Called on account of COVID-19-the sports we won’t be watching this year

“Olympic competition has been canceled only three times in the 124-year history of the modern Games, and all three instances were because of global conflict (1916, World War I; 1940 and 1944, World War II)

Were it not for the COVID-19 pandemic, we would soon be watching the 2020 Summer Olympic games on television or, for some of you, in person.

Dr. Aletha took the photos in this post at the United States Olympic Training Center at Colorado Springs, Colorado in 2015.

By now you know that the the International Olympic Committee and Japanese Prime Minister Shinzo Abe jointly announced the postponement of the 2020 Olympics . Now the games are scheduled to take place from July 23 to August 8, 2021. The Paralympic Games will occur from August 24 to September 5 ,2021.

“Olympic competition has been canceled only three times in the 124-year history of the modern Games, and all three instances were because of global conflict (1916, World War I; 1940 and 1944, World War II). But never before has a Games been pushed back a year, an enormous undertaking for a global event with more than 11,000 athletes from around the globe. “

espn.com

And in other sports..

Major league baseball started its shortened season late. Basketball players are practicing in a “bubble” at Walt Disney Resort (where despite quarantine several players have tested positive for COVID-19). The NFL introduced a “mouth shield” for possible use to protect players from infection. Pro soccer teams are playing to empty stadiums where the referees can hear every critical word the players and coaches mutter. No fans are following pro golfers around the greens.

I follow my local pro and amateur sports teams, although there will likely be fewer of those to watch this year also. I admire athletes’ dedication to their sports, and especially those who achieve special recognition by overcoming great odds to get there. 

Water wait 

Reading a recent issue of Sports Illustrated (a rare occurrence) I discovered open-water swimming which I didn’t know was a sport, much less in the Olympics. Ashley Twichell could swim before she could walk.

For thirteen years she has worked to earn a spot on the U.S. Olympic swim team and at 31 years old, she would have been the team’s oldest rookie Olympic swimmer  since 1908 , if this summer’s games had not been cancelled.  And next year, at 32, she will be the second oldest woman to ever swim on the U.S. Olympic team.

“I’ve always taken it year by year. And now I get even one more year than I was planning on.”

Ashley Twichell, swimmer

Standard of caring

Hayley Wickenheiser, retired ice hockey player, earned seven world championship golds.   She played for Canada in five Olympics. She won four Gold medals and one Silver medal. She was admitted to the Hockey Hall of Fame. She even played on a Finnish men’s hockey team. She deserves the unofficial title of history’s greatest female hockey player.

Haley sees the coronavirus pandemic from a different perspective; she will soon be Dr. Wickenheiser upon finishing her final year of medical school. She plans to practice emergency medicine.

Hayley serves on the IOC (International Olympic Committee) Athletes’ Commission, a peer-elected board that advises the Olympics’ governing body. In March 2020, she became increasingly concerned about the fate of this year’s Olympic games  as the world became engulfed in the COVID-19 nightmare.

So she took to Twitter demanding the IOC make a definitive plan to give direction to the thousands of athletes in limbo about the games. Her tweets prompted other organizations to make similar demands and by late March the games had been officially cancelled. 

Her concern came not just as an athlete. She said, 

“I couldn’t sit silently anymore, given  what I was seeing in the emergency rooms and hearing from my friends in hospitals across the country.” 

As a student she is not expected or allowed to provide direct care to coronavirus patients. But she stays busy studying, working out, giving hockey tips through Instagram, and using Twitter to encourage social distancing. 

“The calmer we stay, the more we isolate from each other…if we do our part at home and on the front lines, we have a chance to combat this as a mass group of humanity.” 

With Dr. Hayley and her generation of future physicians, I think the world’s health is in good hands.

TOKYO 2020

Fifty-seven years* after having organised the Olympic Games, the Japanese capital will be hosting a Summer edition for the second time. The Games in 1964 radically transformed the country. According to the organizers of the event in 2021, the Games of the XXXII Olympiad of the modern era will be

“the most innovative ever organised, and will rest on three fundamental principles to transform the world:

  • striving for your personal best (achieving your personal best);
  • accepting one another (unity in diversity); and
  • passing on a legacy for the future (connecting to tomorrow)”.
and while you’re here read this post about another historic Olympic event

Winning on the water-a book review of Boys in the Boat

In Boys in the Boat, the United States Olympic Rowing team of 1936 beat incredible odds to win the gold medal. But the meat of the book explores in detail how each man came to be in that boat, especially Joe Rantz.

one more thing

If the title of this post puzzles you, here is an explanation of “called on account of rain”-I didn’t know all of this either.

exploring the HEART of athletes

Thanks for joining me to meet these athletes. I hope you will explore them further and gain new inspiration for your own athletic journeys; we all have one, in one way or another.

Dr. Aletha

Click this affiliate link to learn how you can get inspired with Aaptiv workouts for fun and fitness.

find sports illustrated at barnes &noble

Women’s health-choosing and using hormones

Studies and reviews have found no long term increased risk of death from hormone use, although the risk of cardiovascular disease is increased while taking the drugs.

Our bodies make the sex hormones-estrogen, progesterone, and testosterone- naturally, but sometimes doctors prescribe synthetically-made ones therapeutically. Like any drug, we should only use them when the benefit clearly outweighs the risks, after considering issues of safety, effectiveness, side effects, ease of use, and cost.

post updated January 11, 2023

This information is current as of the date of original publication or update but may have changed by the time you read this. Do not use this information for diagnosis or treatment purposes. Before making health decisions, discuss with a qualified healthcare professional.

taken at the Tulsa Performing Arts Center

Hormone Pills for birth control 

Most oral contraceptives, OCPs, or birth control pills consist of two hormones, an estrogen, usually ethinyl estradiol and a progestin-norethindrone,levonorgestrel, desogestrel, norgestimate, or drospirenone.

For women who cannot or prefer not to take estrogen, norethindrone can be used alone. The FDA has approved another progestin-only pill.

The new pill contains drospirenone . It prevents pregnancy effectively although was not specifically tested opposite norethindrone. Another benefit of the drug is controlling acne. As with other new drugs, Slynd, brand name, is more expensive than generic norethindrone.

Homones through the skin

Hormonal birth control can be delivered by patches applied to the skin, that is transdermal. These also contain an estrogen-ethinyl estradiol and a progestin-levonorgestrel, or norelgestromin, 1 patch every 3 weeks with 1 week off.

Vaginal hormone birth control

Women have had the option of using an estrogen/progestin vaginal ring, kept in place for 3 weeks, then removed and replaced with a new ring 7 days later. (Nuvaring, ethinyl estradiol/etonogestrel) .

Now there is a new option- a ring that contains a different progestin. Annovera is a silicone elastomer device containing ethinyl estradiol and segesterone. The cost, $2000, (per GoodRx) sounds excessive, but this ring can be reused for 13 4-week cycles,unlike Nuvaring which is replaced every 4 weeks. Both rings effectively prevent pregnancy.

photo by Dr. Aletha, taken at the Santa Fe New Mexico airport

Three LARCs –Long-acting reversible hormone contraception 

Three forms of long-acting reversible hormone contraception (birth control) are available to women in the United States.

The birth control injection (shot) is a progestin, depot medroxyprogesterone acetate (Depo Provera). Women who use this method receive an injection every 90 days which effectively prevents pregancy.

Etonogestrel, a contraceptive implant, slowly releases the hormone progestin and does not have estrogen. It can be used in women who cannot take estrogen. The small device is implanted under the skin of the upper arm and replaced every 3 years. Brand names are Nexplanon and Implanon.

Hormonal intrauterine devices, IUDs, contain the progestin levonorgestrel. The newest version (2023) named Liletta is effective for 8 years. Earlier brands could be left in place from 3 to 8 years.

Here is a link to facts about other forms of contraception from the Department of Health and Human Services

Reproductive Health

at the New York Metropolitan Museum of Art

Hormone therapy and heart disease

A 2015 Cochrane review of 40,410 postmenopausal women examined the use of oral hormone therapy (estrogen with or without progesterone) taken for at least six months, compared with placebo (no real drug), to determine the effect on death from any cause, and deaths caused by heart disease, stroke, and blood clot in a leg or lung.

The review found no benefits for preventing heart attack (fatal or nonfatal), or death due to any cause. And other studies and reviews have found no long term increased risk of death from hormone use, although the risk of cardiovascular disease is increased while taking the drugs.

Here is a link to a review of hormone therapy benefits and risks.

Menopausal Hormone Therapy

at the New York Metropolitan Museum of Art

Vaginal estrogen and heart health

While oral estrogen replacement after menopause can decrease night sweats, hot flashes, and vaginal dryness, it potentially increases the risk of developing cardiovascular disease-heart attacks and stroke, and some cancers-breast and uterine. But does estrogen given vaginally carry the same risk?

No, according to the results of the Nurses Health Study. Statistics over 18 years showed no increase in these complications in women who used vaginal estrogen, suggesting this is a safe option for women who choose to use estrogen to improve quality of life after menopause. (from the journal Menopause)

Controlling fibroids that bleed

Fibroids are a non-cancerous tumor of the uterus. They often cause no symptoms but can cause heavy and/or painful periods. Now a hormone combination can stop that.

Marketed as Oriahnn, two capsules daily taken morning and evening can decrease menstrual blood loss by 50% or more. One capsule contains 3 hormones-elagolix, estradiol, and norethindrone. The other contains only elagolix. Treatment should not exceed 2 years due to a risk of bone loss, similar to that seen after menopause occurs.

exploring the HEART of women’s health

I hope you enjoyed the photos. I took them all on various travels.

Dr. Aletha

a statue of a woman holding a child, "CROSSING THE PRAIRIE"
“CROSSING THE PRAIRIE” by Glenna Goodacre, Broken Arrow, Oklahoma

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Dr. Aletha

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