Looking up: Do you need some pandemic-free space? Astronomy on Tap Charlottesville takes a break from life on Planet Earth with a star-studded discussion led by UVA astronomy experts Dr. Michael Küffmeier, Abby Waggoner, and Dr. Jeffrey Bennett. The “suds and space” virtual talk reaches for the sky by examining the formation of stars, the use of “dancing” molecules to observe objects in space, and a cosmic perspective on global warming. There will be trivia and prizes too, while you quaff your beverage of choice.
Monday 2/8, Free, 7pm. Zoom required. aotcville.com.
Tag: Zoom
Managing mental health during COVID
For some people, quarantine has given them the opportunity to spend more time with their family, catch up on their favorite TV shows, or finally learn how to bake bread, among other things. But for those struggling with anxiety and depression, this time may be very difficult, especially if they live alone.
To learn more about protecting our mental health during the ongoing pandemic, we spoke with Elizabeth Irvin, a licensed clinical social worker and executive director at The Women’s Initiative, which offers free and low-cost (now virtual) counseling to women.
C-VILLE: How may the pandemic be affecting people who struggle with anxiety and depression?
Elizabeth Irvin: The virus and our stay-at-home order are triggering fear and uncertainty for everyone. In different ways, that is showing up for people who had depression and anxiety before this all got started. Their symptoms are continuing and sometimes worsening, but we’re also seeing incredible resilience, with many people really putting in the extra effort to reach out and get the care that they need.
The other additional impacts on people with depression and anxiety are what’s facing so many people, including issues with job security, money, and childcare, as well as feelings of isolation and disconnection from others. So as those issues worsen during this time period, it’s that much more important for people with underlying conditions to take even more steps for their self-care and well-being.
What can people struggling with mental wellness do to stay healthy at home?
It’s so important to get the facts about the virus from reliable sources, and make sure to also take media breaks. Avoid…too much negative content, because it really increases your anxiety. Taking the healthy actions that we all can, like good hand-washing, social distancing, and having a plan if someone gets sick—that’s anxiety-reducing too.
I also recommend keeping a schedule and making time to do activities that you enjoy…If the despair or depression is really starting to settle in, you may not have any interest in doing these things. However, it’s really important to start activities often, even without a lot of motivation to them, because they themselves help you feel better.
Taking time to create calm in your day…and taking care of your body are very important. The studies on exercise are clear, both for reduction of anxiety and depression, as well as improved sleep. They also are beginning to show results of fighting the virus. You can do that by running in place in a room and doing jumping jacks—things that don’t even require you to go outside.
Lastly, there’s staying connected. We are physically distancing, but we can make scheduled times to call and reach out to friends and family through FaceTime, Zoom, or however you can. Checking in on a neighbor, from a safe distance, is just as important. We don’t want people to feel acute isolation during this time.
But if you’re trying these things at home…and your symptoms are worsening, please call and reach out for professional help.
What can those who aren’t struggling with
mental wellness do to support their friends and family who are?
Regular check-ins, in the way the person would prefer you to do them. That could mean a text, a brief phone call, or a scheduled longer phone call once a week…You can also reach out for help from a professional yourself to know at what point somebody might need more support.
Overall, do what you can to help and support that person, and recognize you also need to then take care of yourself. Don’t forget your own self-care as you’re supporting others.
For more information on how to access The Women’s Initiative’s free call-in clinic, go to thewomensinitiative.org
For the first few weeks after her kids’ daycare shut down, Sarah Burke found herself in survival mode, scrambling to figure out how to manage her full-time career while keeping her children (ages 2 and 3) busy at home.
“For a while, we felt like this was a short-term problem, and therefore would have a short-term solution, which was just trying our best to get through it,” she says. But eventually, “we [realized] we’re in this for the long-haul. We [had] to actually create systems that work for us.”
Burke, who owns a capital mitigation and criminal defense investigation firm, and her husband, a data science engineer, now switch off every few hours, one handling the kids while the other works at the makeshift desk they’ve created in their bedroom. Her children’s daycare, Westminster Child Care Center, has provided some online programming for its students, such as a weekly Show and Share over Zoom, she says. But for the most part, she and her husband have been “doing the best they can” when coming up with activities for their kids, from making crafts to teaching them about household tasks like gardening and recycling.
“We’re [still] trying to figure out how to manage the fact that my small business needs to continue…and he is supposed to be getting 40 hours of work per week. And there’s just not enough hours in the day to make it all happen,” she says. So “we’re trying to give ourselves a little bit of grace.”
Burke is one of many local working parents who has been without childcare, courtesy of the coronavirus. According to Gail Esterman, director of early learning at ReadyKids, only 18 of the 55 licensed childcare centers and preschools in Charlottesville and Albemarle County are currently open, along with 20 out of 34 licensed in-home childcare programs. And because of social distancing requirements, they have had to reduce the number of children they serve, giving priority to kids of essential workers.
While the UVA Child Development Center remains open, sociology professor Rose Buckelew decided to pull her 5-year-old son out due to safety concerns. She and her husband are now doing their best to meet the needs of their son and 3-year-old daughter, whose full-day preschool is completely closed, while working full-time from home.
“My work has increased. This is normally a really busy part of the semester, so I’m usually clocking in a lot of hours. And the window of time I can do the work has radically decreased,” says Buckelew, who currently teaches three courses (remotely) at the university. “[My husband and I], we switch off. Our morning starts, and one parent is with the kids, while the other one is working…we’re just switching off throughout the day so that someone can be working, getting meals ready, or doing the new work we have of trying to figure out how we get our groceries.”
“Most nights my husband and I clock in when the kids go to sleep around 7:30, 8 o’clock, and we’re working until midnight,” she adds. “At first, I was running on adrenaline, and so I was actually doing kind of okay, and I think I caught a rhythm. But now I’m just really struggling, [and] worn down.”
When she is not recording lectures, meeting with students over Zoom, or fulfilling her many other duties, Buckelew tries to do activities with her children that aren’t “super complicated,” such as worm walks, science experiments, and dance parties, in addition to any Zoom storytimes or other remote programming her daughter’s preschool, Mountaintop Montessori, puts on. Once spring semester ends, she hopes to “build in more learning experiences,” she says. However, her main focus has been “on keeping the kids happy…not putting a bunch of demands on them.”
Despite the challenges of full-time parenting, Buckelew recognizes she and her husband “are in a really good position,” and that “there are other people who are in much tougher situations.”
Some are relying on other family members to fill the gap. As essential workers, local E.R. nurse Kellen Squire and his wife—also an E.R. nurse—aren’t able to stay home full-time with their children, who are 3, 6, and 12. Fortunately, Squire’s parents have moved in to help out, but the changes his family has had to make have been “tough emotionally,” he says.
When they’re able to spend time with their children, Squire and his wife try to do social distancing activities, such as playing outside or watching movies, in order to ensure that they don’t pass the virus on to their kids, or to Squire’s parents.
“I know personally about a half a dozen colleagues from around the state, health care workers, that have gotten infected, so it’s not a theoretical risk,” he says. “And I haven’t seen anybody anywhere truly recover from it…we’re terrified we’ll bring that home.”
With parents like Squire on the frontline every day, sacrificing their health and safety, Burke is grateful to be at home with her family, regardless of its challenges.
“We are all having such a hard time, and it’s really easy to think that the day-to-day [life] that we’re leading is just the hardest thing we could possibly imagine…[but] we’re also really so lucky to have the opportunity to stay home,” she says. “It’s a tough balance between acknowledging how hard it is…but it’s also important to keep the bigger picture in mind.”
Deadly disparities
While the COVID-19 pandemic has affected people of all backgrounds across the globe, statistics show that it has had a disproportionate impact on black Americans. Data is limited, because only about 35 percent of U.S. cases specify a patient’s race, according to the CDC. But its numbers show that black people comprise nearly 34 percent of those infected with COVID-19, though they make up only 13 percent of the population. And African Americans make up nearly 30 percent of U.S. deaths from the virus, according to the latest Associated Press analysis.
Charlottesville is certainly not immune to this issue. In the Thomas Jefferson Health District, as of April 17, about 32 percent of people infected with coronavirus (and 25 percent of those who’ve died) are black, while black people make up only 13.9 percent of the district’s population.
Black communities in other parts of the state have been hit even harder by COVID-19. In Richmond, all eight people who’ve died from the virus were black. And while 48 percent of the city’s population is African American, black people make up about 62 percent of local cases.
Medical professionals, activists, and political leaders around the country have attributed these disparities to pre-existing inequities within our health care and economic systems. Blacks are more likely than whites to be uninsured and receive lower-quality health care, as well as have underlying conditions like high blood pressure, diabetes, asthma, and heart disease—all often caused or worsened by poverty. And due to unequal education, housing segregation, and other systemic inequalities, a significant portion of black Americans live in densely packed areas and do not have jobs that allow them to work from home, making social distancing more difficult.
To provide more black Virginians with adequate health care access, the Albemarle-Charlottesville NAACP has sent a letter to Governor Ralph Northam asking him to use his “executive discretion” to speed up the Medicaid eligibility process using data available immediately from the Department of Taxation, along with other resources. Because there is currently a backlog of applications, those trying to be approved for Medicaid may have to wait as long as 45 days—which, for some people, “may be a death sentence.”
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Quote of the Week
“There was a housing crisis two months ago, and this entire community spent a number of years moving towards addressing that…And now we have an even bigger crisis.”
—Brandon Collins, Public Housing Association of Residents, addressing City Council on Monday
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In Brief
Gradual grads
UVA announced two tentative dates for graduation, after the original ceremony was canceled due to coronavirus. The class of 2020 will walk the Lawn on October 9-11, or, failing that, May 28-30, the weekend after the class of 2021 graduates. The university will still hold a digital ceremony to confer degrees this May, although it’s unclear if Zoom will have installed a virtual cap-flinging feature by then.
Sales are not on the menu
Seventy-eight percent of Virginia’s restaurant employees have been laid off since February, according to a new study from the National Restaurant Association. In the first week of April, the state’s restaurant sales declined 77 percent, compared to the same time period last year. That downturn has already forced longtime Charlottesville staple the Downtown Grille to permanently close its doors, while other beloved spots like Rapture, Tavola, and Oakheart Social have closed temporarily.
Capital loss
Death penalty critic Jerry Givens died last Monday in Henrico County at age 67. His son, Terence Travers, did not reveal Givens’ cause of death, but said that he had pneumonia and had tested positive for COVID-19. Givens, who spoke with C-VILLE in February for a story about the fight against the death penalty in Virginia, served as the state’s chief executioner for 17 years, before becoming an outspoken opponent of capital punishment.
Out of the House
Legislators in the state capital won’t be able to meet in their regular chambers for this month’s short veto session. Instead, Democratic leadership reports that the Senate will gather in a convention center, with members seated at desks 10 feet apart from each other, and the House will convene in a huge tent on the lawn near the capital.
Updated 4/22: An earlier version of this story incorrectly stated that Rapture had closed permanently; according to the restaurant’s Facebook page, it is closed “indefinitely.”
Creative worship in the age of corona
Pastor Harold Bare was met with an unusual scene when he stood in front of his congregation on Easter Sunday—a barrage of car horns during a Facebook-streamed drive-in service, which welcomed congregants to decorate their vehicles and watch Bare’s sermon from a parking lot.
Like every other institution in town, religious organizations have had to get creative as the novel coronavirus has radically reshaped our world. On Good Friday, Bare’s Covenant Church convened its choir over Zoom, with singers crooning into laptop microphones in rough, tinny unison.
“Fear not, God is in control,” read a sticker on the side of one car at Covenant’s Easter service. Additional stickers thanked more earthly leaders, like nurses and doctors.
Other religious groups have had to adjust in similar ways. Zoe Ziff, a UVA student, organized a Zoom Passover Seder for her friends who have been scattered across the world by the university’s closure.
“We spoke over each other and lagged, but it was beautiful to see my friends, hear their voices, and share the story of Passover together,” Ziff says. “It’s a reminder that everywhere in the world, Jewish people are retelling this story—though this year, over a webcam.”
“We’re being as careful as we know how to be,” Bare said at the beginning of his holiday sermon. Religious traditions might stretch back thousands of years, but these days, they’re Zooming along just like the rest of us.
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Signing day
The Virginia legislature turned in a historic session earlier this year, and as the deadline approached this week, Governor Northam put his signature on dozens of new bills. The new laws will tighten gun safety regulations, decriminalize marijuana, allow easier access to abortion, make election day a national holiday, repeal voter ID laws, allow racist monuments to be removed, and more. Northam didn’t sign everything, though—he used his power to delay the legislature’s proposed minimum wage increase by one year, citing the effects of the COVID-19 pandemic.
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Local COVID-19 case update
53 confirmed cases in Albemarle
34 confirmed cases in Charlottesville
4 deaths
Data as of 4/13/20, courtesy of Thomas Jefferson Health District
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Quote of the Week
“In Virginia, the capital of the Confederacy… in Charlottesville, the home of Thomas Jefferson… We led the charge to change the state. It’s all been worth it.”
—Former vice mayor Wes Bellamy, on the new law allowing localities to remove Confederate monuments
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In Brief
Statue status
Governor Ralph Northam has finally made it official: Charlottesville will soon be able to legally take down its Confederate monuments. The bill, which Northam signed on April 11, will go into effect July 1. The end is in sight, but the city will have to wait 60 days and hold one public hearing before the statues can be removed.
Foy joy?
Last week, state Delegate Jennifer Carroll Foy (D-Prince William) filed paperwork to run for Virginia governor in 2021. Foy is a 38-year-old former public defender who sponsored the legislation that led to Virginia’s ratification of the Equal Rights Amendment. If elected, she would become the first black female governor in United States history. Her likely Democratic primary opponents include Lieutenant Governor Justin Fairfax, an accused sex offender, and Attorney General Mark Herring, who has admitted to appearing in blackface.
(No) walk in the park
To the disappointment of Old Rag enthusiasts, the National Park Service completely shut down Shenandoah National Park April 8, per recommendation from the Virginia Department of Health. All trails—including our stretch of the famed Appalachian Trail—are now closed. Still want to explore the park? Visit its website for photo galleries, videos, webcams, and interactive features, or follow it on social media.
Win-win
Under the name Frontline Foods Charlottesville, local organizations are working with chef José Andrés’ World Central Kitchen to deliver food to health care workers, with meals supplied by area restaurants like Pearl Island Catering, Champion Hospitality Group, and Mochiko Cville. In the coming weeks, FFC plans to add more restaurants, which will be reimbursed for 100 percent of the cost of food and labor, and expand to serve other area community members.
Demanding justice
As reports of intimate partner violence increase due to coronavirus lockdowns, UVA Survivors, a student advocacy and support group, has created a petition calling for the “immediate, structural, and transformative change” of the university’s sexual violence prevention and support services. The petition demands UVA fund an external review of the Title IX office; provide survivor-created and informed education on sexual violence and consent; create a stand-alone medical unit for sexual, domestic, and interpersonal violence survivors; and move the Title IX office from O’Neill Hall (located in the middle of UVA’s ‘Frat Row’), among other demands. It has been signed by more than 100 students and student organizations.
As the number of coronavirus cases in our area multiply daily, health officials have urged anyone experiencing symptoms of the virus—fever, cough, and shortness of breath—to immediately contact their doctor. But what if you have other symptoms, suffer a minor injury, or just need a checkup? Will you still be seen by a physician?
For many patients in and around Charlottesville, the answer is yes—but not in an office. To prevent the spread of COVID-19, many local practices have moved their appointments online, only seeing patients in person when necessary.
Since last month, Albemarle Center for Family Medicine has allowed both new and old patients with non-urgent issues to schedule virtual appointments. Though its staff was apprehensive at first, the appointments have “been going really great,” says office coordinator Stephanie Hall.
After patients schedule an appointment, they receive a text message and an email with a link, which lets them know what their insurance will cover and allows them to pay their co-pay in advance, Hall explains. (Those without insurance pay an out-of-pocket fee of $75.)
At the time of the virtual visit, the provider’s nurse calls first to do an intake. “We check your meds, we check your allergies, we make sure you’re at home,” Hall says. Once the patient is ready, the provider, who is in a private setting at home or at the office, logs in. “It’s almost like FaceTime.”
After discussing patients’ issues, the doctor or nurse practitioner may use the patients’ cameras to perform a limited physical exam, and have them take their own vital signs, if possible, as well as go over their medical history and other important information before giving a recommendation. And like a regular doctor’s visit, all information is documented and confidential.
After the appointment, “we can send in prescriptions if needed, we can order labs and X-rays if needed…[and] we can have them call us back to make a follow-up appointment in the office,” says nurse practitioner Catherine Easter of Charlottesville Gastroenterology Associates, which started using telemedicine with established patients last month.
For other practices around town, telemedicine is nothing new. Since opening in September, Charlottesville Direct Primary Care has allowed its patients to schedule virtual appointments through an app.
“When you join [our practice], you get a prompt on your phone to download the Spruce app,” says co-founder Dr. Lindsey Neal. “So a telemedicine visit for us is literally like press a button, and there we are on the screen.”
Yet despite its conveniences, telemedicine comes with its own challenges, specifically for those without adequate internet or cell phone service.
“Most of the issues that we’ve had have been technical difficulties, because of all the traffic on the internet, particularly during the day,” says Easter. “But it has been very limited as far as problems go.”
Telemedicine can also be challenging for those who are not tech savvy, particularly elderly patients, Hall points out. They may need help from the doctor’s office or a family member in order to set up the video call. And if all else fails, the appointment may need to be done over a regular phone call, or in person.
Connecting with a patient through a screen can be difficult as well, explains Neal.
“There’s a lot of information that a physician can get just from seeing someone” through a video call, she says. “[But] there’s some beauty in the unspoken information that comes from being in the room with someone…We’re also trained to do physical exams. So it’s really hard to make a diagnosis on someone without that added additional information.”
For Hawkins Dale, a patient at Sentara Family Medicine, telemedicine “worked just fine.”
“There was some confusion on their part about the technical requirements,” he says. “But it turned out it was just a regular old Zoom meeting!”
Because Dale’s appointment was for a six-month checkup, he had set it up in advance, and did not have to go through the scheduling process. At the time of his appointment, a nurse connected with him over Zoom, and “took the basic facts,” such as his weight. Afterwards, Dale discussed his health with his doctor, who simply encouraged him to “drink less beer and get more exercise, as she would have done in person,” he says.
With the ease and convenience of his first virtual appointment, Dale plans to continue to use telemedicine for his medical needs.
“Lots of medicine can be delivered remotely,” he says. “Even without the plague, I would much rather do this from my office, rather than having to go to the doctor’s office.”
Dale is one of many patients who have been pleased with their virtual visits, all three medical professionals say.
“[Our patients] are really grateful to know that we’re here for them, but they don’t have to leave their homes to get the help they need for their issues,” says Neal. “They also text message me a lot…[and] are just hungry for reassurance.”
At Albemarle Center for Family Medicine, patients have also given a lot of positive feedback, and are glad to receive treatment without having to potentially expose themselves or others to the virus, says Hall.
“In general, it has been a great avenue for us to be able to reach some of our patients that we would not have been able to otherwise,” adds Easter. “I hope that patients will continue, even after the COVID crisis, to use this platform.”
Correction 4/16: Stephanie Hall is the office coordinator for Albemarle Center for Family Medicine, not Family Medicine of Albemarle.
With Virginia’s K-12 schools shuttered for the remainder of the academic year, our city and county districts have moved into uncharted territory: figuring out not only how to teach thousands of students outside of the classroom, but also making distance learning accessible and equitable for all.
The districts say they are still developing formal distance learning programs, which will be rolled out after spring break, on April 13. In the meantime, some teachers in both the city and county have provided students with optional online modules and activities, reviewing previously taught material. Educators have also been using video conference services like Zoom and Google Hangouts to bring kids together.
Accessing these resources, however, is more difficult for some than others. Up to 30 percent of Albemarle County Public Schools students don’t have adequate access to the internet at home. And while Charlottesville City Schools do not have division-wide data on students’ internet access, its most recent CHS student survey indicated that 6 percent of households have no internet.
To bridge this digital divide, ACPS has boosted the WiFi signal at all of its schools, as well the Yancey School Community Center, allowing anyone to get onto the internet from parking lots. Several hundred cars have already been spotted taking advantage of this crucial resource, according to ACPS spokesman Phil Giaramita.
ACPS has also leased part of its broadband spectrum to Shentel, enabling the company to expand internet to more rural, underserved households in the area. With the lease revenue, it’s ordered about 100 Kajeet Smart Spots, which are “devices you can install in your house that will access the network of local carriers in your area,” explains Giaramita. Once they’re delivered, “we’re going to start distributing those to teachers [and students] who don’t have internet access at home,” and will order more as needed.
In the city, CCS recommends that students who have inadequate internet access connect to an AT&T or Xfinity hot spot, as both companies have recently opened up all of their U.S. hot spots to non-customers. The district is also distributing hot spots to students who are unable to use those publicly available.
Both city and county school districts are giving laptops to students in grades two and up who need them. ACPS also plans to distribute iPads to kindergarteners through second graders.
At CCS, learning guides are available online for pre-K, kindergarten, and first grade students with suggested activities that do not require access to the internet.
Despite these efforts, CHS senior Jack Dreesen-Higginbotham remains concerned about the city’s transition to distance learning. “I know they’ve been working on trying to set up hot spots for students, but I don’t know if it will be accessible to everybody. And [still], not everyone has a school-provided laptop,” he says. “My brother, who is in sixth grade, wasn’t provided one, so he’s had to use mine to do his work.”
However, Dreesen-Higginbotham’s CHS teachers, who currently use Zoom, are doing a “very good job at instructing their classes and organizing lessons, so that they can be inclusive to everybody,” he says.
After spring break, both CCS and ACPS will provide more formal online—and offline—academic instruction and enrichment for each grade level.
“We’re looking at finding specific solutions for individual families, whether online, offline, or a combination,” says CCS spokeswoman Beth Cheuk.
“Offline could simply mean working with kids by telephone, by regular mail. We’ve asked teachers to be creative, so that there isn’t any student who is disadvantaged by their access to technology,” adds Giaramita.
While students will learn new material through distance learning, there will be no grading (or SOLs). Instead, teachers will provide feedback on a regular basis.
To former CHS teacher Margaret Thornton, now a Ph.D. candidate in educational leadership at UVA, this is an opportunity for local schools to explore different types of evaluation systems.
“I hope that we can make lemonade out of these lemons, and re-evaluate a lot of our policies—grading is certainly one of them,” she says.
“We’ve [also] known for a long time that our standardized testing system has created a lot of inequality,” Thornton adds. “We can be rethinking assessments at this time, and how we can make it more formative and more useful in instruction.”
Both school divisions want to ensure that as many students as possible graduate or are promoted to the next grade level. Per guidance from the Virginia Department of Education, students who were on track to pass before schools closed will do so. But on April 6, ACPS announced that if distance learning is not “the best fit” for a student, they will have the option to complete the school year by attending classes in July, or (excluding seniors) during the next school year.
While ACPS’ lesson plans will not go into effect until April 13, Giaramita says one of its distance-learning initiatives has already been implemented: Check and Connect. Students will now be contacted at least once a week by a teacher, counselor, administrator, or principal to talk about their distance learning experience, what assistance they need, and what their internet access is like. So that no student is left out, this contact can take place by phone, email, video call, or even snail mail.
CCS has also asked teachers to connect with each of their students to identify which ones need additional support, regarding WiFi or other issues.
Such practices may be particularly beneficial to those who do not have parents at home to help and support them throughout the day.
“So many service workers are being considered essential, and are doing essential work. But that means often that their kids are going to be home alone without adult interaction,” Thornton says. “The relationships between teachers and students are [going to be] key.”
Other teachers, parents, and community members have expressed similar concerns for students with limited access to adult instruction and interaction, such as those from refugee or ESOL families. And with a significant amount of students without adequate internet access, some fear students won’t be prepared for the next school year.
“It is really hard to live in the county and not have reliable [internet] access. We don’t even have cellular service so we can’t utilize a hot spot,” says Jessiah Mansfield, who has a senior at Western Albemarle High School. “If we need something important, we have to go to Charlottesville to download it. I’m sure we aren’t the only ones with this issue, but it will impact our children.”
However, others remain hopeful that teachers will be able to help their students make it through the rest of the semester.
“As the crisis continues and escalates, so does anxiety for all. Learning should be suggested. Remember we are at home trying to work not working from home. Connecting with my students is just as important for them as it is for me,” says Libby Nicholson, a fourth-grade teacher at Broadus Wood Elementary School. “We are in this together! We got this!”