Tuesday, March 31, 2020

Relevancy of Information


One of the toughest challenges in dealing with this pandemic is getting verified medical advice versus the avalanche of information we’re all inundated with. It is unclear at times what to believe and the news organizations seem more concerned with reporting statistics or covering the politics of it all. I’ve been very proud of both of my children in handling this crisis. My daughter especially because she lives very near ground zero of the epicenter of the outbreak in the United States – NYC. She’s already been touched by it as a close friend just down the street and his entire family tested positive.
She is doing all the right things to protect Wingman and the FBR and yesterday sent out this link to a very informative and informal video. It was from a respected NYC doctor who works on the 'frontlines' at ground zero and she thought it was interesting to share. It's quite long (just under an hour) so she took notes in case I couldn’t listen to all of it. I took a bit of umbrage that I wouldn’t watch the whole thing, but she does know me. I ended up watching it to the end. It’s well worth the time and I provide the link here for you as well as her notes  below.

https://vimeo.com/399733860 

Notes:
- really spreads through contact, from hands to face
- mostly from sustained contact with people who have COVID19
- physical contact; not from surface touches but we do that out of abundance of caution, making sure your hands are clean at all times - ALL TIMES
- it comes from touching your face!!! start to be aware of when you touch your face
- use mask so you stop touching your face - you do not need a medical mask. Wear a mask to train yourself not to touch your face for now and for the future
- just stay away from people
- Transmission = droplet; hands to face. Not air.
- going to the store is fine: if you are washing your hands, not touching your face. This doesn't reset your quarantine time if you're being safe, since this is not airborne.
- transmitted through family most of the time

What do you do if you get this disease?
- if develop a fever and otherwise fine, isolate yourself from your family immediately (separate room, separate bathroom if able); if person has to interact, put the mask on the person who is sick
- can start interacting with family after seven days, but still need to keep a mask on and wash hands constantly to keep them safe
- Go to hospital only if you're feeling short of breath. Don't go to the hospital just because you think you have it

"This disease is a wimp. This disease dies as soon as you disinfect it." – hand sanitizer, washing hands, Lysol wipes - DIES

If you have a mild cold? - still take the precautions that you have COVID19 for a couple of days, isolate until you're sure it's not COVID

Danger = people being cavalier when they get symptoms, and not isolating from family. You can be safe in the same home as someone with COVID19 as long as you are not touching, sharing, and are cleaning, etc.

Wipe down groceries? General answer, no - a reasonable idea to leave delivery to you outside your door, so you don't have interaction with delivery person. Throw away bags delivered in; groceries inside are fine.

Go out and come home - need to launder your clothes after coming home? Absolutely not. For health care workers, yes, because droplets. If you're a regular person practicing all the rules when you go out, no. Do not need to launder immediately. (If you're far away from people, you're not coming home with droplets of covid19)

This is not only a disease of old people. It hits the entire spectrum of ages.
Just follow the rules: you're going to be fine.
If you feel sick: follow the rules, stay home, and protect your family.
If you have trouble breathing: go to hospital.

Take acetaminophen, Tylenol when you have a fever. Not ibuprofen. Do not use ibuprofen.

As a doctor, there have been patients who go on ventilators and then come off and go home. If you're short of breath, don't be scared, you'll get taken care of, even if that means a ventilator.

Course of disease:
This is incredibly predictable: social distancing could be potentially a year.
First, flatten curve. Bring down cases so hospitals don't get overwhelmed.
Second, people will become relaxed from distancing. So it will spike again but not as bad.
Third, then it will become under control.

Now that you know the rules, you don't have to be scared. Learning the rules is empowering. Will go on for 3-6-9 months.

If you're unaware you have the virus in the 14 day incubation period, you don't have it. There are not a large group of asymptomatic people spreading the disease. People who have it can spread it 1-2 days before symptoms appear.

People are immune after they recover. Develop antibodies. Natural course of disease: enters our circulation, as it mutates, it's going to get milder. Five years from now you'll get coronavirus and it will feel like a cold. Seeing more men in the emergency room. (Not sure if that's because they're not being as cautious or they are more susceptible)

Does sanitizer mess with the pH on your skin rendering it useless? No. Hand sanitizers work.

Herd immunity will happen, but what the UK is doing is not correct (being together in crowds at pubs; that's change now) - overwhelm the hospitals and people will die. in 18 months after flatting the curve, the disease will get more mild and the immunity will develop.
Having completed my trek through the Marvel universe I started my next journey a long time ago in galaxy far, far away. Last night that meant Episode 1 and the Phantom Menace.
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RECURRING CHARACTERS                                           
BR3 – inbound granddaughter #3, BRS - Blog Reader the Sequel - second granddaughter; FBR - First Blog Reader - first granddaughter, ABFA – Amazing Best Family Athlete = my daughter in law; Wingman – my son in law; Keene Friends 1 & 2 – friends since high school from my home town of Keene, NH; Soxfather - my brother in law; Great Aunt - my elder sister; Cantankerous Friend – friend since grade school who likes to argue about everything, poses as radical leftist to attract women; Pittsburgh College Roommate – high school friend, also a “Minor Celebrity” in Pittsburgh; Deckzilla – our backyard deck which grew to monstrous dimensions once my wife got involved in planning; Maine and Virginia Musqueteras – two close friends of my wife – her US sisters, my wife is the 3rd musquetera (musketeer); Riggins - also known as the Grandpuppy, son's dog; PanaGals – female relatives/friends of my wife from Panama; Panamanian/Latin Mafia – inevitable group of Latino friends my wife accumulates wherever we have lived & their spouses; Neighborhood Mafioso - wife's close friend and Panamanian mafia member, Favorite Panamanian - the wife (of course); First Friday – celebrations to mark the First Friday of the Week; Curbside Girls – close friends of my daughter acquired during her single days in Brooklyn

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