For many Minnesotans, working from home has become a new norm in the pandemic.

Physical therapists say if you haven't converted your home-office space to aid proper posture, your body will start to show the signs. Typing up a work memo from your couch in some comfy clothes might seem appealing.

Dr. Russell Amundson, national senior medical director for UnitedHealthcare, countered it is important to maintain a home-office setting which does not involve constant slouching or looking down at a screen.

"There's been a shift to telecommuting," Amundson explained. "Folks have surrendered, or have been removed, from more ergonomically designed workspaces with good office chairs, with good support and of course, the appropriate height desk."

He advised the ideal approach includes sitting up straight with your knees at a 90-degree angle. And if you are working at a computer, adjust the screen height to eye level. Being consistent can help avoid back pain, carpal tunnel syndrome and tendinitis.

A 2016 study found nearly 130 million American adults are affected by a musculoskeletal condition which can affect bones, joints and muscles.

Other health experts say working from home might also discourage people from being active during a break.

Paul Stokman, a physical therapist at Cuyuna Regional Medical Center, said prolonged sitting places stress on the body.

"We just don't maintain as much tissue health over time," Stokman pointed out. "We need that oscillation and activity. We need to stress our bodies and relax. We need to get up and move."

He suggested scheduling an alert on your phone or computer to remind yourself to move around. Even if you have existing back pain, the medical community said low-impact activities can still be helpful as opposed to resting.

Prior to some offices reopening, state officials said last year an estimated 600,000 Minnesotans were teleworking as the pandemic continued.

Wildfires are becoming bigger and more frequent in Colorado and across the Mountain West, and health experts are offering tips to breathe easy even during bad air-quality days.

Dr. Anuj Mehta, pulmonary and critical-care physician at Denver Health said pregnant women, infants, children, older adults and people with heart or lung disease are most at risk.

"Wildfire smoke has a lot of particulate matter. So really, really small microscopic particles that can cause inflammation in the lungs. Just breathing in that particulate matter, that inflammation may not just stay in your lungs. It can really cause inflammation around your body," Mehta said.

Exposure to smoke from wildfires has been linked to an increased risk of heart attack, stroke, lung cancer and a decline in cognitive function. Using air purifiers with HEPA filters and high MERV rated air conditioning filters can improve indoor air quality. Limiting strenuous activities is also a good idea, because when your breathing rate goes up, you inhale more particulates.

Workers and others who need to be outdoors can get air-quality updates on particulate matter and ozone pollution levels online at colorado.gov/airquality. Mehta says N-95 masks and respirators can also help, if worn correctly.

"If you can be indoors, that's going to be really good. If you have to be outdoors, and you are somebody with underlying breathing problems, wearing the mask actually can reduce the amount of particulate matter that you are going to breathe in," Mehta continued.

Colorado has already seen six wildfires that have burned more than 1,000 acres since May, and as humans continue to burn fossil fuels, wildfire risks are widely expected to increase into the foreseeable future. Mehta said it's important to understand the risks, and to be prepared.

"So every summer we're going to be dealing with bad air quality days. And so people, especially people with underlying health concerns, should be discussing with their medical teams about a bad air-quality plan," Mehta continued.


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A recent public opinion poll finds it's the best of times and the worst of times for Missourians. The "Speak up Missouri" poll from The Missouri Foundation for Health, reveals that residents treasure deep community connections, but they're also burdened by significant challenges, such as cost of living, access to adequate health care, and drug and alcohol use in the Show-Me State.

Sheldon Weisgrau, MFH vice president for health policy and advocacy, said the poll confirmed that the cost of health care is really fundamental.

"And that addressing that problem can make life better for people in Missouri in a whole lot of other areas. If we can bring down the cost of health care, people would have money to spend on other things," he said.

Many Missourians view their state positively, often recommending it as a good place to live and praising it as safe and welcoming, especially for raising children.

The poll showed significant demographic differences in concerns: More than 80% of Black Missourians cited crime and gun violence as major issues. White respondents mainly worried about the rising cost of living and health care costs. Weisgrau notes views on climate change also varied.

"Thirty nine percent of respondents said that climate change was not too serious a problem. But for Democrats, nearly two-thirds labeled it as an extremely serious, or very serious problem, compared with only 8% of Republicans," he continued.

He stressed the importance of elected officials paying close attention to their constituents' concerns, especially during this election year, to tackle the pressing issues affecting their daily lives.

A new bipartisan federal bill could improve end-of-life care planning.

The Compassionate Care Act creates guidelines for advanced care and end-of-life planning to make the services more widely known. It comes as people are still reeling from seeing family member's experiences during the pandemic.

Sen. Richard Blumenthal, D-Conn., the bill's sponsor, said the pandemic demonstrated the importance of having a person's health care wishes spelled out.

"As much as people may be reluctant or averse to facing the need for an advanced directive or a living will, once that time arrives they are so much better for it because it's their wishes," Blumenthal explained.

A University of Michigan survey found 46% of older adults completed at least one advanced care plan. Feedback about the bill has been positive but Blumenthal noted misconceptions about it could obstruct its passage. He is concerned the bill could be misinterpreted as requiring patients to complete a living will. While the bill has been recently introduced in Congress, the busy election season might delay its passage.

The bill also calls for studying the efficacy of a national advanced care planning registry so patients can transfer advanced directives from state to state. Another provision of the bill is expanding telehealth services for hospice patients.

Kim Callinan, president and CEO of Compassion & Choices, said such services are essential since people at the end of their lives may not have the strength to visit an in-person doctor.

"To be able to access more care at the end of life via telehealth instead of having to do more in-person visits that rob people of precious quality of life can profoundly impact how one dies," Callinan pointed out.

Beyond federal bills, Callinan added state legislation like Physician Orders of Life-Sustaining Treatment bills bolster end-of-life care. They are portable medical orders letting health care facilities know a patient's wishes for end-of-life care and emergency medical services. Currently, 42 states and Washington, D.C. have enacted similar bills.