How I’m getting through the COVID-19 crisis…

COVID

Who could have anticipated that our lives would look like this two months ago? Even as a physician, the empty streets as I drive to the clinic, the closed stores and restaurants, and most of all, closed schools, seem incomprehensible. How could this virus bring the entire world to a halt? It is a baffling, stressful, and for some, life-threatening time. While some people have found new meaning in staying home, protecting people they love, others who have lost livelihoods and family members have had reasonably increased anxiety and depression.

I feel fortunate in this crisis, as I’ve been lucky enough to have a profession that I can still practice during this time, and help support our family. I’m still in the hospital, as some part of my job has to be practiced in person- doing Transcranial Magnetic Stimulation (TMS)- but a fair amount can be done via telemedicine. Who thought telemedicine would be practiced on such a vast scale in just a month or two? However, even having safe employment doesn’t make me immune to stress and worry about the health of my family. How do we safely get essentials? Should I wear a cloth mask in public, despite some studies to the contrary? What happens if someone gets sick- how do we safely quarantine them in our house while protecting everyone else? How will this affect the feelings of safety and security of the smallest members of our household, when they have lost their classrooms, beloved teachers, and can’t go outside to play with their friends?

Routine and familiarity are so important for us all. So we have really worked to keep a routine for our family, and I’ve have leaned into my own routine. Routines in general are great ways to build productivity and wellness into our lives.

When I use a paper planner, I have a laminated bookmark with my daily, weekly, and monthly routines and tasks that keeps me on track. When electronic planning, I’ve added recurring tasks to Todoist (and Things 3-I’m trying out both to see which I like better). I have one for the morning, with subtasks:

  1. Drink water (I’m terrible at this normally)
  2. Meditate. I’m using the Daily Calm from the Calm app right now.
  3. Five minute journal- I use the template from Day One everyday, in it’s own dedicated “productivity journal.”
  4. Exercise- Hmm…not as good at this one yet.
  5. Review tasks and appointments for the day (Todoist/Things3 and Fantastical/Google Calendar).

I have an evening routine, which consists of something similar:

  1. Straighten up.
  2. Five minute PM journal and regular journal, again through Day One.
  3. Stretch or meditate.
  4. Read for 30 minutes.

If something really significant has occurred that day, personally or in the world, which frankly, these days, is more often then not, I use this short-cut on my iPhone to attach that day’s New York Times front page to my journal entry in Day One. I have this thought that some day, I will want to read back in this momentous time. My spouse’s family member’s account of taking care of patients in the Spanish Flu epidemic is still read today, and maybe this will be valuable for my descendants, too.

For our family, we have set up a home schooling area, and the kids have a specific schedule, with lots of fun time built in, too (playing in the yard, run-walking with me when I have time, impromptu brownie baking). They do school lessons in short bursts in the morning when they are most energetic and focused. We cleared a lot of clutter so there is not much distraction for them and we have dedicated spaces for their supplies. Also, I am working hard for us to be forgiving and kind to each other. This is a really baffling time for adults, and even more so for children. Fighting and tantrums are more common, and for the kids, too. 🙂 It’s hard to manage stress during this time, and I think extra care is needed to give partners and family members the benefit of the doubt.

We also keep up with friends and family far away, regularly, on a variety of apps, including Houseparty and Marco Polo. A regular coffee date with a friend online can really help your sense of isolation, and recognize, we really are all in this together.

What are you doing to soothe and stay calm during this time? Let me know below!

Calm app review: worth the money?

Calm app review: worth the money?

I have been a dedicated Headspace user, and in an effort to let some of the many subscriptions I have run out, I started using the Insight Timer app, which I still highly recommend [here]. However, Groupon had a discount on the Calm app, and I took the opportunity to try it out for a year at a much reduced cost. I was particularly interested in Calm since it was named App of the year by the App Store in 2017, and has such good reviews.

The good….

Like Headspace, Calm has many different series of meditation classes, each building on the last. There is a good selection, from beginning meditation with several levels of guidance, to anxiety, sleep, relationships, self-care, etc. There’s a body scan version of meditation, for fans of Andy on Headspace. There’s an “insight of the day” which I particularly like.

Like the Insight Timer app, there is relaxing music, with the purpose of helping you sleep, focus, or simply unwind with nature sounds. The music is a little repetitive, and many consist of short loops of music played over and over for 30 minutes or so. Still, some of it is nice to focus on other tasks with, since the music is so simple- it isn’t distracting.

The masterclasses are new for the app, which mostly seem like well-researched options. In particular, the “Rethinking Depression” masterclass has classes on exercise in depression, sunlight, nutrition, social connection, sleep, and negative thoughts, all of which have basis in the scientific literature. I haven’t listened to the entire group of sessions, so I can’t speak about every claim that the instructor makes, however. There’s also Masterclasses on rest, breaking bad habits, and social media/screen addiction. My only quibble is that there is officially no official “screen addiction” diagnosis, but I understand what the instructor is getting at.

The interface is easy to use, engaging, and as advertised, calming. I have had no crashes or bugs. It keeps track of how long you’ve been meditating daily, and can write to Apple Health. It also keeps track of streaks, to help motivate you into meditating more often!

The not-as-good…

Calm works best on a subscription and it’s not cheap. In fact, $59.99 per year seems like a lot to me, though you can get it for $12.99 per month and $299.99 lifetime. Groupon had a sale, and I think it was $39 for a year, which was worth trying for me. Another negative: I haven’t seen a ton of updates and new features since I bought the premium app, other than a few Masterclasses, which I discussed above.

Each meditation ends with some nice quote, which I love, and supposedly you can share it on Facebook or Twitter, but that has never actually shown up as a quote on my Facebook feed, which is a bummer.

Features that the Jury is still out on…

Calm is one of the only apps (maybe the only app) that has a bedtime story function. There are a variety of stories, mostly excerpts of classics. The narrators are of varying qualities and I found some quite monotone. There’s a kids’ bedtime story function, and some of those stories can be found in the regular adult bedtime stories. I tried a variety of the stories with my children who fight sleep as if it is the enemy, and though they LOVE to be read to, they were thoroughly unimpressed by the stories.

I discussed the music above- it can occasionally be repetitive but is overall nice. I particularly liked the nature sounds. However, the music on Insight Timer, which is free with some non-essential paid functions, is more interesting, and mostly not loop generated.

Will I renew next year?

I’m uncertain. I will probably wait to see if there are any great features I can’t live with out, and then consider either Stop, Breath and Think plus the Insight Timer for music, or just stick with the Insight Timer altogether.

There are a TON of new meditation apps since I last reviewed them- which ones do you like? Let me know in the comments below!

Update, 3/11/2020:

Calm has really upped their game since I reviewed them last. The loop music seems to have been abandoned in favor of more interesting, soothing music. I would happily listen to this music to sleep, though much of it is less than an hour long, so if you’re a person with initiation insomnia (trouble getting to sleep), you might find the music length falls short. A few of the options are multiple songs strung together, but if you don’t like the few I saw, you might be out of luck. The quality of the music seems to have improved- I even saw some offerings from Sam Smith, though I liked the “Liminal Sleep” album by Sigur Ros.

The sleep stories are really fun now.  Initially, the stories felt uninspired- readers reading books from Project Gutenberg that had fallen off copyright. Now, there are some famous voices- Jerome Flynn (from Game of Thrones, but he is surprisingly soothing here, rather than a murderous mercenary), Matthew McConaughey, etc. My favorite two stories so far, are “A Night in Shakespeare’s London” and a non-fiction offering, “A Cruise on the Nile,” which is a travelogue of Egypt read by Alan Sklar, who apparently is the equivalent of propofol for me, since I’ve never made it past the Great Pyramids of Giza.

The daily Calm meditations also seem more well-thought out than they used to. A recent one on Wabi Sabi was really meaningful for me. One gripe, though, is that the daily Calm meditations seem to disappear after a week. I kept reading amazing comments about one of them, even one from a famous meditation teacher, and when I went looking for it, the meditation had disappeared, which was disappointing.

I think all these things cause me to revise my previous review- I think Calm has upped their game with quality meditations and features, and is worth the money now. Do be cautious about the trial- a few comments I’ve received from readers indicates some people have found customer service to be less than helpful when there are payment issues.