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Tag: rest

  • NorCal forecast: A few showers linger this Wednesday morning

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    Northern California forecast: A few showers linger this Wednesday morning

    Roads will be damp this morning, and a couple of showers are possible during the commute as we begin to dry out for the rest of the day.

    SEASON IS DONE. YEAH, KELLY NOW GETS A LITTLE HARDER TO COME BY, ESPECIALLY SINCE WE’RE GOING TO BE SHIFTING INTO MARCH BY THE END OF THIS WEEKEND AND INTO, OF COURSE, NEXT WEEK. BUT IT’D BE NICE IF MOTHER NATURE WOULD CONTINUE TO PROVIDE, BECAUSE WE CAN CERTAINLY USE EVERY DROP AND EVERY FLAKE IN THE MOUNTAINS. HERE’S A VIEW OF RADAR SWEEP, WHERE YOU CAN SEE THAT THE RAIN IS CLEARLY STILL COMING DOWN, ESPECIALLY AS WE’RE BRINGING OUT MORE MOISTURE HERE ALONG THE WEST SLOPE. INTERSTATE 80 HERE ACROSS THE HIGHER TERRAIN, IT’S ALL RAIN, AND IT’S GOING TO PRODUCE THOSE SLICK CONDITIONS THERE FROM RIGHT ABOUT AUBURN, ALL THE WAY UP THE HILL TOWARDS DONNER SUMMIT ALONG HIGHWAY 50, YOU’RE GOING TO SEE THOSE BANDS OF RAIN. THEY’VE BEEN ON THE LIGHTER SCALE AROUND PLACERVILLE. THEY PICK UP A BIT MORE AS YOU TRAVEL ACROSS MEYERS AND UP INTO THE SOUTH SHORE, AND THEN ALSO EYEING AREAS HERE OF HIGHWAY FOUR, HIGHWAY 108. IT’S BEEN A SOGGY MORNING SO FAR AROUND SONORA AND THEN AROUND MIWOK VILLAGE AND THEN AROUND ARNOLD. YOU’VE HAD SOME VERY LIGHT BANDS OF RAIN. LIVE. LOOK OUTSIDE RIGHT NOW FROM RANCHO CORDOVA, WHERE THE TRACK IS GOING TO BE A LITTLE BIT DAMP THERE ALONG HIGHWAY 50. WE’VE HAD SOME SHOWERS IN THE OVERNIGHT, BUT NOW IN AREAS LIKE RANCHO SACRAMENTO, STOCKTON AND MODESTO, THINGS HAVE REALLY FADED IN TERMS OF THE SHOWER ACTIVITY. IT’S A MILD MORNING, TEMPERATURES IN THE 50S. DAYBREAK IS OFFICIALLY AT 643, AND TODAY WE’LL GET OUT THERE AND ENJOY 11 HOURS AND 12 MINUTES OF DAYLIGHT. AND IF YOU’RE CURIOUS, I WAS LOOKING AT THE MOON THE PAST FEW DAYS. THE NEXT FULL MOON IS ARRIVING EARLY NEXT WEEK, MARCH 3RD TO BE EXACT. BIG PICTURE VIEW. WE’RE STILL KIND OF SEEING THIS TROPICAL MOISTURE STEER ONSHORE, BUT WE HAVEN’T SEEN A LOT OF THE MOMENTUM OR THE ENERGY TO GET IT SQUEEZED OUT IN AREAS HERE IN THE VALLEY OR THE DELTA. NOW, BY 8:00 THIS MORNING, WE’RE STILL SEEING AGAIN SOME GOOD STEADY RAIN OUT ALONG THE WEST OR THE WEST SLOPE. AND THEN AS WE GET INTO THE AFTERNOON, I THINK BEYOND LUNCHTIME, IT’S EVEN GOING TO DRY OUT FOR YOU IN THE FOOTHILLS AND THE SIERRA. AND THEN WE’RE HEADING INTO A WARMING TREND AS HIGH PRESSURE GAINS SOME STEAM GOING INTO YOUR THURSDAY AND FRIDAY, WE GET INTO SATURDAY, A PIECE OF ENERGY OFF THE COAST MAY BRING SOME SHOWERS, ESPECIALLY TO THE NORTHERN HALF OF THE STATE AROUND MOUNT SHASTA REDDING AREA. BUT WILL THOSE SHOWERS DIP DOWN CLOSE ENOUGH TO SACRAMENTO AT THIS POINT? I’VE ACTUALLY LEFT THE FORECAST DRY AS THIS SYSTEM CONTINUES TO WOBBLE OFFSHORE, AND I THINK THAT AS WE HEAD INTO YOUR WEEKEND, WE’RE LOOKING AT A MILD STRETCH UPPER 60S TO LOW 70S TO BE EXPECTED. WARMEST PART OF YOUR WEEK IS BROUGHT TO YOU BY FRIDAY. FRIDAY’S HIGH 72 DEGREES. AND BECAUSE OF THE CLOUD COVER THAT’S GOING TO BE AROUND, GUYS WILL NOT ONLY SEE SOME FILTERED SUN, BUT IT ALSO MAY FEEL A TOUCH HUMID OR MUGGY THE NEXT COUPLE OF DAYS. SO IF YOU FEEL LIKE YOU’VE TAKEN A TRIP TO HAWAII

    Northern California forecast: A few showers linger this Wednesday morning

    Roads will be damp this morning, and a couple of showers are possible during the commute as we begin to dry out for the rest of the day.

    Updated: 6:32 AM PST Feb 25, 2026

    Editorial Standards

    Roads will be damp this Wednesday morning, and a couple of showers are possible during the commute as we begin to dry out for the rest of the day.The warm rain will leave Northern California with relatively mild temperatures today and for the rest of the week. Valley highs Wednesday will be in the upper 60s, with Foothill highs in the low 60s. Showers in the Foothills and Sierra should largely fizzle out by noon, and highs in the Sierra will be in the upper 40s.An occasional drizzle is possible. Skies will be mostly cloudy, but winds will remain light.The rest of the week will start to warm, with highs climbing into the low 70s through Saturday under partly cloudy skies. The normal high for late February is 64 degrees.The next weather system arrives Sunday but will bring showers mainly to the Foothills and Sierra. A few light showers are possible in the Valley into the start of next week.See more coverage of top California stories here | Download our app | Subscribe to our morning newsletter | Find us on YouTube here and subscribe to our channel

    Roads will be damp this Wednesday morning, and a couple of showers are possible during the commute as we begin to dry out for the rest of the day.

    The warm rain will leave Northern California with relatively mild temperatures today and for the rest of the week. Valley highs Wednesday will be in the upper 60s, with Foothill highs in the low 60s. Showers in the Foothills and Sierra should largely fizzle out by noon, and highs in the Sierra will be in the upper 40s.

    An occasional drizzle is possible. Skies will be mostly cloudy, but winds will remain light.

    The rest of the week will start to warm, with highs climbing into the low 70s through Saturday under partly cloudy skies. The normal high for late February is 64 degrees.

    The next weather system arrives Sunday but will bring showers mainly to the Foothills and Sierra. A few light showers are possible in the Valley into the start of next week.

    See more coverage of top California stories here | Download our app | Subscribe to our morning newsletter | Find us on YouTube here and subscribe to our channel

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  • Commentary: In Trump’s invasion of Venezuela, Marco Rubio is the biggest sellout of all

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    By invading Venezuela, President Trump just lit America’s eternal exploding cigar.

    For over 175 years — ever since the United States conquered half of Mexico — nearly every president has messed with Latin America while telling the rest of the world to stay the hell out.

    We have helped depose democratically elected leaders and propped up murderous strongmen. Trained death squads and offered bailouts to favored allies. Ran economic blockades and encouraged American companies to treat the region’s riches, and its workers, like a cookie jar.

    From the Mexican American War to the Bay of Pigs invasion, the Panama Canal to NAFTA, we’ve only looked out for ourselves in Latin America even while wrapping our actions in the banner of benevolence.

    It’s rarely ended well for anyone involved — especially us. Many of the leaders we put into power became despots we tolerated until they ran their course, like Panama’s Manuel Noriega. The political upheaval we helped create has led generations of Latin Americans to migrate to el Norte, fundamentally changing our country even as too many Americans think people like my family should have stayed in their ancestral homes.

    So there Trump was at Mar-a-Lago on Saturday, insisting that the capture of Venezuela dictator Nicolás Maduro and his wife by American troops was a military action as brilliant and consequential as D-day. He also announced that the U.S. would “run the country” and practically jiggled out his weird “YMCA” dance at the idea of making money from Venezuelan oil.

    His message to the world: Venezuela is ours until we say so, just like the rest of Latin America. And if allies and enemies alike still didn’t get the hint, Trump announced an updated Monroe Doctrine — the idea that the U.S. can do whatever it wants in the Western Hemisphere — called the “Donroe Doctrine.”

    Because of course he did.

    No one in Washington should be more versed in this terrible history than Secretary of State Marco Rubio, the child of Cubans who fled the island when it was ruled by the U.S.-backed caudillo Fulgencio Batista.

    Rubio grew up in an exile community that saw Batista’s replacement, Fidel Castro, remain in power for decades, despite a U.S. embargo. As one of Florida’s U.S. senators, Rubio represented millions of Latin American immigrants who had fled civil wars sparked by the U.S. in one way or another.

    Yet he’s Trumpworld’s biggest cheerleader for Latin American regime change, helping torpedo the president’s anti-interventionist campaign promise as if it were a narco boat off the South American coast.

    On Saturday, Rubio looked on silently as Trump threatened Colombian President Gustavo Petro to “watch his ass.” When it was Rubio’s turn to take questions from reporters, he said Cuban leaders “should be concerned” and offered a warning to the rest of the world: “Don’t play games with this president in office, because it’s not going to turn out well.”

    In Latin America, few are more reviled than the vendido — the sellout. Betraying one’s country for personal or political gain is an original sin dating back to the tribes who aligned with Spanish conquistadors to take down repressive empires, only to suffer the same sad end themselves. Vendidos have dominated the region’s history and stilted its development, with leaders — Mexico’s Porfirio Diaz, the Somozas of Nicaragua, Rafael Trujillo in the Dominican Republic — more than happy to side with the yanquis at the expense of their own countrymen.

    Rubio belongs to this long, sordid lineup — and in many ways, he’s the worst vendido of them all.

    Then-Sen. Marco Rubio (R-Fla.), left, listens during a 2016 president debate with candidate Donald Trump.

    (Wilfredo Lee / Associated Press)

    I still remember the fresh-faced, idealistic guy trying to pass a bipartisan amnesty bill in 2013. Though too right-wing for my taste, he seemed like a Latino politician who could thread the needle between liberals and conservatives, gringos and us.

    It was wonderful to see him call out Trump’s boorishness when the two ran against each other in the 2016 Republican presidential primary. He told CNN’s Jake Tapper, in words that sound more prophetic than ever, “For years to come, there are many people … that are going to be having to explain and justify how they fell into this trap of supporting Donald Trump because this is not going to end well, one way or the other.”

    The thirst for power has a way of corrupting even the most idealistic hearts, alas. Rubio ended up endorsing Trump in 2016, supporting Trump’s claims that the 2020 election was rigged and proclaiming at the 2024 Republican National Convention that Trump “has not just transformed our party, he has inspired a movement.”

    Rubio’s reward for his boot-licking? He sets our foreign policy agenda, which is like putting an arsonist in charge of a fireworks stall.

    I’m sure all of this comes off as leftist babble to the Venezuelan diaspora, many of whom cheered Maduro’s fate from Spain to Mexico, Miami to Los Angeles. Only a deluded pendejo could support what Maduro wrought on Venezuela, which was a prosperous country and a relatively stable U.S. ally for decades as the rest of South America teetered from one crisis to another.

    But for Trump, toppling Maduro was never about the well-being of Venezuelans or bringing democracy to their country; it was about securing a foothold to flex American power and enrich the U.S.

    Meanwhile, his deportation Leviathan has gobbled up tens of thousands of undocumented Venezuelans and canceled the temporary protected status of hundreds of thousands more.

    Back in 2022, when Rubio was still a senator, he advocated for Venezuelans to be eligible for temporary protected status, which is granted to citizens of countries considered too dangerous to return to. At the time, Rubio argued that “failure to do so would result in a very real death sentence for countless Venezuelans who have fled their country.”

    Now? At a May news conference, he maintained that the 240 Venezuelans deported to El Salvador earlier in 2025 “were not migrants, these were criminals,” even though the Deportation Data Project found that only 16% of them had criminal convictions.

    Rubio has long fashioned himself as a modern-day Simón Bolívar, the Venezuelan who led the liberation of South America from Spain and who has been a hero to many Latinos ever since.

    But even Bolívar knew to be skeptical of American hegemony, writing in an 1829 letter that the U.S. “seems destined by Providence to plague [Latin] America with miseries in the name of Freedom.”

    Plague, thy name is Marco Rubio. By pushing Trump to run rampant over Latin America, you’re setting in motion the same old song of U.S. meddling that ties your family and mine. By letting Maduro’s cronies remain in power if they play along with you and Trump, even though they stole an election in 2024, proves you’re as much for the Venezuelan people as, well, Maduro.

    Vendido.

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    Gustavo Arellano

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  • Why Rest Is a Smart Return on Investment

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    Picture a CEO bragging about not taking a day off in seven years, as if he’d earned a medal in the war on downtime. Then came the “mystery illness,” the endless fatigue that no amount of caffeine can fix, and a board of directors suggesting he step away for a while. When he finally took a week off—no laptop, no calls—he came back with two breakthroughs: one for his business and one for his life. He realized both were running him instead of the other way around. 

    The return on investment of rest 

    Modern business culture glorifies doing, doing, and more doing. Sleep less, crush more goals, and check off more boxes. Rest becomes the thing to do after success—if there’s time left.  

    Yet, research reveals the need to prioritize rest. Downtime fuels creativity, clarity, and emotional regulation. A Harvard study found that strategic rest increases long-term productivity. Meanwhile, chronic overwork can cut cognitive performance. And leaders who model rest? Their teams are more engaged and less likely to burn out, according to Gallup. Translation: Rest isn’t a luxury. It’s a smart leadership strategy. 

    The power of pausing  

    Taking to pause isn’t just about sleep or vacation. It’s a mindset—balancing being and doing. Arianna Huffington built an entire company, Thrive Global, on the idea that rest restores humanity to business. Even Einstein is often quoted as crediting his breakthroughs to long walks and moments of “idleness.” Rest doesn’t stop the work. It makes the work better. 

    Self-reflective questions 

    Ask yourself the following questions to assess your relationship with rest: 

    • When was the last time you truly unplugged—no email, no mental to-do list? 
    • How does your leadership change when you operate from a place of rest instead of rushing? 
    • What message does your rest or lack thereof send to your team? 

    5 techniques for productive rest 

    • Schedule sacred pauses.
      Block “white space” on your calendar. Treat it like a meeting with your best self. 
    • Rebrand rest as ROI.
      Track the insights, solutions, and better decisions that come after taking time off. Share these stories with your team. 
    • Lead by example.
      Tell your team when you’re unplugging and that they should, too. Better yet, build rest into company rhythms. For example, does your team truly need to come back for a day or two between Christmas and New Year’s? 
    • Practice micro-rest moments.
      Do one-minute meditations, a mindful breath before meetings, or stepping outside between Zoom calls to reset your nervous system and improve focus.  

    Own your meetings. Book 45-minute meetings instead of 60-minute meetings, and use those extra minutes to review, recharge, and reset. 

    Team talk  

    In a team meeting, reflect on organizational norms or habits in your culture that discourage rest. Discuss together how you might integrate rest and renewal into your daily workflow. Then, agree on one experiment: outside walking meetings, a creative quiet hour where people can think without interruption, or a 10-minute midday recharge break. Notice what changes. 

    Rest and rise 

    Great leaders know that rest refuels purpose, perspective, and presence. After all, people are human beings, not human doings. Leadership isn’t an endurance contest. When you unplug, you return to your work with sharper thinking, a steadier heart, and a truer sense of what matters. The best leaders don’t just keep going. They know when to pause and recharge. They have the wisdom and courage to stop long enough to see clearly again and that makes space for real power to show up. 

    The opinions expressed here by Inc.com columnists are their own, not those of Inc.com.

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    Moshe Engelberg

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  • Naps Done Right Can Make a Huge Difference

    Naps Done Right Can Make a Huge Difference

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    Weekends are made for naps, but done right they can make your week better also!

    The body is a machine which needs fuel, maintenance and downtime.  Around 30% of people don’t get enough night sleep during the week, which can cause problems during the waking hours. There has been a stigma around napping as being lazy, but often those “judging” are not giving their own body enough time to rest, refocus and beenergized for the challenges of day to day life.  Data shows it is good for you and naps done right can make a huge difference.

    RELATED: Does Hitting The Snooze Button Help Or Hinder Sleep

    Everyone is different and bodies need certain things to function, enough rest is one. Healthy sleep is one of the American Heart Association’s Life’s Essential 8, their guide for improving and maintaining health.  Naps can reduced fatigue, increased alertness, improve your mood and performance, and help with memory.  But there are some guidelines…don’t sleep too long, don’t nap to close to your bedtime, and the following key lessons.

    Figure out the right nap for the moment

    The National Sleep Foundation shares there are three kinds of naps, each with their own patterns and effects. Planned napping, emergency napping and habitual napping. The first is when people sleep before they get tired, the second is when they nap because they’re exhausted and they have to, and the third is when they make a habit out of daily naps. Find the option that works best for you and you needs.

    Naps should be short.

    Productive naps are between 10-20 or so minutes. While we think of the more sleep the better, this is a case of a little goes a long way. Studies show a 10 minute nap can make people feel rested and prepared for the rest of their day. In fact, sleeping for over 30 minutes can disrupt in nightly sleeping patterns, which can alter your nights and productivity. Set an alarm for your naps, keeping them to a defined time, especially if you’re napping habitually and are not catching up on missed sleep.

    Tired At Home GIF - Find & Share on GIPHY

    Once awake, start moving

    Weekends can be made for lounging around and being lazy. Spend all day in bed or lounging in the couch and end up sleeping on and off.  But hese sessions can result in blurry days where the hours fly by and you end up feeling exhausted. It results in having trouble sleeping at night and not being rested. Days like these disrupt your circadian rhythms. Naps work best when they’re planned, with some activity and movement before and after.

    Develop a schedule

    Going to sleep at the same time every night provides plenty of positive results, helping you maintain a schedule and develop better sleeping habits. It’s the same with naps. “The brain prefers to anticipate something, not react to it. A nap is no different, which is why a scheduled nap always works better over the long haul when compared to a random nap.” This schedule shouldn’t force you to nap everyday, instead, it should help you nap more easily and feel more rested. Hope you can use the tips to make the most out of naps.

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    Sarah Johns

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  • Why ‘Shogun’ (and the Rest of TV) Is Slightly Out of Focus

    Why ‘Shogun’ (and the Rest of TV) Is Slightly Out of Focus

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    Let me describe a scenario. You’ve been looking forward to streaming the latest TV masterpiece everyone has been telling you to try. You finally find enough time to take in an hour-long episode and park yourself on the couch in front of the fancy 4K set in your living room. The screen gleams, you press play, and something looks a little … off. The top and bottom of the image seem sort of smeared. Are the edges of the frame out of focus? Did you screw something up in the settings? What’s happening here?

    If any of this sounds familiar, don’t bother checking your warranty. As The Outer Limits used to say: There is nothing wrong with your television set. Do not attempt to adjust the picture. What you’re seeing is simply a hallmark of modern prestige TV. To paraphrase Norma Desmond, your screen is sharp. It’s the picture that got blurry. And that blur is by design. Welcome to TV’s era of the anamorphic lens.

    It wasn’t so long ago that anamorphics—which, as we’ll explain, deserve the credit and/or blame for the medium’s loss of focus—were used mainly for movies, not TV. (“Why aren’t television shows shot with anamorphic?” asked a 2013 thread on cinematography.com.) But this newfound anamorphic phase has hit TV hard. The blurry look is all over Netflix shows, including Avatar: The Last Airbender, The Witcher, Youyes, YouLupin, When They See Us, Encounters, and, most glaringly, Chilling Adventures of Sabrina. (And don’t sleep on Narcos: Mexico.) You may have noticed it in Homecoming, other sci-fi series such as Severance and Andor, and HBO dramas such as Perry Mason and The Gilded Age. Most of the links in this paragraph point to posts by people who watched a show and wondered why they felt like they’d had their pupils dilated.

    Even if you somehow sidestepped every example of this trend until this year, you can’t ignore them now without suffering from FOMO. FX and Hulu’s Shogun is the most acclaimed show of 2024. It’s also one of the blurriest. And no, that’s not an accident. Like every other aspect of the meticulously planned and produced 10-episode miniseries, Shogun’s stylized visual language grew out of extensive consideration, conversation, and collaboration.

    Early on, those three Cs involved cocreator and showrunner Justin Marks and the duo of director Jonathan van Tulleken and cinematographer Chris Ross, who would work on the first two episodes. When van Tulleken was pitching himself for the position of Shogun’s leadoff director, he put together a lookbook and mood reels that laid out his vision for the show. He took his cue from the scripts, which he says “had a texture … a strong visual voice.” On the page, Shogun “felt really bold and really like [it] had a strong point of view and a strong subjectivity.” Van Tulleken wanted to bring the same quality to the screen. And so, he says, “We started to settle on this idea of how to express this subjectivity, how to express [John] Blackthorne’s disorientation.”

    While assembling the look book for Shogun, van Tulleken’s lodestars were movies that felt timeless and daring: The Godfather, Blade Runner, and, in particular, Apocalypse Now. Ross, who had teamed up with van Tulleken on previous projects dating back to Misfits, suggested several Asian influences—including Raise the Red Lantern and the work of Wong Kar-wai, Takashi Miike, and Yasujiro Ozu—as well as recent inspirations such as The Revenant and 2015’s Macbeth.

    But both agree on the guiding light: Apocalypse Now, Ross says, was “a huge reference” for them. Francis Ford Coppola’s 1979 Godfather follow-up “has a point of view in its look and a point of view in its lens choice and in its framing, and it’s driven by story,” van Tulleken says, adding, “We really wanted to take some of that and create a world that was sort of intoxicating and also felt dangerous and sometimes disorienting.”

    In applying that ethos to Shogun, van Tulleken and Ross adhered to the Japanese concept of wabi-sabi—essentially, that beauty and imperfection are inextricably linked and that one should seek to accept that tension. Shogun, van Tulleken says, is “a journey of acceptance,” particularly for the shipwrecked captive Blackthorne. “Everyone’s kind of a prisoner in the show, be it from culture, be it from their position in society, be it from politics, or literally a prisoner, in Blackthorne’s sense,” van Tulleken notes. The English sailor’s arc reflects “the acceptance of some of that and the acceptance of the things you can change and you can’t.”

    Hence the evolution from the Blackthorne in Episode 4, who tramples on the moss in his house’s rock garden, to the Blackthorne at the end of Episode 5, who carefully smooths out the gravel surrounding a stone. Having heard Mariko’s message that “death can come for us at any moment,” and having learned the truth of that through an earthquake and the death of his gardener, he embraces the transience of beauty and life and learns to focus on the things he can control.

    For the folks shooting Shogun, van Tulleken says, the challenge posed by wabi-sabi became “How do we take this very perfect thing in the digital cameras we use and also in these beautiful, austere sets and these incredible, rich costumes, and how do we break it so we’re not fetishizing it, we’re not turning it into a fantasy?”

    Their answer: anamorphic lenses.


    Anamorphic lenses were developed a century or so ago as a means of obtaining a wide-screen image from film and camera equipment with a non-wide-screen aspect ratio. (The lenses themselves horizontally squeeze the image, which is then stretched upon projection.) Compared to standard, spherical lenses, oval anamorphics enable a wider field of view, used in movie formats such as CinemaScope, which arose in the 1950s in response to the threat TV posed to the box office. Anamorphic lenses can capture the full sweep of stunning landscapes instead of lopping off a large part of the picture, but—for better or worse—in close-ups of characters, their shallow depth of field creates a stark contrast between the in-focus subject(s) at the center of the frame and the blurred background around them.

    The anamorphic look came to be seen as “cinematic,” but the lenses fell out of favor in the 1990s thanks to the development of formats such as Super 35, which made up for some of the shortcomings of spherical lenses vis-à-vis anamorphics by offering additional horizontal film area. Not only did those newer spherical alternatives capture more of the upsides of anamorphic lenses, but they were also free of the downsides—the image artifacts and distortions that result from anamorphic compression and stretching: namely, elongated lens flare (see the prominent examples in the Playboy Bunny and Do Lung Bridge sequences of Apocalypse Now), an impressionistic, swirly bokeh (background blur), and obvious vignetting (darkened corners of the frame).

    Assuming you see those as downsides, that is. In the digital era, van Tulleken says, cameras can be “very clean,” “pitiless,” and “ruthless.” That’s perfect for some projects—say, sports broadcasts—but with others, he says, “you’re trying to break that up” in order to “put an organic feel into that very digital realm.” In other words, wabi-sabi. Couple that desire with the enhanced light sensitivity of digital equipment, which has made it easier to meet the elevated lighting requirements of anamorphic lenses, and you have a recipe for a resurgence.

    This impulse isn’t unique to Shogun’s creative team. The cinematographer Neil Oseman says that “ever since cinematography went mostly digital, filmmakers have looked for ways to undercut the clean precision of the images with some unpredictable characteristics. Introducing distortions, lens flares, [and] bowing in the horizontal lines, as many anamorphics do, is one way for cinematographers to achieve that.” Oseman, who blogged about the rise of anamorphic lenses on TV in 2020, says their use “has increased over the last five or 10 years” not only out of a desire for a more cinematic feel, but because “TV networks and streamers allow wider aspect ratios than they used to, so anamorphic lenses are an option where they weren’t before.” (Until about 20 years ago, most TVs weren’t wide-screen.) Anamorphic lenses are more expensive than spherical, but as Oseman notes, “TV budgets are high enough now for these expensive optics to be hired.”

    Shogun’s budget was plenty big enough for the production to pair its Sony Venice cameras with Hawk V-Lite and class-X anamorphic lenses, whose bokeh boasts a “really interesting swirl,” according to van Tulleken. (V-Lites were used on the British crime drama Top Boy, an early small-screen anamorphic adopter that van Tulleken and Ross worked on.) As Shogun begins, Blackthorne arrives in a land that seems strange and somewhat barbaric to him. The Englishman seems just as strange and barbaric to those he meets. To capture that mutual alienation, the filmmakers leaned into their tools’ distortive effects. The aperture of a lens controls how open it is; the wider the aperture, the more light it lets in, and the more noticeable the bokeh. Early on, van Tulleken says, “We were wide open a lot on the [lenses] so that we could really have a natural, strong focus falloff behind our characters.”

    See, for instance, Blackthorne’s wraithlike crewmates in the premiere:

    Or a couple of Blackthorne’s captors looming behind him, before he breaks down the language barrier:

    Some shots show basic barrel distortion. Others evince an even more exaggerated fish-eye effect. And then there’s the vignetting, which van Tulleken and Co. opted not to crop out in postproduction. “In some places, to show that Blackthorne alienation and that disorientation, we actually left those in,” the director says.

    These choices suited the aesthetic the creators were crafting. Following the leads of Apocalypse Now, Macbeth, and The Revenant, Ross says, “We wanted to be more visceral and more first-person, wanted to put the audience in the protagonists’ shoes. So that led us to think that we would be jumping into their sphere of influence, within 3 feet of the characters’ space.” The background blur encourages the viewer to, well, focus on the foreground characters.

    In theory, these anamorphic artifacts can convey character dynamics, too. In some scenes, van Tulleken says, “There was almost a wrestle for who was in control of them, whose scene it was.” Accentuating or masking anamorphic effects depending on the scene or the speaker was one way to “play with those shifting sands of power within a scene, and who thinks they have it and who doesn’t.” Ross adds, “Every scene has a surface story, a surface plot, but at the same time … deep levels of character development and then, in hindsight, some form of revelation, because of betrayal or whatever.” Rewatching Shogun with that hindsight and dissecting it on a shot-by-shot level might produce epiphanies about why certain scenes were framed the way they were.

    This all seems somewhat adventurous, stylistically, for a series FX was making a big bet on. Were there any network notes?

    “There was nervousness,” Ross says. “There’s nervousness about everything, which is totally understandable. It’s huge sums of money to spend and an enormous leap into the unknown.” Ultimately, though, “Everyone was super supportive of this idea.” Van Tulleken acknowledges that “different streamers have a different appetite for boldness,” but at FX, he says, “No one ever said, ‘Ah, I think this thing is too much.’ … It was always a sense of: How can we push the show? How can we live up to the ambition of the show? … It was an astoundingly supportive environment to make something in.”


    The internet, naturally, is not always so supportive. Shogun, on the whole, has been rapturously received by critics and the public alike. The unorthodox cinematography, specifically, has drawn some measure of praise but also some consternation, judging by various Reddit posts and comments. Some spectators seem to have been alienated (or just plain confused) by Shogun’s visual depiction of its characters’ alienation.

    The anamorphic backlash to Shogun and its ilk could be akin to two common complaints about TV: Shows are too hard to hear, and shows are too dark to see. Each of those gripes stems in part from the fact that the conditions under which TV is created differ from the conditions under which it’s consumed. In this case, it’s not that viewers lack the high-end speakers or screens to render a director’s vision faithfully; it might be that the audience lacks the visual vocabulary to grok what the auteur intended. Perhaps this fancy stuff slays with cinephiles, but it leaves the average viewer cold.

    Van Tulleken is not the kind of creator who claims not to read the comments. “I’ve read all the Reddit,” he admits. And he’s thought a lot about the balance between challenging and distracting viewers.

    “You just have to go where you feel the visuals tell you to go,” he says. On Shogun, these decisions were “led by the story” and “came from a very, very well-thought-out philosophy. … And I think if you’re trying to go out there and make something interesting and make something that captures people’s attention, it is impossible to please everyone.” Every viewer “has the right to their point of view,” van Tulleken continues, but “there’s a world where we make the clean show and you shoot it very clinically, and you wouldn’t get the praise.”

    Nor would a director like van Tulleken feel fulfilled if he shied away from following his anamorphic muse. “Anything, frankly, that makes people sit up and lean forward and pay attention to their screen, I’m all in favor of,” he says. In his view, it’s better to conduct an experiment that might make some viewers annoyed than to hew so closely to convention that no one feels anything. “Sometimes on set, you feel a little scared doing something, and you don’t know whether that’s failing or succeeding,” van Tulleken says. “But I’m always quite a fan of that feeling of going, ‘God, I don’t know.’ I think it’s better to feel a little bit scared when you’re trying to make some art than the reverse of feeling like, ‘Ah, I know this will work because I’ve seen it a million times.’”

    Ross’s sentiments are similar. “Sometimes some people won’t agree with you and they don’t like the aesthetic,” he says. “But if you try to create an aesthetic that everybody loved, then you’d effectively create the image equivalent of Walmart. And although it’s a great shop where you can buy everything you need, you don’t get your bespoke suit from Walmart, you get it from Jermyn Street. You’ve got to fight the fight you feel you need to win in order to create the aesthetic that all of you believe in so strongly.”

    Darcy Touhey, a director, producer, and camera assistant who worked as a film loader on Shogun, responded to some Redditors to defend the visuals from accusations of sloppiness—though he does share some viewers’ reservations. Via private message, he says, “It is 100 percent supposed to look like this. It’s incredibly intentional and had to go through a lot of channels in [preproduction] to get approved. So people thinking it’s a mistake are just wrong. Artistically, you could say maybe it’s a mistake. Practically? Absolutely not. … We had like 10-14 monitors at any given time on set. Everyone was seeing what the audience is seeing.”

    Lens-wise, however, he has some notes. “I don’t necessarily agree with the decision,” he says. “I think the breathing and the vignetting is very distracting. … Those lenses just looked better when slightly longer, in my opinion.” Touhey believes that on some series, filmmakers may be shooting wide open more than they need to and under-lighting due to digital dependency and inexperience with vintage glass. Van Tulleken confirms that to make anamorphic magic, “You need a great crew, you need a great cinematographer, you need people who really understand those lenses. … You need a great focus-puller. You need a great [camera assistant]. The lenses break, they fall apart. … I don’t think it’s for the casual hand.”

    But Touhey also asserts that “people are focused on the lenses way too much when considering the cinematography of [Shogun]. The cinematography shines in this show because of the intense commitment from every department towards realism and authenticity. The sets, both studio and location, were unbelievable. The attention to detail was astounding. … A good show looks good because of every aspect of production.”

    Like Blackthorne, Mariko, and most other Shogun characters, I’m torn between competing preferences and loyalties. On the one hand, I admire the audacity and distinctiveness of Shogun’s visuals and the care that clearly went into them. On the other hand, I do find the heavy anamorphic effects distracting, in the sense that some part of my brain fixates on the fluctuations in focus, possibly at the expense of some immersion in the show. (This tendency is probably exacerbated by Shogun’s reliance on subtitles: The text draws the eye to—and, in my mind, kind of clashes with—an often out-of-focus segment of the screen.) Also: I want to see those costumes, sets, and scenery! There are ways to make a series’ cinematography stand out without making some subset of the audience want to pound the tops of their TVs, Fonzie style.

    I’m most amenable to the out-of-focus, swirly look when it serves the story, as it does on Shogun. The Gilded Age uses anamorphic effects to draw a distinction between the milieus of “old” New York and “new” New York. Severance does the same to separate the characters’ “severed” lives at Lumon Industries from their outside existence. Homecoming used anamorphics to underline the off-balance nature of the narrative.

    Not every series seems to have such clear reasons for straying from TV tradition. Even on streaming series less thoughtful than Shogun, though, directors don’t end up with anamorphic effects by accident. “I think it’s always very considered and deliberate,” Touhey says. “Shows in those budget ranges are doing camera tests well before shooting. They are doing lens projection, etc., to make sure everything is working as intended.” Some series are steering away from sterility; others are pursuing a “cinematic” signifier. “People want TV to be more like cinema now,” Touhey says, “so the use of anamorphic is becoming more prevalent because people associate that with cinema. … I wouldn’t agree again that it’s best for the medium, but it is an easy way to visually say, ‘This TV is more like a movie than TV.’”

    In effect, television has adopted a technique that moviemakers pioneered to differentiate film from TV. One wonders whether the anamorphic lens’s association with cinema will last now that this look is becoming ubiquitous on TV. “Part of my job is to make sure that we’re trying to do things that are not just being repeated everywhere,” van Tulleken says. “I’m always taking note of the cinematographers and what is being done in the space and who is making bold directorial decisions. And you’re always [hoping] you’re not aping and [that you’re] progressing the medium.”

    The good news is that the more familiar anamorphic effects are, the less off-putting they’ll be. For directors who want to reset the status quo, though, that’s also the bad news. At this rate, a sharp, pristine picture might go back to being the bolder choice. Alternatively, directors could keep cranking the anamorphic meter higher to top previous stunts.

    “Arguably, Netflix’s Chilling Adventures of Sabrina took it too far,” Oseman says. “They used Panavision Ultra [Speed Golds] anamorphics for scenes involving magic, which put a Salvador Dalí–esque blur on the sides of the frame. I thought it was a daring choice, but it was very noticeable, and I know it took some viewers out of the story.”

    Perhaps that’s happened in Shogun at times, too. Then again, the slight discomfort and disorientation I’ve felt while watching Shogun are what its creators intended. Maybe it’s made me identify with the characters and enriched the experience in ways of which I’m not completely conscious. It’s tough to say: We can’t compare the Shogun we got to a version of the show that’s the same except for flawless footage shot with spherical lenses. What we can say is that the Shogun we got is good. And if the blur bothers some viewers, it can’t be a big impediment: Whether partly because of or partly in spite of the lens selection, people are watching (and largely loving) the show.

    If your reaction to the initial lens look was closer to tolerance than love, you’ve probably been relieved to see those effects fade across the season. That, too, was part of the plan. The choices van Tulleken, Ross, and Marks made early on “set up a sandbox that everyone could then play in,” van Tulleken says; inside that structure, subsequent cinematographers and directors have had a lot of freedom to do their own thing. As van Tulleken concludes, “This show has an evolution, it has an arc, and I really believe in the grammar of shots, that they should show the escalating arc of a scene and of a story and a series. … We kept the same anamorphic lenses, we kept the same cameras, but not every scene needed what we were doing.” As Blackthorne learns the language and the lay of the land in later episodes, the disorientation is dialed down.

    If you or someone you love is still struggling with the symptoms of TV’s anamorphic phase, at least you know now that you haven’t been hallucinating. Focus (so to speak) on the positive, and practice the eightfold fence. Maybe you’ll suddenly see the wisdom in this wabi-sabi of the screen. And if you still want to break up with blurry shows, don’t feel bad about it. It’s not you, it’s TV.

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    Ben Lindbergh

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  • How the NBA’s new player participation policy affects the Knicks and Nets

    How the NBA’s new player participation policy affects the Knicks and Nets

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    Julius Randle and Ben Simmons are “star” players under the criteria set by the NBA’s new Player Participation Policy.

    Jalen Brunson and Mikal Bridges are not — though that could change the instance either earn their first All-Star or All-NBA nod.

    This is how the league is tackling its widespread load management issue, with new rules that penalize teams for sitting star-level players without just cause.

    Teams with two such star players — that is: a player who has been named an All-Star or made an All-NBA team in any of the previous three seasons — are not allowed to rest both players in the same game.

    Randle is a two-time NBA All-Star (2021 and 2023) and a two-time All-NBA honoree (2021 Second Team, 2023 Third Team). Simmons is a three-time All-Star, though his last All-Star appearance was in 2021. If he does not make an All-Star team this season, he will not qualify as a star for the Nets next season.

    As a practical example, the Los Angeles Lakers deciding to sit both superstars LeBron James and Anthony Davis in the same game without prior approval from the league would trigger a league investigation this season.

    Under the NBA’s new player participation policy, star-level players must appear in all nationally-televised games – and they must appear in all of the league’s upcoming In-Season Tournament games, as well.

    The Knicks play 25 nationally-televised games in the 2023-24 season, 20 if you exclude games broadcast on NBA TV. And now that Durant and Irving have orchestrated trades out of Brooklyn, the Nets have seen their national exposure nosedive: just five games this season set to air on either ESPN or TNT and six more on NBA TV.

    This new set of rules, however, also triggers the moment a player earns star status.

    So if Brunson were to become an All-Star this season, the NBA would fine the Knicks for resting both Brunson and Randle in the same game unless both were justifiably hurt or excused by the league for a pre-approved absence.

    These exceptions to the rule include multigame absences for bona fide injury, personal reasons, rare and unusual circumstances, roster management of unavailable star players, and end-of-season flexibility

    The Nets would need to seek similar approval should Bridges earn his first All-Star nod this season, a likely outcome given his exceptional play representing Team USA in the FIBA World Cup.

    Mikal Bridges’ standout World Cup game marred by late miss

    The Player Participation Policy features five key rules teams must comply with to avoid the stiff financial penalties for sitting star players: No more than one star player can be unavailable for the same game; star players must be available for nationally-televised and In-Season Tournament games; if a player is going to miss games, the league prefers the games be missed at home; teams can no longer shut down players for long stretches of games without league approval; and healthy players who are resting a game must be on the bench and visible to fans.

    Failure to comply with any of these rules will now trigger a league investigation, with a team’s first PPP infraction set to trigger a $100,000 fine — not to the player but levied upon the team.

    The second infraction of the player participation policy prompts a $250,000 fine, and the third activates a $1.25 million penalty. Every subsequent violation triggers a fine worth $1 million more than its previous penalty.

    This fine structure would have crippled the Nets during the Durant, Irving and James Harden era, where the Big 3 only appeared in 16 games as a trio. It would have also hurt the Nets last season, when Simmons appeared in just 42 of a possible 82 regular-season games.

    Nets rule Ben Simmons out for season with goal of rehabbing back

    WHAT ABOUT BACK-TO-BACKS

    Teams must now seek pre-approval to rest stars in either night of back-to-back games, and if one of those games is a nationally-televised, the rest must occur for the other game.

    For example, the Knicks travel to Boston on April 11 for a matchup against the Celtics set to air on TNT. The following night, they host the Nets at Madison Square Garden in a game that will air locally on MSG Networks.

    Under the new rules, barring verifiable injury or excused absence from the league, Julius Randle must play against the Celtics. If the Knicks wanted to rest him for any game of that back-to-back, they would need pre-approval from the league to sit their star forward against the Nets.

    This would become complicated, however, if Brunson were to also receive his first All-Star nod this season as teams cannot rest both star players in any single game. Both would be required to play against the Celtics, then only one would be eligible to rest the ensuing night.

    The Knicks have three other instances of nationally-televised games occurring on one leg of back-to-back: Oct. 27 at Atlanta and 28 at New Orleans (NBA TV); Oct. 31 at Cleveland (TNT), then Nov. 1 at home against the Cavaliers; and Nov. 12 hosting the Charlotte Hornets before Nov. 13 at Boston (NBA TV).

    In each of these instances, the Knicks would need pre-approval to rest Randle in the non-nationally-televised leg of the back-to-back, though Brunson wouldn’t apply to this rule because he is not yet an All-Star.

    The Nets host the reigning champion Denver Nuggets in a nationally-televised (NBA TV) game on Dec. 22, then host the Detroit Pistons on Dec. 23. Under new league rules, Brooklyn would need to seek pre-approval to rest Simmons against the Pistons – though given his injury history, they should have no problem securing such approval; nor should they have any issues with the fashionable Simmons appearing on the bench in games he is resting.

    Embed from Getty Images

    The Nets, however, have a nationally-televised back-to-back: Feb. 5 against the Golden State Warriors in a game that airs on NBA TV, then Feb. 6 against the Dallas Mavericks in Kyrie Irving’s return to Brooklyn – a game that will air on TNT.

    According to the new rules, the Nets would need to seek prior approval for a player to rest one leg of a back-to-back if both games are nationally televised or In-Season Tournament games.

    The Nets have two more back-to-backs that feature a game aired on national television: March 9 at Charlotte and March 10 at Cleveland (ESPN); then March 16 at Indiana before March 17 against Victor Wembanyama and the San Antonio Spurs, a game set to air on NBA TV and, surprisingly, be played at a neutral location.

    These games will be played after the All-Star break, meaning if Bridges earns his first career All-Star nod, both he and Simmons will be ineligible to rest one leg of each back-to-back.

    Nets’ Ben Simmons ‘as healthy as he’s ever been’ since last season in Philly’: report

    EXCLUSIONS TO THE RULES

    According to the release issued by the league, the exclusions to the player participation policy include injuries, personal reasons and pre-approved back-to-back restrictions based on a player’s age, career workload or serious injury.

    Under these rules, the Nets should have no issues seeking rest time for both Simmons and Bridges, as Simmons has a verifiable back injury history that must be monitored to prevent aggravation.

    Bridges, due for an All-Star nod, played in 83 combined regular-season games for both the Suns and Nets last season, then played more minutes than any player not named Anthony Edwards for Team USA during the FIBA World Cup. Should he qualify for star status, the Nets could easily point to his workload over the past calendar year as just cause to rest him in the second half of the season.

    Despite Bridges’ miracle, Canada eliminates Team USA in bronze-medal game

    That will be difficult to pull off, however, if they are actively load-managing Simmons’ back.

    For the Knicks, both Brunson and Josh Hart played into the second round of the Eastern Conference playoffs then played regular Team USA minutes in the FIBA World Cup. Hart does not qualify as a star under the new rules, but a case can be made for workload management for both.

    Cam Johnson also represented the Nets for Team USA but should have fresh regular-season legs after spending most of the World Cup watching from the sidelines.

    WHAT ABOUT THE AGE AND WORKLOAD EXCEPTION?

    The NBA has created an exception to the rule for appearances in back-to-back games for players who are 35 years old on opening night or have career workloads of 34,000 regular-season minutes or 1,000 combined regular-season and playoff games, according to ESPN.

    Neither the Knicks nor Nets rosters feature a player who qualifies for this exception. Bridges has appeared in 392 regular-season games and 39 additional playoff games. Randle has appeared in 595 regular-season games and an additional 15 playoff games. Brunson has only appeared in 345 regular-season games plus 36 more playoff games. And after missing an entire season, then half of last season, while also missing his entire rookie season due to injury, Simmons has only tallied 317 regular-season games since 2017, plus 34 more playoff games.

    Chris Paul, Mike Conley, Stephen Curry, Kevin Durant, LeBron James, Kevin Durant, DeMar DeRozan and James Harden are the only NBA players covered by this exception.

    Under these new rules, the Nets would have only been able to rest Durant, who met the 34,000 minutes criteria, in last season’s Dec. 10 matchup against the Indiana Pacers, where they won despite sitting Durant, Irving and Simmons.

    PLAYER PARTICIPATION POLICY

    NBA end-of-the-season honors now have updated criteria based on availability.

    In order to be eligible for Most Valuable Player, Most Improved Player or Defensive Player of the Year, as well as any All-NBA or All-Defensive Teams, a player must appear in at least 65 regular-season games. They may appear in 62 games and still qualify for an end-of-the-season award if they suffer a season-ending injury and appeared in at least 85% of his team’s regular-season games prior to suffering the injury.

    Under this new rule, Memphis Grizzlies center Jaren Jackson Jr. would not have been eligible to win Defensive Player of the Year because he only appeared in 63 games.

    Julius Randle, who earned Third Team All-NBA honors last season, appeared in 77 games for the Knicks last season and would have remained unaffected had these new rules been implemented last season.

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    Kristian Winfield

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  • Can ‘Radical Rest’ Help With Long COVID Symptoms?

    Can ‘Radical Rest’ Help With Long COVID Symptoms?

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    Jan. 18, 2023 – On March 18, 2020, Megan Fitzgerald was lying on the floor of her Philadelphia home after COVID-19 hit her like a ton of bricks. She had a fever, severe digestive issues, and she couldn’t stand on her own. Yet there she was, splayed out in the bathroom, trying both to respond to work emails and entertain her 3-year-old son, who was attempting to entice her by passing his toys through the door. 

    She and her husband, both medical researchers, were working from home early in the pandemic with no child care for their toddler. Her husband had a grant application due, so it was all-hands-on-deck for the couple, even when she got sick. 

    “My husband would help me up and down stairs because I couldn’t stand,” Fitzgerald says.

    So, she put a mask on and tried to take care of her son, telling him, “Mommy’s sleeping on the floor again.” She regrets pushing so hard, having since discovered there may have been consequences. She often wonders: If she’d rested more during that time, would she have prevented the years of decline and disability that followed? 

    There’s growing evidence that overexertion and not getting enough rest in that acute phase of COVID-19 infection can make longer-term symptoms worse. 

    “The concept that I would be too sick to work was very alien to me,” Fitzgerald says. “It didn’t occur to me that an illness and acute virus could be long-term debilitating.” 

    Her story is common among long COVID-19 patients, not just for those who get severely ill but also those who only have moderate symptoms. It’s why many medical experts and researchers who specialize in long COVID rehabilitation recommend what’s known as radical rest – a term popularized by journalist and long COVID advocate Fiona Lowenstein – right after infection as well as a way of coping with the debilitating fatigue and crashes of energy that many have in the weeks, months, and years after getting sick.

    These sustained periods of rest and “pacing” – a strategy for moderating and balancing activity– have long been promoted by people with post-viral illnesses such as myalgic encephalomyelitis, or chronic fatigue syndrome (ME/CFS), which share many symptoms with long COVID.

    That’s why researchers and health care providers who have spent years trying to help patients with ME/CFS and, more recently, long COVID, recommend they rest as much as possible for at least 2 weeks after viral infection to help their immune systems. They also advise spreading out activities to avoid post-exertional malaise (PEM), a phenomenon where even minor physical or mental effort can trigger a flare-up of symptoms, including severe fatigue, headaches, and brain fog.

    An international study, done with the help of the U.S. Patient-Led Research Collaborative and published in The Lancet in 2021, found that out of nearly 1,800 long COVID patients who tried pacing, more than 40% said it helped them manage symptoms.

    Burden on Women and Mothers

    In another survey published last year, British researchers asked 2,550 long COVID patients about their symptoms and found that not getting enough rest in the first 2 weeks of illness, along with other things like lower income, younger age, and being female, were associated with more severe long COVID symptoms.

    It’s also not lost on many investigators and patients that COVID’s prolonged symptoms disproportionately affect women – many of whom don’t have disability benefits or a choice about whether they can afford to rest after getting sick. 

    “I don’t think it’s a coincidence, particularly in America, that women of reproductive age have been hit the hardest with long COVID,” says Fitzgerald. “We work outside the home, and we do a tremendous amount of unpaid labor in the home as well.”

    How Does Lack of Rest Affect People With COVID?

    Experts are still trying to understand the many symptoms and mechanisms behind long COVID. But until the science is settled, both rest and pacing are two of the most solid pieces of advice they can offer, says David Putrino, PhD, a neuroscientist and physical therapist who has worked with thousands of long COVID patients at Mount Sinai Hospital in New York. “These things are currently the best defense we have against uncontrolled disease progression,” he says.

    There are many recommended guides for rest and pacing for those living with long COVID, but ultimately, patients need to carefully develop their own personal strategies that work for them, says Putrino. He calls for research to better understand what’s going wrong with each patient and why they may respond differently to similar strategies. 

    There are several theories on how long COVID infection triggers fatigue. One is that inflammatory molecules called cytokines, which are higher in long COVID patients, may injure the mitochondria that fuel the body’s cells, making them less able to use oxygen. 

    “When a virus infects your body, it starts to hijack your mitochondria and steal energy from your own cells,” says Putrino. Attempts to exercise through that can significantly increase the energy demands on the body, which damages the mitochondria, and also creates waste products from burning that fuel, kind of like exhaust fumes, he explains. It drives oxidative stress, which can damage the body.

    “The more we look objectively, the more we see physiological changes that are associated with long COVID,” he says. “There is a clear organic pathobiology that is causing the fatigue and post-exertional malaise.”

    To better understand what’s going on with infection associated with complex chronic illnesses such as long COVID and ME/CFS, Putrino’s lab is looking at things like mitochondrial dysfunction and blood biomarkers such as microclots

    He also points to research by pulmonologist David Systrom, MD, director of the Advanced Cardiopulmonary Exercise Testing Program at Brigham and Women’s Hospital and Harvard Medical School. Systrom has done invasive exercise testing experiments that show that people with long COVID have a different physiology than people who have had COVID and recovered. His studies suggest that the problem doesn’t lie with the functioning of the heart or lungs, but with blood vessels that aren’t getting enough blood and oxygen to the heart, brain, and muscles.

    Why these blood vessel problems occur is not yet known, but one study led by Systrom’s colleague, neurologist Peter Novak, MD, PhD, suggests that the small nerve fibers in people with long COVID are missing or damaged. As a result, the fibers fail to properly squeeze the big veins (in the legs and belly, for instance) that lead to the heart and brain, causing symptoms such as fatigue, PEM, and brain fog. Systrom has seen similar evidence of dysfunctional or missing nerves in people with other chronic illnesses such as ME/CFS, fibromyalgia, and postural orthostatic tachycardia syndrome (POTS).

    “It’s been incredibly rewarding to help patients understand what ails them and it’s not in their head and it’s not simple detraining or deconditioning,” says Systrom, referring to misguided advice from some doctors who tell patients to simply exercise their way out of persistent fatigue. 

    These findings are also helping to shape specialized rehab for long COVID at places like Mount Sinai and Brigham and Women’s hospitals, whose programs also include things like increasing fluids and electrolytes, wearing compression clothing, and making diet changes. And while different types of exercise therapies have long been shown to do serious damage to people with ME/CFS symptoms, both Putrino and Systrom say that skilled rehabilitation can still involve small amounts of exercise when cautiously prescribed and paired with rest to avoid pushing patients to the point of crashing. In some cases, the exercise can be paired with medication.

    In a small clinical trial published in November, Systrom and his research team found that patients with ME/CFS and long COVID were able to increase their exercise threshold with the help of a POTS drug, Mestinon, known generically as pyridostigmine, taken off label.

    As is the case of many people with long COVID, Fitzgerald’s recovery has had ups and downs. She now has more help with child care and a research job with the disability-friendly Patient-Led Research Collaborative. While she hasn’t gotten into a long COVID rehab group, she’s been teaching herself pacing and breathwork. In fact, the only therapeutic referral she got from her doctor was for cognitive behavioral therapy, which has been helpful for the toll the condition has taken emotionally. “But it doesn’t help any of the physical symptoms,” Fitzgerald says.

    She’s not the only one who finds that a problem.

    “We need to continue to call out people who are trying to psychologize the illness as opposed to understanding the physiology that is leading to these symptoms,” says Putrino. “We need to make sure that patients actually get care as opposed to gaslighting.”

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