COVID19-024 – April 6,  2020
 

Dear Patients,

 

The next 10-14 days will likely be the defining time.  If the death rates, hospitalizations and intubations continue to decline, these are signs that the infection rate is slowing.  The peak may be sooner than previously predicted, both in NYC and in Maryland.  The COVID-19 model was updated last night.  The latest information predicts that the peak in Maryland will be in 12 days.

The numbers:
US:               337,933  cases            9,653  deaths             2.8%   fatality rate (up)
Maryland:         4,045  cases                 91  deaths             2.2%   fatality rate  (up)
                     (15.8% of tests in MD are positive; 25,572 total tests; 1,059 have been hospitalized)

This is our medicine:
  • Stay home
  • Wash your hands with soap and water or use hand sanitizer.
  • Do not touch your face.
  • Yes to wearing a face mask in potentially contaminated environments; keep hand sanitizer with you when you leave the house for mission-critical activities.
  • Use 6 feet of social distancing.
  • Use hand sanitizer after all out-of-the-home touches: door handles, elevator buttons, shopping carts, gas pumps, etc.
  • Get your rest, get some sunshine, get your exercise, take your vitamins, eat mushrooms, fruits and veggies.


Yes, I know this is so emotionally taxing; hang in there and be a "Peaceful Warrior"
Getting through the next few weeks is going to be the toughest challenge for many of us so I thought I would share this.  Years ago, I discovered the book Way of the Peaceful Warrior and it struck a chord in me.  Later, it became a movie. The story is about a young and promising gymnast who has set his sights on winning gold at the Olympics.  Justifiably, perhaps, he becomes very conceited.  One early morning, unable to sleep, he goes for a run and meets the proprietor of the local convenience and mechanic store, a character played by Nick Nolte.  From then on, Dan's life changes completely as he discovers his certainties and convictions rapidly eroding.  The movie re-iterates the tenet that anything is possible to the the person who lives in the moment and doesn't let his past and future overtake the present.  I have met Dan and he lives like a peaceful warrior.  I hope you enjoy this movie clip.   I have read all of the author's books--Dan Millman.

Diagnostics and Therapeutics:
Ingenuity and innovation!  As I've said before, necessity is the mother of invention!
  • Hydroxychloroquine (HC)+Azithromycin+Zinc therapy; most physicians see it as a remedy, the researchers are waiting for the studies.
  • Passive use of hyperimmune plasma in NYC is ongoing.  Mt. Sinai in NYC has received 10,000 inquiries.  A study at Hopkins is using it to decrease risk in first-line health care workers.
  • Ivermectin has, in the test tube, shown a strong inhibiting effect on COVID-19, Zika, Dengue.  I am very interested in this and I'm looking at the possibilities.
  • Starting tomorrow, at the Columbia VEIP, there will be a drive-through test center.  Details are still being worked out and I'll provide them once I know more.  Keep in mind, if you have symptoms, you are presumed positive until proven otherwise.  At present, it will take 3-5 days to get back test results.
  • My group has made a little progress; we are waiting for a response from the FDA about a possible clinical trial.  It is still up in the air and complicated, but we will see.  Thank you to CO'C, CB, JU, SS and NG for all your help.  This story now has legs and we will see which way it moves.
  • I'm still waiting for more information about outpatient blood draws to be assayed for antibodies.  If you were treated for COVID-19 without a lab confirmation, then obtaining an antibody test is the way to 100% confirm that you had it.


Dr. Oken Live!!  Tomorrow at 4:00pm:
As a member of the Persona Nutrition Medical Advisory Board, I will be participating in a live Facebook discussion about maximizing your immunity against COVID-19.  If you have a Facebook account, you can use this link https://www.facebook.com/PersonaNutrition/live/  to view it live tomorrow at 4:00pm.  Otherwise, I'll be able to make it available to view at a later date.

On a musical note:

And on a lighter note:

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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
 
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