COVID19-039– April 21,  2020
 

Dear Patients,

 
 

It is not surprising that many areas in the state and country are getting restless. There have been demonstrations at state capitals and in the cities. People are worried about our economy and the ability of businesses to recover. So now, the fear of contagion is coupled with the worry of financial ruin.

Medically, we are seeing the unintended downstream issues with patients' health. People are afraid to go the emergency room so untreated medical catastrophes of heart attacks and strokes are increasing. Many "elective procedures" are overdue and mental health problems are worsening. As so, we must have a plan, and as I've written about before, the plan is not set in stone; it is fluid and must flex based on the best available current information. Remember that we have to learn to live with COVID-19 going forward, which means face masks, social distancing and good hand hygiene. We have been successful in flattening the curve and every day we see this, particularly in the hard-hit areas of the country. NYC is slowly but surely seeing fewer hospitalization, fatalities and intubations. Governor Hogan wants to see a trending down over 14 days before we can start relaxing our shutdown.

Now, more than ever, we need to find our balance, just like we should do for any problem we face. As we approach May, just 9 days away, I think the path may start to emerge slowly. In the meantime, be patient. Try to keep up with healthy practices: restorative rest, healthy diet, daily exercise, and get outside and try to get some sunshine. Practice smiling; yes, you heard that right. We have a lot to be thankful for and smiling causes the muscles in your face to send signals via the nerves in your face which causes your brain to release feel-good chemicals that are calming and create optimism. Work on your breathing. If you have never done yoga, give it a try, there are lots of on-line apps On Facebook, if you search Columbia Association, many of the instructors have posted fantastic online videos for all sorts of workouts. Peloton has a free trial subscription. How about meditation? One of my favorite books is 10% Happier, it is an easy and entertaining read.

Finding balance also includes not spending too much time watching the news; it so often creates more questions than answers and that just causes unneeded anxiety.

The numbers:

US:                 788,920 cases     42,458 deaths    5.4% fatality rate (up)

Maryland:       14,193 cases           584 deaths   4.1% fatality rate (up)

Locally, HCGH remains stable.

Diagnostics and Therapeutics: 

·         Can COVID-19 be spread by flatulence? Not a big concern.

·         Nothing new to report.

On a musical note:

Let's stay on course; relax and find your balance with Christopher Cross: Sailing

And on a lighter balancing note:

image of an elephant
 
 

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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