/OSHA multiple serious illnesses suffered by employees who contracted COVID-19. Detective Marylou Armer, a 20-year veteran of the department, died from COVID-19 complications after being exposed by another employee who had shown symptoms. Cal/OSHA said it did not learn of the Armer’s death until two weeks after it happened.

Gateway Care & Rehabilitation Center in Hayward was found to have exposed nurses and housekeeping workers to COVID-19 when it failed to follow requirements for providing necessary personal protective equipment. The Alameda County District Attorney’s office launched an investigation of Gateway Care in April after an outbreak among residents and workers led to more than a dozen deaths among the residents.

A COVID outbreak at Ridge Post-Acute in April infected 27 people, including half of the facility’s long-term residents. In May, two nurses’ unions filed complaints accusing Santa Clara County of endangering nurses at Canyon Springs Post-Acute for failing to inform them of coronavirus-infected patients or provide them with required PPE.

Cal/OSHA noted it has created guidance for many industries in multiple languages including videos, daily checklists and detailed guidelines on how to protect workers from the virus. This guidance provides a roadmap for employers on their existing obligations to protect workers from COVID-19.

Employers are required to report any suspected cases of COVID-19 must be promptly reported to local public health authorities, and California law requires employers report to Cal/OSHA any serious illness, serious injury or death of a worker while on the job or in connection with work within eight hours of when they become aware of the illness.

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