COVID19-015 – March 28,  2020
 

Dear Patients,

 
   
Today, with dark skies, you may have been waking up (Rise Up video) thinking:  another day of worry, anxiety, concern and sadness.  I am asking you to remind yourself this is a war the likes of which we have never been challenged to.  Yet, because we are a resilient, tough nation, we will rise up.  We are resourceful, determined, innovative people who are rising up.  And this will pass and we will find silver-lined clouds in the not too distant future.  We will prevail.

The numbers:
US:               104,837 cases            1,711 deaths             1.63% fatality rate
South Korea:    9,478 cases               144 deaths             1.5% fatality rate
Germany:       53,340 cases               395 deaths             0.74% fatality rate
Maryland:           992 cases                   5 deaths              0.5% fatality rate

As we test more, the number of cases will continue to go up.  Our death rate remains low for now.
Here are some things to put in perspective:  Maryland has a population of 6 million people.  The island of Manhattan is 34 square miles and has 8 million people (23,000 people per square mile).  The New York metro area has 20 million people.  The task of social distancing is enormous.

Therapeutics:
  • Just reported in an 80 patient French study  gives weight to the hypothesis of the Columbia/Oz study.  It's nice to see a clinical impact of therapy.  Importantly, we are now putting it to the test with a randomized double-blind study.

  • The Columbia/Oz trial:  it is a combination of a good clinical idea and scientific method to look for a remedy.  It's a 10-day study so the earliest we will know anything will be the first week of April.

  • The use of passive immunity to fight sick patients using blood (actually plasma) donated from recovered patients was used in 5 patients and showed encouraging results - reported yesterday in JAMA.



What else?
We don't like uncertainty, it leads to anxiety.  Get a more in-depth understanding of how our brains react from the link below.
"Uncertainty acts like rocket fuel for worry; it causes people to see threats everywhere they look, and at the same time it makes them more likely to react emotionally in response to those threats."
The remedy:  have a plan and stick to it.  Get your rest, exercise and eat well.  De-stress with pleasurable distractions.  I started watching Homeland last night!

On a musical note (no pun intended):
Clapton: "Over the Rainbow".  A bit different than Judy:  Somewhere Over the Rainbow .


And on a lighter note to make you smile: (thanks JF!)
 
cartoon
Reach out.  Stay connected.  Stay home.  Save lives.  The power of one.  Be well.

HAO
24/7
 
 

Harry A. Oken, M.D.

Office: 410-910-7500, Fax: 410-910-2310
Cell: 443-324-0823
 
Adjunct Professor of Medicine
University of Maryland School of Medicine
 
Rise Up - Audio Eric Clampton Judy Garland
 
 
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