A Mass Message From My Doctor

Thought I’d pass this along in case your doctor isn’t as good as mine. Unsolicited, fantastic advice that everyone should read.

“Coronavirus and Clinic Updates:  

…The crisis of Coronavirus is the exponential growth. The number of cases are increasing 30% per day. So however many cases we have today, we will have 10 times as many in 10 days and 100 times as many in 20 days. We worry about having enough hospital resources to care for folks if the outbreak spreads too fast. As you can imagine our health care system will be challenged. Many of us are taking extra shifts in the hospital. This week is calm, but I suspect the next month will be difficult.  

As long as a sick person does not cough into your face, masks won’t help much. The way most of us will get this virus is by touching it with our hands and then touching our face. It seems to be spread by mucus on hands, and its also found in stool. So basically it’s spread like the flu (respiratory droplets) and spread like norovirus (stomach flu). And it’s much more severe. And it can be spread before you feel sick. So it’s basically a perfectly designed virus. Not good for us.  

Many patients will be contagious for days before they ever feel sick, and can spread it by touching doorknobs or preparing food for others. [Note: The CDC says there isn’t any evidence that coronavirus can be transmitted through food. He’s a good doctor, but no one’s perfect.] This is why hand washing and staying away from other people are the two primary ways to avoid covid. Masks help the sick person not spread covid, but they don’t prevent healthy people from catching it. So please save the masks for health care workers.  

If you get a cough and fever, you could have COVID and you should call to discuss. Especially as flu season winds down, the likelihood of COVID as the cause of fever will go up. Most patients don’t need to be tested, you just need to self quarantine and stay away from other people. As testing becomes easier to get, we may start testing everyone – but we are not there yet. Still a huge backlog. The major reason to get tested is if you have to work; Or if you are risk factors for a poor outcome: age > 60, diabetes, heart disease, lung disease, cancer, HIV, weak immunity.

If you get severely short of breath, you should call our office or go to the ER. Generally, this would not happen all of a sudden, it’s usually after being sick for 7 days. Patients with covid who get sick, go from initial symptoms to needing the intensive care unit on day 7 -10. So it takes some time. Most young healthy people will never need to see a doctor. We are sending the majority of covid + patients home…Mortality in the USA is still only 1%. Mortality is greater when older than 60. And especially over 80. So keep grandchildren away from grandparents[.] Young kids do not seem to get sick, they can still carry the disease and transmit to others who might have risk factors.

A new symptom being described is loss of taste or smell. In South Korea where they tested widely, 30% of covid patients had loss of taste or smell, even without fevers. So if you have that symptom, you may not get sick but you are contagious, so avoid people for 14 days, wash those hands like crazy. Most people get sick within 5-6 days of exposure, but some take as long as 14. Which is why we’re using 14 days as an estimate for quarantine.

Information and thoughts about moving forward are changing every day. I encourage you to get your medical information from Dr. Fauci and other medical and public health experts, not from politicians or pundits. The CDC’s website has great (and scientifically accurate) information. I hope this has helped…”

One thought on “A Mass Message From My Doctor

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s