Category Archives: Coronavirus Tips

Notes from your Doctor: Covid-19 Updates

The news about the coronavirus and various treatments and vaccines was rather dour yesterday. Luckily, as individuals we can hear and understand that knowledge and use it to inform our actions to, as best as possible, protect ourselves and our loved ones.

Variants and Mutants

  • It appears that the British variant is not only more transmissible, but also potentially more deadly.
  • The Brazilian mutant has been found in a patient in Minnesota.
  • There appears to be a “home grown” variant in California that may have contributed to the large explosion of cases and deaths.
  • The South African mutant appears to be afforded neutralizing effects by the Moderna vaccine, but potentially not by the Pfizer one. Moderna is developing a booster just in case.

Vaccines

  • AstraZeneca is going to announce to the EU version of the FDA that it is only 10% effective for people aged 65 and over, meaning it will not be approved in the US.
  • Merck has ceased work on its two vaccines as they are not showing efficacy in Phase 1 and 2 trials.
  • Johnson & Johnson may announce that they are seeking FDA Emergency Use Authorization in 2 – 3 weeks.
  • Novavax is about a third of the way to their Phase 3 target enrollments, and their protocol called for a large number of people over age 65. They are starting to see requests from participants to be unblinded, and the rate is double amoungst those over age 65.
  • West Virginia has the highest percentage of vaccinated population, mostly because they are NOT using chain pharmacies for distribution. When we look at roll out percentages, comparing State, hospital and pharmacy penetration, pharmacies outside of West Virginia do the worst.

What does it mean when something is “More Transmissible”?

I get this question a lot, and I am going to explain it in simple, non-medical terms. Think of someone smoking a cigarette, and of “transmissible” as how much smoke you can smell.

If you are outside on a windy day, you may smell a whiff of smoke from a single cigarette. The further away it is, the less you smell. You may not even see the smoke itself to smell it. Continue Reading...

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What Everyone is Getting Wrong about COVID

The frames for the discussion on how the US deals with COVID fall into two camps:

  • Save the economy vs lockdown the country
  • Wear a mask vs don’t wear a mask

So long as that’s what everyone concentrates on, the disease will not be “managed” until there is a set of vaccines (different vaccines will be necessary for different cohorts) and effective treatment protocols. And that’s not going to be near-term. Until that happens, cases will continue to rise, and will keep spreading, and it will happen stealthily, that is, we won’t know it’s a problem until after it is already a disaster. UNLESS we re-frame the discussion and adopt a program that will work to stem the spread. Honest, other countries have done it, and we need to do it here.

This is the United States, where politics trumps reality far too often. We have no national leadership, and we won’t until such time as the Orange Menace has been removed to the cell he so richly deserves and takes his minions with him. Therefore, solutions need to be at the state and local level, and there actually ARE ways to do this, get the case counts down, and simultaneously keep as much of the economy operational as possible. Continue Reading...

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Notes from your Doctor: Surviving the Next Phase of Coronavirus

As you know, case counts are rising across the country, at last count, in 23 states, with 15 states showing their highest case counts since before they shut down. In some places, hospitals are days away from being overwhelmed. And yet, no one is planning on new lockdowns, most are planning further re-openings. To be fair, Oregon and Utah are pausing moving forward.

There is no national policy on what to do, nor how to handle things, so states are left on their own. In some states, governors say things like “we expected that there would be more cases” as hospitals implement emergency plans. That gem is courtesy of Doug Ducey of Arizona. In addition, if you are one of those who go out, you’ve indubitably seen fewer people wearing masks and observing social distancing.

WHAT IS A PERSON TO DO??? Continue Reading...

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Notes from Your Doctor: Can I Touch Surfaces?

The news reported last night that it was safe to touch surfaces. Um, not exactly correct.

The CDC website says:

It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes. This is not thought to be the main way the virus spreads, but we are still learning more about this virus. (emphasis mine.) Continue Reading...

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TODAY’S CORONAVIRUS TIP: INSIGHT

Holed up in your house gives you time you never had – those extra hours not spend commuting, nor running the kids around, nor out and about. How do you fill those hours? For me, it has led to introspection, and once those five minutes were up, puzzles.

More seriously.

Before the lockdown, I worked mostly from home, leaving for meetings with clients every few weeks, but mostly alone with my tech. You can see 2 of my 3 computers in the photo on the right. My days were filled with conference calls, working sessions, and enough time to crank out the documents and videos I’m paid to produce. My constant office mate is pictured to the left. Meet Fiona. Continue Reading...

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TODAY’S CORONAVIRUS TIP: MATH AND NUMBERS

Yesterday, the United States crossed the Rubicon and had the highest number of coronavirus cases in the world.

People are freaking out. They are panicking.

BUT Continue Reading...

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TODAY’S CORONAVIRUS TIP: EAT THE FROG

EEWWW — and no, not exactly….

I had never heard the expression “Eat the Frog” until a few weeks ago. It was advice offered to me when I was somewhat emotionally paralyzed by looking at the numbers coming out of Italy, knowing they were coming here, and my inability to “find Waldo” (and I’ll circle back to that, it’s not what you think….)

The idea is that a frog is slimy and yucky and you don’t want to eat a frog. But if you eat a frog, everything else is easy. Therefore, find YOUR “frog” and the rest of the day will be easy. So — today, when you read this, do ONE THING that you don’t want to do. Maybe fill out the Census, or find your forms for filing taxes, or clean your toilet, or tackle that piece from your work project that you’ve been putting off. Just ONE THING. Continue Reading...

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TODAY’S CORONAVIRUS TIP: TELL A STORY

A lot of history gets lost because no one writes it down…I was brought up by a mother who was a librarian and worked on many oral history projects — capturing the voices and stories of the generation before hers.

Yes, we have technology now, and use can use that for oral history, too. Or you can write a story. Maybe tell a story to your kids. Perhaps capture some stories from those we will lose.

I’ll tell a story – and I hope you will tell a story either in the comments, or on your feed…maybe we can start a trend! Continue Reading...

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