As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. Use Mouse Calls or video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer
As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. UseMouse Callsor video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer ocyoyo 发表于 3/4/2020 7:26:00 PM
As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. UseMouse Callsor video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer ocyoyo 发表于 3/4/2020 7:26:00 PM
As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. Use Mouse Calls or video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer ocyoyo 发表于 3/4/2020 7:26:41 PM
As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. UseMouse Callsor video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer ocyoyo 发表于 3/4/2020 7:26:00 PM
To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. 这是多么没有逻辑的一段话啊
As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. Use Mouse Calls or video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer ocyoyo 发表于 3/4/2020 7:26:41 PM
这个儿医太好了！一定要mark！ As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. UseMouse Callsor video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer
写的很靠谱！ As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. UseMouse Callsor video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer
To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. 这是多么没有逻辑的一段话啊 nevercare 发表于 3/4/2020 9:34:00 PM
谢谢分享 As Chief Medical Officer I am asked daily about advice to Caduceus patients about the Coronavirus; now called Covid-19. Wanting to keep the advice timely and factual, it is very difficult to separate the facts from hysteria. But someone has to do it, so here are the recommendations for Caduceus patients from the CMO. First realize there are FOUR different bugs going around now plus the threat of Covid. Let's look at each... 1. A bacterial infection is currently on the rise-sore throat, productive cough, fever, maybe sinus symptoms. If you are fit and healthy, it may wear itself out in 3-5 days. If you are very young or very old, frail, or sickly, it may lead to pneumonia or sepsis. An antibiotic is effective, and we may be able to swab for it, or do a blood test or xray to make an accurate diagnosis. 2. A viral syndrome with low grade fever, sneezing, cough, can be difficult to differentiate from a bacterial one at first. Even an experienced provider may need testing to tell the difference. It is usually less serious and runs its course over 2-3 days. Antibiotics do not work for a typical virus. We are seeing a fair number of these cases now, on par with this time of year. 3. NEITHER of these are the "flu". Influenza is a totally separate animal. High fevers, aches, abdominal distress, dry cough, and feeling like you've been run over by a truck are common symptoms. It can be diagnosed via a swab in the office. There are special influenza antibiotics (eg Tamiflu) that help reduce the symptoms and duration. The "Flu" seems to have peaked and even gone in Orange County for 2020. In my personal practice we haven't had a positive case since Feb 15th. The Health Department confirms we should see very few new flu cases in March. 4. Covid-19 begins as a typical viral illness- sneezing, coughing, low grade fever. But there are serious differences. Fortunately, we have not had a lot of cases in Southern California--at least not officially diagnosed. But the virus can be spread for two weeks before symptoms appear. In that time, hundreds of people have been put at risk. It is spread by droplets, so simply being near an infected person can spread it if they cough or sneeze. And the 88,000 cases (as of this writing) is misleading since those are CONFIRMED cases. At least 10 times that number have occurred but just not tested for. There is hope that as a cold weather bug, it will fade away with warmer weather. Yet it is still growing at over 1,000 cases a day being reported world wide; the same number as late January when it first appeared. If more kits were available, you can estimate how many new cases are actually occurring. To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. What is the difference between an epidemic and a pandemic? An epidemic refers to a condition spreading rapidly. A pandemic is an epidemic spreading throughout the world. We are now in a pandemic. The flu was not a pandemic. As CMO, I am advising the following measures for our patients at least thru March: 1.If you are sick, don't travel. In fact don't leave the house if possible. Of course this is always common sense. But now you run the risk of being quarantined if it is considered possible you harbor Covid 19. Many countries are screening passengers for even low grade fever. Flight attendants are instructed to report anyone they feel is showing signs of infection. If you have a fever you will be detained. and not just sent home, but put in isolation. 2. If you are not sick, but very young, very old, frail, or sickly avoid ALL non-essential travel, or areas where crowds circulate. That means malls, theme parks, churches, even ball games. Going to a school or office may only expose you to dozens of close contacts. But a crowded day at Disney will expose you to THOUSANDS of people who may be incubating Covid. If you are fit and relatively healthy, use common sense. Avoiding crowds and non essential travel may seem like overkill but it isn't just about protecting you- its keeping an unknowing carrier from spreading the virus to thousands of uninfected people. We do not advise staying home from work or school, but if you can cancel that trip to Europe or postpone the day to Universal Studios, it will go a long way to stopping the spread and protecting yourself and your family. 3. If you do travel in March, realize there is a high chance of disrupted travel. You may be not allowed to leave your area or be house confined. Bring your own thermometer, your own cold meds, and an extra supply of your prescription meds in case you are stuck somewhere for weeks. Have documentation of your health insurance with you. Realize you may find tourist venues closed, events canceled, and long lines at areas where screening is going on. 4. Common sense dictates frequent hand washing. Remember the rule is to wash singing "Happy Birthday" to allow enough time to wash. If you are using hand sanitizers like Purell, five seconds is sufficient. Avoid touching other people if possible, maybe a thumbs up instead of shaking hands. Prepare your own meals as much as possible. If you must cough or sneeze in public, cover the face or turn away. Normal face masks are insufficient to block Covid--you'll need to look for N 95 masks. But if your coughing enough to need the mask --STAY HOME! If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy. 5. If you feel you may have one of those three conditions at the beginning of this blog, DO NOT ignore it. UseMouse Callsor video visits to talk to your provider. If you feel you must come to the office, alert us so we can swab you or draw your blood in the comfort of your car. If you need to be seen in an exam room, you will be escorted thru the lobby if you alert us in advance. ALL respiratory type infections should be seen and worked up during this crucial time. Covid testing is done at the health dept. IF World wide screening is effective IF everyone follows these FIVE simple rules IF Covid is a cold weather bug only The pandemic will be history. Otherwise we may witness a pandemic unseen in our lifetimes. Gregg DeNicola MD Chief Medical Officer 版主更新用户Caffeine家庭医生提供的信息纽约市： - 建议坐地铁带一次性手套 - 那个犹太律师上了ventilator。人本来肥胖，以前得过多次肺炎，所以这次以为也是普通肺炎，去bar mizvah等社区活动打倒一帮人。他状况不是特别好。 - 我医生自己带眼镜，口罩。明天来一个老先生看病，去的那家犹太律师最早去的医院。说该医院全面消毒了。（希望如此）她会带n95. - 病床：bellevue开始加床做准备了 - 药：chloroquine批发商不给零售发了。战略储备中。 - 他们（一个私人practice）尽量不让病人跑er。我和她分享了武汉的一些教训，他们基本都是在避免这些情况。 后两个让我觉得后台他们还是在做准备的。cdc乌龙，希望别的可以补上。
To hear an official say "we have this under control" is irresponsible. To hear people on social media say "There were more flu deaths, life goes on" is just idiotic. For one thing, the flu deaths were over an entire season. This pandemic has just begun.For another, would these same people take a vacation to beautiful downtown Baghdad? Stroll thru the streets of Sinaloa Mexico? Of course not because we know that is dangerous. Covid 19 should also be considered dangerous. 这是多么没有逻辑的一段话啊 nevercare 发表于 3/4/2020 9:34:29 PM
Chief Medical Officer
版主更新用户Caffeine家庭医生提供的信息纽约市：
- 建议坐地铁带一次性手套
- 那个犹太律师上了ventilator。人本来肥胖，以前得过多次肺炎，所以这次以为也是普通肺炎，去bar mizvah等社区活动打倒一帮人。他状况不是特别好。
- 我医生自己带眼镜，口罩。明天来一个老先生看病，去的那家犹太律师最早去的医院。说该医院全面消毒了。（希望如此）她会带n95.
- 病床：bellevue开始加床做准备了
- 药：chloroquine批发商不给零售发了。战略储备中。
- 他们（一个私人practice）尽量不让病人跑er。我和她分享了武汉的一些教训，他们基本都是在避免这些情况。
后两个让我觉得后台他们还是在做准备的。cdc乌龙，希望别的可以补上。
🔥 最新回帖
这个药被发现治新冠 国内已经在用了
赞
🛋️ 沙发板凳
还负责科普。
感觉医生对于现在的宣传口径非常不满。
因为这样最简单，不需要过脑子，跟着cdc走就可以了。反正只要跟着cdc走就不要负任何责任。
一步一步升级。
因为是儿医嘛。不过我学到了，一会儿小朋友回家洗手时要求他唱。
嗯，我也不是很同意这点 戴口罩肯定比不戴强 If you are wearing the mask to protect yourself its probably not necessary if you are fit and healthy.
老百姓都信他们的宣传啊，貌似除了咱们华人，其他族裔都佛系反应
That’s not true. If you don’t practice strict hand hygiene, wearing a mask is harmful and helps spreading the virus.
我的看法正相反。
专业领域要听专家的，就怕专家不说实话。
口罩问题上，怕的就是种种原因，专家不肯说实话。
因为“普通人带口罩没用”这种说法breaks华人大妈的sense of security。当然不受欢迎。
cdc,美国政府，中国政府，任何政权都在motality和经济政治稳定以及cost之间找balance. 然而医生们不用。
谢谢分享
坐标南加的orange county。可以转发，不过转到英文平台上时请隐去他的名字和医学group的名字吧！
要唱2遍。2个月前在wholefood店里洗手的地方看到的。。。
那个儿医单说南加
现在护士都是洗手论，我真是醉了
每个人能做到这些就好了。
如果每个人都砍掉不必要的出行，勤洗手，不去人多的地方，轻症自觉在家科学地隔离（和家人也得隔离），这个病不会流行得如此猖狂。
可惜这只是理想状态。我对春假结束后的整个美国都持悲观预期。