COVID19-09 – March 21,  2020
 

Dear Patients,

 
 
 
The numbers:
  • US:  1.3% death rate, holding steady.  Prevalence going up as expected (19,624).
  • South Korea:  1.1% death rate, very stable.  Prevalence stable (8,799)
  • Germany:  0.3% death rate, stable.  Prevalence stabilizing (20,142)
  • Locally:  HCGH busy but stable

Dr. Oken, have you ever encountered a situation like this before?
No, but in my training, there have been many clinical situations that have caused me to pause, evaluate the risk and benefits of treatment, and the risk for me to contract the infection afflicting my patient.  This happened constantly during the initial HIV era; at that early time, we did not understand the risks so we practiced without adequate protection.  When I was an intern in the ICU, there was potential exposure to deadly meningitis, we discovered it several days after our team was exposed  We created a plan once we understood the risks.  Again, different, but at that time, anxiety-producing.

So, how do you deal with this?

By staying in the present moment and always have a plan.  Plans change because situation are fluid.  My training is such - to always have a plan.  Work the problem, solve the problem, on to the next problem.  Sometimes working a problem inside the box, I can not see the solution, so I get out of the box, walk around the box, kick the sides of the box.  See the problem, make a new plan and solve the problem.

That is how I do it. Work the problem. (click it - problem solving for Apollo 13)  
Okay, so what's the plan?
1.  Stay home.  This is the only way we flatten the curve.  If you want to contribute to the remedy, and of course you do,
      stay home!
2.  Only go out for mission-critical issues.  If you go out, bring hand sanitizer.
3.  Practice frequent hand washing with soap and water for at least 20 seconds.
4.  Do not touch your face.  No embracing, handshaking, hugging.  Social distancing of 6 feet or greater is a must.
5.  Eat well, veggies and fruits. Mushrooms improve our immunity.
6.  Get the right amount of exercise.
7.  Get your rest.
8.  If it helps you, meditate.
9.  Grandparents:  stay away from your grandchildren!!
10.  If you have seasonal allergies or a cold or are coughing, wear a mask or scarf to protect others in your home.
11.  Recognize that surfaces are contaminated.  Have a plan when bringing delivered groceries and other deliveries into your
        home.

For the science- Click this link  
Is it safe to get takeout from restaurants?
Yes, but you may want to wipe down the packaging and containers.  There's no evidence to suggest coronavirus is transmitted through food the CDC says (click the blue)  It's generally spread through respiratory droplets.  It's a good idea to disinfect the takeout containers and wash your hands afterwards according to CNN Chief Medical Correspondent Dr. Sanjay Gupta.  He stressed that Coronavirus is a respiratory virus, and it's easy to touch your face without realizing it.

And on a much lighter (and much needed!) note for the weekend:
 
 
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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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