COVID19-044– April 27,  2020
 

Dear Patients,

 
 

Quarantine fatigue. You are tired of staying in. I get it. As with any complex problem, the road to solving it is full of bumps and turns and big potholes. One thing is clear to me: the current findings of asymptomatic carriers and the presence of antibody in multiple studies shows that the virus is prevalent, particularly in densely populated areas. We now have studies from Germany, Italy, California (2), Miami and New York. These studies all infer the same thing: many people have had asymptomatic infections and have contributed to spreading the infection. The high prevalence of infection then means that our calculated fatality rate falls by a large factor, perhaps similar to seasonal influenza. The difference, of course, is the rapidity in the large number of critically ill patients who initially presented. 

So, we wait. What are we waiting for? Our bio-statisticians, epidemiologists, virologists, and public health officials to provide more guidance to our elected officials. Further, they can make sense of this high prevalence rate and newly recognized lower fatality rate and determine how to regulate the re-opening of our country. Meanwhile, we acknowledge that our efforts have flattened the curve and should there be another wave of many cases of critically ill patients, our medical infrastructure is prepared.

Let me remind you of another thing. Every medical fact has a half-life. This pandemic is a fluid situation that changes. What was true and accepted yesterday may change today or tomorrow. We learn and adjust as we go forward.

So, what do we do now? We wait. We wear our masks when we go out for essential activities. We wash our hands. We dig deep into ourselves and find the resolve the hang in there as we wait for a meaningful and valid interpretation of the data to guide us into our new reality. My bet, based on the recent finding of the widespread prevalence of the infection, is that there will be progressive relaxing of mitigation to begin soon.

The numbers:

Maryland:   19,487 cases -/- 827 deaths -/- 4.25% fatality rate

The Maryland Ro:

Good news for Maryland! Ro = 0.90 and there was a drop in new cases of yesterday.

Locally, we are quiet and stable.

Diagnostics and Therapeutics:

Other than the prevalence information above, nothing new to report.

On a musical note: Hero by Mariah Carey - 'That a hero lies in you!'

And on a lighter note:

graphic

And on lighter note, another thank-you to our front-line health care providers: (thank you SO).

Reach out. Stay connected. Stay home. Save lives.

The power of one. Be well. Feel free to forward this on: spread the word, not the virus.

 

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
 
  Mariah Carey - Hero (Video)  
     
 
 
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