Trials and tribulations

Hi Friends,

I have been wondering how best to use my expertise and skills to be of service during the COVID-19 situation, and brainstorming ways to put my experience to good use in a new job.

Offering yoga online has been very fulfilling, and it has allowed me to contribute to keeping a small business running that had to close acupuncture operations for 2.5 months. I love getting to know my students better and the Sunday (Re)treats have been my favorite.

It has also occurred to me that clinical trials are running for treatments and for vaccines to help save lives and stop the spread of this infection. I have 12+ years of experience as a clinical researcher, and I am good at explaining technical concepts to non-scientists in a way that makes sense. Mission taking shape…

Web MD coronavirus picture
Photo credit – WebMD (COVID-19: What You Should Know)

I have noticed that Universities have difficulty explaining clinical trials to potential participants in ways they understand. Many of their resources are text-heavy and use a lot of technical terms. It is a chronic problem for the informed consent process as well, which is required before volunteering to participate in a trial.

In service to helping people understand which trials might be the best fit, I am considering a series on de-mystifying the clinical trial process. It may be a matter of curating the best content that is available and sharing it. I am strongly committed to advocating for participants who may be confused and want clarification of their questions.

The ACRP (Association of Clinical Research Professionals) explains that with the pandemic looming large at hospitals, many trial sites are not recruiting participants and face the danger of not completing their enrollments. This could have devastating effects on the development of other life-saving therapies outside of this virus.

My questions are these:

  • Have you ever thought about volunteering for a clinical trial?
  • What are your reservations about participating in a trial?

For now, since the biggest question people seem to have for the news media on vaccines and trials is: why will this take so long? I am posting an info-graphic from St. Luke’s which nicely summarizes the process. I’ll be back later this week or next to follow further in bite-sized stories if there is interest in this topic.

phases of a clinical trial
Credit to St. Luke’s Cancer Clinical Trials Center for this graphic

Stay well and safe. Wash your hands. Wear your mask. Be kind.

cristy@meximinnesotana.com

How to keep quarantine from ruining your marriage (shared)

Within hours, I was getting texts. And FB messages. And then a call from a quasi-terrified sounding former student: “Any articles or books you can suggest about how my spouse and I spend the next many weeks together in our tiny apartment without offing each other?” Then, as if on cue, my husband of 28…

via How to keep quarantine from ruining your marriage — ideas.ted.com

I found this post interesting, partly because my husband predicted that there would be a baby-boom post-quarantine. I predicted there would be a spike in divorces as people forced to be together in closer quarters than usual might spark greater than average disagreements. Ha! And usually I’m the optimist!

So I share this in case it would be helpful to anyone else who wants to maintain good relationships in tighter quarters than usual.

Much love, my friends. Stay safe.

cristy@meximinnesotana.com

 

Since change is a constant

I started out today writing about some hints for people who are managing people remotely during the COVID-19 situation. In my role as an operations manager for remote clinical research team, I learned a lot about managing distributed teams. My direct reports were in 5 different countries, so we were seldom all together EXCEPT via teleconferences.

And then: I got news that my friend’s mother is dying. She’s getting on a plane soon in hopes she can say goodbye in person if her Mom is released to hospice care. Family members cannot visit people in hospitals right now. Oh dear. Complicated.

So the earlier idea has been shelved for later. For now, I will readjust my plans for the week, so I can cat-sit for her.

That is okay. Haven’t we shown how capable we are this week of re-adjusting? That we are not in control of so many events in our lives? 

Change is a Constant

Change in our lives has always been constant. And yet we, as humans, cling to our ways of doing things, our comfortable routines. As a neurodiverse person I struggle to maintain routines, though I know that they help me stay sane on the average day.

Meditation has been a daily practice for over 3 years now.  Wow, am I ever glad I made that commitment. Journaling is also a daily practice for me, removing the “static” from my head and getting some distance from it by writing it out. Anything we can to do help manage our emotions right now is important.

I practice yoga 10-15 minutes most days to calm my nervous system. Some days I take whole hour class online through Tula Yoga & Wellness! I’m grateful they are making classes available via Zoom for those of us who want to stay connected and practicing. I’m also delighted that my NIA teacher Beth Giles is offering her NIA classes via Zoom so I can vary things up! Moving to music is a balm for the soul.

We need to take care of ourselves. This is not something I will sacrifice during this time. Self-care helps me show up for others. I have been able to support friends and family who are struggling via phone calls, walks, emails, etc. Connection is essential for health. What if we tried “virtual presencing” while we do our social distancing? No, it’s not the same. And yes, we need it.

We humans are inherently resilient. It is how our brains evolved thus far. We will get through this together. And our community may grow even stronger as a result.

Stay well, friends.

cristy@meximinnesotana.com

 

 

 

Unwritten protocols

Hello Friends,

Happy Thursday!

I’ve been deeply immersed in a personal writing project so I am likely to post a little less frequently in the few months. I have come to enjoy my Sunday haiku, so I’m not giving that up. We all have much going on in our lives, and YOU are no exception. But I do want to keep in touch so if you do want to connect and I’m taking an offline hiatus, you can reach me via email.

Do you know the unwritten protocols of your organization?

In the meantime, I wanted to reflect on something I posted about last week, an incident in which I was blind-sided at work by something I never saw coming.

Now that I’ve had the chance to think it through I realized I had not respected the unwritten protocols that exist in this organization. As a clinical researcher by training, I have a love/hate relationship with protocols.

Protocols are awesome because they give you a clear definition of what needs to be done. They are written in language that is specific and precise. Since scientific experiments need to be reproducible and consistent in their execution, protocols are a necessity. When you work with human subjects research, regulations require protocols that are well-vetted, statistically validated and approved by an institutional review board or medical ethics committee.

Organizations often have “power protocols” also. These are the unwritten protocols that take typically 6-18 months at any organization or department (sometimes more) to learn. They are things like:

  • Having a PhD or M.D. counts (especially true in academic organizations).
  • If you have a choice to talk with the PI for a grant, or the chief of staff, pick the latter. She’s the one who actually gets the job done; he’s the name on the letterhead. In a university system, it’s fascinating to me how this mirrors a very patriarchal structure.

I had opened the communication channels during a project in which I was gathering feedback. But I did not bank on the fact that, while I was trying to be system-agnostic in my analysis, the department wanted me to fix the tool they already have rather than to select the best tool.

Now that I understand what they want, I can execute on that. I may not agree with the decision, but others with higher grade levels are determining the parameters. And that’s where I encountered one of the unwritten protocols at this institution: if grant money has been used to build a tool, it would take a LOT for us to abandon the tool.

Lesson learned. Onward.

cristy@meximinnesota.com