Posted in coronavirus, Covid-19, Health, news

Your State’s Coronavirus Peak Will Occur On….

University of Washington’s Institute for Health Metric’s Evaluation created a model for when COVID-19 resource use would peak in each state.

The infographic also projects how many hospital beds, ICU beds, bed shortage (if any) and ventilators may be necessary in each state to address patient need.

The numbers change slightly as information is updated.

Nevada for example is expected to see peak need by April 20th (updated to April 22 on 3/31), having an ICU bed shortage of 100 beds.

Authors write:

In addition to a large number of deaths from COVID-19, the epidemic in the US will place a load well beyond the current capacity of hospitals to manage, especially for ICU care. These estimates can help inform the development and implementation of strategies to mitigate this gap, including reducing non-COVID-19 demand for services and temporarily increasing system capacity. These are urgently needed given that peak volumes are estimated to be only three weeks away. The estimated excess demand on hospital systems is predicated on the enactment of social distancing measures in all states that have not done so already within the next week and maintenance of these measures throughout the epidemic, emphasizing the importance of implementing, enforcing, and maintaining these measures to mitigate hospital system overload and prevent deaths.

When a state is chosen under the drop down menu, local mandates and travel restrictions are reported as well.

Anticipation of what will be needed helps local authorities prepare.

The following is a summary of each state’s projected peak resource use in 2020 taken from stats from March 31 and March 30 (these are subject to change):

March 31 Predictions

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covid march 31 b

March 30 Predictions

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These projections assume “continuation of strong social distancing measures and other protective measures.”

More regarding each state’s resources and death projections can be found here.

This is a developing story….

 

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

Posted in college, coronavirus, Covid-19, Health, news, school

Students Across America Petition Their College to Give Partial Refunds for Tuition

In an effort to protect students and abide by state mandates to close “non-essential” businesses during the COVID-19 epidemic, schools closed and moved students to an online learning platform.  Access to libraries, learning spaces, equipment, faculty and labs were thereby limited among other education necessities.

Students at NYU Tisch School of Arts approached administration with a request for partial tuition refund for the Spring 2020 semester but did not like the response they received.

Dean Allyson Green responded to their request with a video of herself lip syncing and dancing to R.E.M’s “Losing My Religion” in an attempt to explain how it would be challenging to give the students’ their money back.

In an already stressful time, some criticized Dean Green’s video as “embarrassing” and apathetic to the student’s plight.  Dean Green however, explained her dance was an attempt to use art to keep people connected.

The question, however, of will students get a partial tuition refund for being off campus, remains to be answered.

Thousands of students have petitioned their respective schools, asking for partial reimbursement of tuition, housing and food. Some universities will be offering refunds for dormitory and food expenses paid. But offering tuition refunds may be more difficult as much of that money is spent or accounted for in the school budget, and not easily liquid if they cannot displace funds for salaries and rent with government stimulus money.

Students who pay tens of thousands of dollars in tuition each year however are frustrated that their fees including labs, equipment, security, parking, facility access, campus transportation, medical clinic, student government, etc. are not justified when they are home engaged in online learning.

So many have turned to Change.org and created petitions to the following schools, as well as others:

As stated previously, headway has been made for those students living in dormitories and requiring meal plans. However, a partial tuition refund for the conversion to online learning can be very challenging and has yet to be seen.

 

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Learning Medical Spanish is Easy!!!

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

 

 

Posted in coronavirus, Covid-19, dating, Health, news, relationships, sex

Is Coronavirus Killing Your Sex Life?

As Americans grapple with community lockdowns amid the coronavirus epidemic, those who are single, and not single, find COVID-19 to be devastatingly cramping their style.

In some cities, bars, restaurants, and movie theaters are shuttered, so options for a first date become slim.

Clubs and gyms are closed, impeding the casual run in or bump into to someone new.

And salons for hair and nails may be closed, being “non essential”, hence at home beauty regimens need to tackle overgrown nails and roots, resulting in a “hibernation” during the lockdown if one’s unsuccessful.

And for those using dating sites for strictly hook-ups, “social distancing” can be a challenge in any bedroom.

Married people don’t have it that much easier…..spending 24 hours a day at home together rarely makes the heart grow fonder…..

So America’s sex life may be locking down faster than stores shuttering.

But there are options……lot’s of them. Let’s look at these…

Virtual “Sex”

Assuming you have a secure server, many conversations and expressions of desire can be conveyed online. Keep in mind apps like “Zoom” do not imply image enhancement.

 

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Bring Back Romance

Couples tend to think this is a given and once it slips away, is very difficult to get back. Likewise those on the single scene believe initial flirtation will brew the romance automatically.  Wrong.

Use the lockdown as a time to be creative.  So consider wooing your partner by…

  • Making them laugh
  • Share your feelings
  • Rewrite a song with lyrics about them (and yep sing it to them)
  • Poetry – even if its funny
  • Sending them virtual gifts
  • Doing something special
  • Pampering them
  • Being playful, creative with foreplay
  • Try something new in the bedroom

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Make Friends

Most long lasting relationships start with a solid foundation of friendship.  Making friends can be at times difficult on the dating scene, as intentions could be easily misconstrued.  So while we are in a period of “social distancing”, your “getting to know someone better” will be just that….. allowing a friendship to blossom.

Get In Shape and Eat Right

Most of us could use an opportunity to improve our diet and our shape, so use this time to increase your exercise and plan better meals.  Beauty on the outside requires health from within.

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Hone In On Your Skills

No one is perfect when it comes to seduction or skill, so use this time to brush up on long overdue learning and refreshers.  Myself….I could sure learn how to dance……

Stay safe and healthy out there!

 

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The Baby Boomer’s Guide to Online Dating

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

 

 

 

 

 

Posted in coronavirus, Covid-19, Health, news, teens

Coronavirus Challenge Now Includes Licking Toilets

With millions of people bored at home on lockdowns to avoid COVID-19 infection, some are turning to the internet for entertainment and it’s no surprise we have yet another challenge…..

The “Coronavirus Challenge” involves people licking objects such as toilets and video taping themselves.

21 year-old Tik Tok celebrity, Ava Louise, assured Dr. Phil in an interview that she bleached the seat first, however, other online daredevils are not being so cautious.

 

 In California, Tik Tok personality Larz reported he came down with COVID-19 after doing a similar challenge, and posted a video from his hospital bed days after posting images of himself licking a toilet seat.

COVID-19, among other pathogens, have been found to live on surfaces for days and possibly weeks.  It can be deadly and easily transmitted to others who don’t exhibit symptoms.

No matter how bored one gets, licking a toilet sheet should never be done for any reason fathomable.

Coronavirus: Your Questions Answered

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Last year we had the “Vacuum” or “Trash Bag” Challenge.

In this feat, one climbs in to a garbage bag, while a friend or parent sucks air out of the plastic bag until the inmate topples over.

Bringing people to the point of falling (or if putting the bag over their face) of asphyxiation can cause plethora of health issues including fractures, respiratory failure, stroke and death.

And even if parents appear to be supervising or performing the challenge and the child comes out unscathed, dangers lurk as the child could try to reproduce the challenge with their friends, this time putting the bag over one’s head.

Last Spring another odd challenge swept social media called the “Shell On” challenge in which teens Snapchat videos of themselves eating through fruit skin, cardboard boxes and plastic bags containing their food.

Although this appears to not be as dangerous as the Tide Pod or Boiling Water Challenge, it can cause choking and asphyxiation.

In the video above the teen takes bites out of fruit with their peel and a cereal box.

What other dangerous challenges are out there?

Last year we learned of the “Boiling Water Challenge” in which kids drink boiling water from a straw or have it poured all over their body. Then they topped it off with a more dangerous challenge, the “Fire Challenge.”

The Fire Challenge is executed by pouring rubbing alcohol on one’s body and then setting oneself on fire.  A video records the victim running into a tub or shower to wash it off, and this trend has gone viral.

Unfortunately it’s one of the most dangerous.  A 12 year-old girl from Detroit who participated in this challenge is undergoing multiple surgeries to repair burns afflicting close to 50% of her body.

Multiple cases of the “Fire Challenge” have been reported over the years, including a 12 year-old boy from Georgia.

One would think children, especially teens, innately know that fire is dangerous but maybe the younger generation has been so protected that they haven’t experienced the basic concepts of danger and inadvertently underestimate its force.

fire-challenge

Challenges that involve dangerous stunts have been around for some time.  The Choking Challenge induced children to suffocate themselves for the high of feeling asphyxiated.  The Tide Pod Challenge tempted kids to put colorful cleaning packets in their mouths, hoping they wouldn’t burst.

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The Cinnamon Challenge sparked thousands to inhale the common kitchen spice and cough till they puked.  Then the Condom Challenge offered two options where one dropped a condom filled with water on a friends face, or snorted one through the nose.

condom-snorting_fef3836eae7396a0afa3cb633b709bb4

We adults can’t for the life of us figure out what the reward is in performing these challenges, but presume its fame and awe among friends and social media followers.  But these challenges prove dangerous and in some cases deadly.  Unfortunately the YouTube Clips never show the after effects of these pranks…maybe they should.

 

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The Baby Boomer’s Guide to Online Dating

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in coronavirus, Covid-19, disease, Health, news

Coronavirus: Your Questions Answered

What is coronavirus?

Coronaviruses come in multiple types and can cause an array of illnesses from the common cold to SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome). The latter two causing severe illness, as SARS killed over 700 people and sickened over 8000 in the 2002-2003 outbreak.

Hence a coronavirus can be unpredictable, mutate to more virulent forms, or cause mild upper respiratory illness.

How is Coronavirus spread?

The virus can be spread from human contact with animals, and human to human contact. Scientists believe the strain of 2019-nCoV may be transmitted by saliva and respiratory secretions but are still investigating its ability to be spread by this “droplet transmission.”

What are the symptoms of the Coronavirus strain 2019-nCoV?

As with most viruses, this strain can cause any of the following symptoms:

  • Fever
  • Cough – dry early on and then in later stages may be productive
  • Runny nose
  • Headache
  • Fatigue/malaise
  • Sore throat
  • Wheezing
  • Difficulty breathing
  • Nausea
  • Vomiting
  • Diarrhea
  • Red/irritated eyes
  • Loss of taste
  • Loss of smell
  • Lack of appetite

How long after exposure can one become sick?

The incubation period can range anywhere from 2-14 days.

How long can Coronavirus live on surfaces?

Various studies have reported ranges from 3-17 days, with average of 9 days.

How does one die from Coronavirus?

If the illness persists or becomes severe, one could potentially suffer from pneumonia, respiratory difficulty and even secondary infections.

How does one tell if they have a mild Coronavirus strain or a deadly one?

The early onset of disease could mimic a cold or flu, hence it may be difficult to tell. However, severe or persistent symptoms could suggest a more aggressive strain of the virus and will warrant immediate evaluation.  Medical providers have been urged to ask patients about their travel habits and exposure to others who may have been exposed and to notify local health departments to facilitate testing of those who demonstrate symptoms of the 2019-nCoV strain.

Is there a vaccine for 2019-nCoV?

No, however, we have heard a vaccine for 2019-nCoV is being researched and may be in its early development.

What is the treatment for this strain of Coronavirus?

At this time there is no specific treatment for this strain. However, supportive measures can be instilled such as rest, fluids and maintaining oxygenation in severe cases.

How can we prevent a 2019-nCoV infection?

Experts urge avoiding sick contacts and washing hands thoroughly. Cover your nose and mouth when sneezing and coughing to avoid spreading illness if you are sick.  And if you do have a family member with 2019-nCoV, the CDC suggests the following:

PREVENTION STEPS FOR PEOPLE CONFIRMED TO HAVE, OR BEING EVALUATED FOR 2019-NCOV INFECTION WHO RECEIVE CARE AT HOME
YOUR DOCTORS AND PUBLIC HEALTH STAFF WILL EVALUATE WHETHER YOU CAN BE CARED FOR AT HOME. IF IT IS DETERMINED THAT YOU CAN BE ISOLATED AT HOME, YOU WILL BE MONITORED BY STAFF FROM YOUR LOCAL OR STATE HEALTH DEPARTMENT. YOU SHOULD FOLLOW THE PREVENTION STEPS BELOW UNTIL A HEALTHCARE PROVIDER OR LOCAL OR STATE HEALTH DEPARTMENT SAYS YOU CAN RETURN TO YOUR NORMAL ACTIVITIES.
STAY HOME EXCEPT TO GET MEDICAL CARE
YOU SHOULD RESTRICT ACTIVITIES OUTSIDE YOUR HOME, EXCEPT FOR GETTING MEDICAL CARE. DO NOT GO TO WORK, SCHOOL, OR PUBLIC AREAS, AND DO NOT USE PUBLIC TRANSPORTATION OR TAXIS.
SEPARATE YOURSELF FROM OTHER PEOPLE IN YOUR HOME
AS MUCH AS POSSIBLE, YOU SHOULD STAY IN A DIFFERENT ROOM FROM OTHER PEOPLE IN YOUR HOME. ALSO, YOU SHOULD USE A SEPARATE BATHROOM, IF AVAILABLE.
CALL AHEAD BEFORE VISITING YOUR DOCTOR
BEFORE YOUR MEDICAL APPOINTMENT, CALL THE HEALTHCARE PROVIDER AND TELL THEM THAT YOU HAVE, OR ARE BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED.
WEAR A FACEMASK
YOU SHOULD WEAR A FACEMASK WHEN YOU ARE IN THE SAME ROOM WITH OTHER PEOPLE AND WHEN YOU VISIT A HEALTHCARE PROVIDER. IF YOU CANNOT WEAR A FACEMASK, THE PEOPLE WHO LIVE WITH YOU SHOULD WEAR ONE WHILE THEY ARE IN THE SAME ROOM WITH YOU.
COVER YOUR COUGHS AND SNEEZES
COVER YOUR MOUTH AND NOSE WITH A TISSUE WHEN YOU COUGH OR SNEEZE, OR YOU CAN COUGH OR SNEEZE INTO YOUR SLEEVE. THROW USED TISSUES IN A LINED TRASH CAN, AND IMMEDIATELY WASH YOUR HANDS WITH SOAP AND WATER FOR AT LEAST 20 SECONDS.
WASH YOUR HANDS
WASH YOUR HANDS OFTEN AND THOROUGHLY WITH SOAP AND WATER FOR AT LEAST 20 SECONDS. YOU CAN USE AN ALCOHOL-BASED HAND SANITIZER IF SOAP AND WATER ARE NOT AVAILABLE AND IF YOUR HANDS ARE NOT VISIBLY DIRTY. AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH UNWASHED HANDS.
AVOID SHARING HOUSEHOLD ITEMS
YOU SHOULD NOT SHARE DISHES, DRINKING GLASSES, CUPS, EATING UTENSILS, TOWELS, BEDDING, OR OTHER ITEMS WITH OTHER PEOPLE IN YOUR HOME. AFTER USING THESE ITEMS, YOU SHOULD WASH THEM THOROUGHLY WITH SOAP AND WATER.
MONITOR YOUR SYMPTOMS
SEEK PROMPT MEDICAL ATTENTION IF YOUR ILLNESS IS WORSENING (E.G., DIFFICULTY BREATHING). BEFORE GOING TO YOUR MEDICAL APPOINTMENT, CALL THE HEALTHCARE PROVIDER AND TELL THEM THAT YOU HAVE, OR ARE BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK YOUR HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
PREVENTION STEPS FOR CAREGIVERS AND HOUSEHOLD MEMBERS
IF YOU LIVE WITH, OR PROVIDE CARE AT HOME FOR, A PERSON CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, YOU SHOULD:
  • MAKE SURE THAT YOU UNDERSTAND AND CAN HELP THE PERSON FOLLOW THE HEALTHCARE PROVIDER’S INSTRUCTIONS FOR MEDICATION AND CARE. YOU SHOULD HELP THE PERSON WITH BASIC NEEDS IN THE HOME AND PROVIDE SUPPORT FOR GETTING GROCERIES, PRESCRIPTIONS, AND OTHER PERSONAL NEEDS.
  • HAVE ONLY PEOPLE IN THE HOME WHO ARE ESSENTIAL FOR PROVIDING CARE FOR THE PERSON.
    • OTHER HOUSEHOLD MEMBERS SHOULD STAY IN ANOTHER HOME OR PLACE OF RESIDENCE. IF THIS IS NOT POSSIBLE, THEY SHOULD STAY IN ANOTHER ROOM, OR BE SEPARATED FROM THE PERSON AS MUCH AS POSSIBLE. USE A SEPARATE BATHROOM, IF AVAILABLE.
    • RESTRICT VISITORS WHO DO NOT HAVE AN ESSENTIAL NEED TO BE IN THE HOME.
    • KEEP ELDERLY PEOPLE AND THOSE WHO HAVE COMPROMISED IMMUNE SYSTEMS OR CHRONIC HEALTH CONDITIONS AWAY FROM THE PERSON. THIS INCLUDES PEOPLE WITH CHRONIC HEART, LUNG OR KIDNEY CONDITIONS, AND DIABETES.
  • MAKE SURE THAT SHARED SPACES IN THE HOME HAVE GOOD AIR FLOW, SUCH AS BY AN AIR CONDITIONER OR AN OPENED WINDOW, WEATHER PERMITTING.
  • WASH YOUR HANDS OFTEN AND THOROUGHLY WITH SOAP AND WATER FOR AT LEAST 20 SECONDS. YOU CAN USE AN ALCOHOL-BASED HAND SANITIZER IF SOAP AND WATER ARE NOT AVAILABLE AND IF YOUR HANDS ARE NOT VISIBLY DIRTY. AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH UNWASHED HANDS.
  • WEAR A DISPOSABLE FACEMASK, GOWN, AND GLOVES WHEN YOU TOUCH OR HAVE CONTACT WITH THE PERSON’S BLOOD, BODY FLUIDS AND/OR SECRETIONS, SUCH AS SWEAT, SALIVA, SPUTUM, NASAL MUCUS, VOMIT, URINE, OR DIARRHEA.
    • THROW OUT DISPOSABLE FACEMASKS, GOWNS, AND GLOVES AFTER USING THEM. DO NOT REUSE.
    • WASH YOUR HANDS IMMEDIATELY AFTER REMOVING YOUR FACEMASK, GOWN, AND GLOVES.
  • AVOID SHARING HOUSEHOLD ITEMS. YOU SHOULD NOT SHARE DISHES, DRINKING GLASSES, CUPS, EATING UTENSILS, TOWELS, BEDDING, OR OTHER ITEMS WITH A PERSON WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION. AFTER THE PERSON USES THESE ITEMS, YOU SHOULD WASH THEM THOROUGHLY (SEE BELOW “WASH LAUNDRY THOROUGHLY”).
  • CLEAN ALL “HIGH-TOUCH” SURFACES, SUCH AS COUNTERS, TABLETOPS, DOORKNOBS, BATHROOM FIXTURES, TOILETS, PHONES, KEYBOARDS, TABLETS, AND BEDSIDE TABLES, EVERY DAY. ALSO, CLEAN ANY SURFACES THAT MAY HAVE BLOOD, BODY FLUIDS AND/OR SECRETIONS OR EXCRETIONS ON THEM.
    • READ LABEL OF CLEANING PRODUCTS AND FOLLOW RECOMMENDATIONS PROVIDED ON PRODUCT LABELS. LABELS CONTAIN INSTRUCTIONS FOR SAFE AND EFFECTIVE USE OF THE CLEANING PRODUCT INCLUDING PRECAUTIONS YOU SHOULD TAKE WHEN APPLYING THE PRODUCT, SUCH AS WEARING GLOVES OR APRONS AND MAKING SURE YOU HAVE GOOD VENTILATION DURING USE OF THE PRODUCT.
    • USE A DILUTED BLEACH SOLUTION OR A HOUSEHOLD DISINFECTANT WITH A LABEL THAT SAYS “EPA-APPROVED.” TO MAKE A BLEACH SOLUTION AT HOME, ADD 1 TABLESPOON OF BLEACH TO 1 QUART (4 CUPS) OF WATER. FOR A LARGER SUPPLY, ADD ¼ CUP OF BLEACH TO 1 GALLON (16 CUPS) OF WATER.
  • WASH LAUNDRY THOROUGHLY.
    • IMMEDIATELY REMOVE AND WASH CLOTHES OR BEDDING THAT HAVE BLOOD, BODY FLUIDS AND/OR SECRETIONS OR EXCRETIONS ON THEM.
    • WEAR DISPOSABLE GLOVES WHILE HANDLING SOILED ITEMS. WASH YOUR HANDS IMMEDIATELY AFTER REMOVING YOUR GLOVES.
    • READ AND FOLLOW DIRECTIONS ON LABELS OF LAUNDRY OR CLOTHING ITEMS AND DETERGENT. IN GENERAL, WASH AND DRY WITH THE WARMEST TEMPERATURES RECOMMENDED ON THE CLOTHING LABEL.
  • PLACE ALL USED DISPOSABLE GLOVES, GOWNS, FACEMASKS, AND OTHER CONTAMINATED ITEMS IN A LINED CONTAINER BEFORE DISPOSING THEM WITH OTHER HOUSEHOLD WASTE. WASH YOUR HANDS IMMEDIATELY AFTER HANDLING THESE ITEMS.
  • MONITOR THE PERSON’S SYMPTOMS. IF THEY ARE GETTING SICKER, CALL HIS OR HER MEDICAL PROVIDER AND TELL THEM THAT THE PERSON HAS, OR IS BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK THE HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
  • CAREGIVERS AND HOUSEHOLD MEMBERS WHO DO NOT FOLLOW PRECAUTIONS WHEN IN CLOSE CONTACT WITH A PERSON WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, ARE CONSIDERED “CLOSE CONTACTS” AND SHOULD MONITOR THEIR HEALTH. FOLLOW THE PREVENTION STEPS FOR CLOSE CONTACTS BELOW.
  • DISCUSS ANY ADDITIONAL QUESTIONS WITH YOU STATE OR LOCAL HEALTH DEPARTMENT
PREVENTION STEPS FOR CLOSE CONTACTS
IF YOU HAVE HAD CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, YOU SHOULD:
  • MONITOR YOUR HEALTH STARTING FROM THE DAY YOU FIRST HAD CLOSE CONTACT WITH THE PERSON AND CONTINUE FOR 14 DAYS AFTER YOU LAST HAD CLOSE CONTACT WITH THE PERSON. WATCH FOR THESE SIGNS AND SYMPTOMS:
    • FEVER. TAKE YOUR TEMPERATURE TWICE A DAY.
    • COUGHING.
    • SHORTNESS OF BREATH OR DIFFICULTY BREATHING.
    • OTHER EARLY SYMPTOMS TO WATCH FOR ARE CHILLS, BODY ACHES, SORE THROAT, HEADACHE, DIARRHEA, NAUSEA/VOMITING, AND RUNNY NOSE.
  • IF YOU DEVELOP FEVER OR ANY OF THESE SYMPTOMS, CALL YOUR HEALTHCARE PROVIDER RIGHT AWAY.
  • BEFORE GOING TO YOUR MEDICAL APPOINTMENT, BE SURE TO TELL YOUR HEALTHCARE PROVIDER ABOUT YOUR CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK YOUR HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
  • IF YOU DO NOT HAVE ANY SYMPTOMS, YOU CAN CONTINUE WITH YOUR DAILY ACTIVITIES, SUCH AS GOING TO WORK, SCHOOL, OR OTHER PUBLIC AREAS.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

Posted in coronavirus, Covid-19, Graduation, Health, news

Graduation Cancelled? Here’s A Few Options

As the coronavirus epidemic grips the country, institutions have been preemptively cancelling events that would bring crowds of more than 250 together. But students have worked their whole academic careers for this moment where they, in front of their loved ones, receive the honor and acknowledgement that they are joining the ranks of others who hold similar diplomas/degrees.

 

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So in the face of a virus that has the potential to infect others within feet of eachother, how do we prevent it from crippling one of the most revered ceremonies in one’s lifetime?

To the Class of 2020: Dear Graduates…..

Here’s a few options…….

The pomp and circumstance of graduation ceremonies requiring an audience of hundreds is not always necessary. Most graduates, although grateful for the ceremony, want to receive their diploma relatively quickly and then celebrate with friends and family.  Family want to see their loved one receive their diploma and capture it on film.

 

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So assuming the city in which the graduation is taking place bans gatherings no less than 10 people and all family members are negative for COVID, or not eliciting coronavirus symptoms or classified as “high risk“, each student could essentially have their own mini ceremony.

 

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Choose an area outdoors and schedule students to receive their diploma in front of their close family (with whom they have already been in isolation) with the background and decor within the video frame.  Students can be scheduled 15 minutes apart, with they and their families awaiting in their vehicle for a text when it’s their turn.

The faculty could appear first on film explaining the diploma.  If person-to-person contact is to be avoided, it can be set on a stand (with gloved hands) by which the student walks over to the stand as the faculty leaves and picks it up. Family with whom the student has been with throughout the lockdown can stand next to their graduate for the proud moment.

 

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If hooding is required for a medical/osteopathic ceremony, this could be done masked, or similarly with the hood being on the table and a family member putting it on their graduate.

For the average class size a few days to a week could probably capture all of their happy and proud moments. And for a university, individual colleges can separate and hold events of their own to honor each graduate.

 

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Each video can be posted online so other students can see their colleagues reach their milestone as well.

Another option is let the students have access to their cap and gown, obtain their diploma holder (which never has the true diploma in it during the ceremony anyway) and allow them to video tape their own creative way of obtaining their degree……hiking up a mountain, digging in the sand, scubadiving, etc.  We “coronials” can be awfully creative!

Allow students access to their CAP and GOWN to make GRAD memories

The graduation is one of the brightest and happiest moments in one’s lifetime. We sure could use a little of that ray of light right about now……

#MiniGraduationIsBetterThanNoGraduation

 

 

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Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, Hurricane, news, weather

This Year’s Hurricane Predictions

This year AccuWeather meteorologists predict an above-normal hurricane season.

According to Dr. Dan Kottlowksi, veteran meteorologist, this season may have 14 to 18 named storms (winds of 39 mph or higher), of which 7 to 9 could become hurricanes (winds of 74 mph or higher), including 2 to 4 major hurricanes (category 3, 4 or 5; with winds of 111 mph or higher).

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June 1st marks the official start of Hurricane season and it runs until November 30th.  September is usually the most active month.  Hurricanes are categorized by their wind speed as designated as the following using the Saffir-Simpson Hurricane Wind Scale:

  • Category I have sustained winds of 74 to 95 mph
  • Category II have sustained winds of 96 to 110 mph
  • Category III have sustained winds of 111 to 129 mph
  • Category IV have sustained winds of 130 to 156 mph
  • Category V have sustained  winds of over 157 mph

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Category III storms have known to cause “devastating” damage and Categories IV and V have been associated with “catastrophic” damage.

In a given year, the Atlantic Ocean averages 12 named storms with 6 becoming “hurricanes” and 3 becoming “major” meaning a Category III or greater.

Hurricane Katrina in 2005 was at one point a Category V but when it hit landfall it was a Category 3, tragically killing over 1800 people and causing $108 billion in damage.  The deadliest hurricane to ever hit US soil, however, was the Great Galveston Hurricane of 1900 in which over 10,000 people died.

Any given hurricane season may be dependent on “El Nino” and water temperatures.

El Nino is refers to a ocean-atmospheric interaction where sea surface temperatures rise near the equatorial Pacific, causing increase wind shear in the Atlantic equatorial region and has been linked to lower than active hurricane seasons.  However warmer water temperatures in the Atlantic and Caribbean as well as monsoon activity in Africa could increase hurricane activity.

So an El Nino hurricane season may offer some protection but can be easily offset by ocean water temperatures.  2020 may not be an El Nino hurricane season and subsequently see more activity in the Atlantic.

Dr. Kottlowski states, “This year, more than likely, we’ll get hit with one or two big storms and we don’t know specifically where that is, so if you live near a coast or on an island, have a hurricane plan in place.”

This year’s names for the 2020 Hurricane Season are the following

Atlantic

Arthur
Bertha
Cristobal
Dolly
Edouard
Fay
Gonzalo
Hanna
Isaias
Josephine
Kyle
Laura
Marco
Nana
Omar
Paulette
Rene
Sally
Teddy
Vicky
Wilfred

 

Pacific

Amanda
Boris
Cristina
Douglas
Elida
Fausto
Genevieve
Hernan
Iselle
Julio
Karina
Lowell
Marie
Norbert
Odalys
Polo
Rachel
Simon
Trudy
Vance
Winnie
Xavier
Yolanda
Zeke

 

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How to prepare for the hurricane season

Preparation means starting early.

Make sure you keep informed of the latest alerts and official recommendations.

Evacuate when told to do so by city officials.

Many people will try to tough it out and unfortunately get walled up in their homes.  So make sure you have adequate water (1 gallon per day/person for at least three days) and 1/4 – 1/2 gallon/water/ per pet, except the fish obviously.

Canned foods, flashlights, medical supply kit, batteries, blankets, cash, medications in water proof containers should be set aside for disasters, and put important papers in waterproof/fireproof casings.

According to ready.gov, they recommend the following:

 

PREPARE NOW
  • KNOW YOUR AREA’S RISK OF HURRICANES.
  • SIGN UP FOR YOUR COMMUNITY’S WARNING SYSTEM. THE EMERGENCY ALERT SYSTEM (EAS) AND NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION (NOAA) WEATHER RADIO ALSO PROVIDE EMERGENCY ALERTS.
  • IF YOU ARE AT RISK FOR FLASH FLOODING, WATCH FOR WARNING SIGNS SUCH AS HEAVY RAIN.
  • PRACTICE GOING TO A SAFE SHELTER FOR HIGH WINDS, SUCH AS A FEMA SAFE ROOM OR ICC 500 STORM SHELTER. THE NEXT BEST PROTECTION IS A SMALL, INTERIOR, WINDOWLESS ROOM IN A STURDY BUILDING ON THE LOWEST LEVEL THAT IS NOT SUBJECT TO FLOODING.
  • BASED ON YOUR LOCATION AND COMMUNITY PLANS, MAKE YOUR OWN PLANS FOR EVACUATION OR SHELTERING IN PLACE.
  • BECOME FAMILIAR WITH YOUR EVACUATION ZONE, THE EVACUATION ROUTE, AND SHELTER LOCATIONS.
  • GATHER NEEDED SUPPLIES FOR AT LEAST THREE DAYS. KEEP IN MIND EACH PERSON’S SPECIFIC NEEDS, INCLUDING MEDICATION. DON’T FORGET THE NEEDS OF PETS.
  • KEEP IMPORTANT DOCUMENTS IN A SAFE PLACE OR CREATE PASSWORD-PROTECTED DIGITAL COPIES.
  • PROTECT YOUR PROPERTY. DECLUTTER DRAINS AND GUTTERS. INSTALL CHECK VALVES IN PLUMBING TO PREVENT BACKUPS. CONSIDER HURRICANE SHUTTERS. REVIEW INSURANCE POLICIES.
WHEN A HURRICANE IS 36 HOURS FROM ARRIVING
  • TURN ON YOUR TV OR RADIO IN ORDER TO GET THE LATEST WEATHER UPDATES AND EMERGENCY INSTRUCTIONS.
  • RESTOCK YOUR EMERGENCY PREPAREDNESS KIT. INCLUDE FOOD AND WATER SUFFICIENT FOR AT LEAST THREE DAYS, MEDICATIONS, A FLASHLIGHT, BATTERIES, CASH, AND FIRST AID SUPPLIES.
  • PLAN HOW TO COMMUNICATE WITH FAMILY MEMBERS IF YOU LOSE POWER. FOR EXAMPLE, YOU CAN CALL, TEXT, EMAIL OR USE SOCIAL MEDIA. REMEMBER THAT DURING DISASTERS, SENDING TEXT MESSAGES IS USUALLY RELIABLE AND FASTER THAN MAKING PHONE CALLS BECAUSE PHONE LINES ARE OFTEN OVERLOADED.
  • REVIEW YOUR EVACUATION ZONE, EVACUATION ROUTE AND SHELTER LOCATIONS. PLAN WITH YOUR FAMILY. YOU MAY HAVE TO LEAVE QUICKLY SO PLAN AHEAD.
  • KEEP YOUR CAR IN GOOD WORKING CONDITION, AND KEEP THE GAS TANK FULL; STOCK YOUR VEHICLE WITH EMERGENCY SUPPLIES AND A CHANGE OF CLOTHES.
  • IF YOU HAVE NFIP FLOOD INSURANCE, YOUR POLICY MAY COVER UP TO $1000 IN LOSS AVOIDANCE MEASURES, LIKE SANDBAGS AND WATER PUMPS, TO PROTECT YOUR INSURED PROPERTY. YOU SHOULD KEEP COPIES OF ALL RECEIPTS AND A RECORD OF THE TIME SPENT PERFORMING THE WORK. THEY SHOULD BE SUBMITTED TO YOUR INSURANCE ADJUSTER WHEN YOU FILE A CLAIM TO BE REIMBURSED. VISIT WWW.FEMA.GOV/MEDIA-LIBRARY/ASSETS/DOCUMENTS/137860 TO LEARN MORE.
WHEN A HURRICANE IS 18-36 HOURS FROM ARRIVING
  • BOOKMARK YOUR CITY OR COUNTY WEBSITE FOR QUICK ACCESS TO STORM UPDATES AND EMERGENCY INSTRUCTIONS.
  • BRING LOOSE, LIGHTWEIGHT OBJECTS INSIDE THAT COULD BECOME PROJECTILES IN HIGH WINDS (E.G., PATIO FURNITURE, GARBAGE CANS); ANCHOR OBJECTS THAT WOULD BE UNSAFE TO BRING INSIDE (E.G., PROPANE TANKS); AND TRIM OR REMOVE TREES CLOSE ENOUGH TO FALL ON THE BUILDING.
  • COVER ALL OF YOUR HOME’S WINDOWS. PERMANENT STORM SHUTTERS OFFER THE BEST PROTECTION FOR WINDOWS. A SECOND OPTION IS TO BOARD UP WINDOWS WITH 5/8” EXTERIOR GRADE OR MARINE PLYWOOD, CUT TO FIT AND READY TO INSTALL.
WHEN A HURRICANE IS 6-18 HOURS FROM ARRIVING
  • TURN ON YOUR TV/RADIO, OR CHECK YOUR CITY/COUNTY WEBSITE EVERY 30 MINUTES IN ORDER TO GET THE LATEST WEATHER UPDATES AND EMERGENCY INSTRUCTIONS.
  • CHARGE YOUR CELL PHONE NOW SO YOU WILL HAVE A FULL BATTERY IN CASE YOU LOSE POWER.
WHEN A HURRICANE IS 6 HOURS FROM ARRIVING
  • IF YOU’RE NOT IN AN AREA THAT IS RECOMMENDED FOR EVACUATION, PLAN TO STAY AT HOME OR WHERE YOU ARE AND LET FRIENDS AND FAMILY KNOW WHERE YOU ARE.
  • CLOSE STORM SHUTTERS, AND STAY AWAY FROM WINDOWS. FLYING GLASS FROM BROKEN WINDOWS COULD INJURE YOU.
  • TURN YOUR REFRIGERATOR OR FREEZER TO THE COLDEST SETTING AND OPEN ONLY WHEN NECESSARY. IF YOU LOSE POWER, FOOD WILL LAST LONGER. KEEP A THERMOMETER IN THE REFRIGERATOR TO BE ABLE TO CHECK THE FOOD TEMPERATURE WHEN THE POWER IS RESTORED.
  • TURN ON YOUR TV/RADIO, OR CHECK YOUR CITY/COUNTY WEBSITE EVERY 30 MINUTES IN ORDER TO GET THE LATEST WEATHER UPDATES AND EMERGENCY INSTRUCTIONS.
SURVIVE DURING
  • IF TOLD TO EVACUATE, DO SO IMMEDIATELY. DO NOT DRIVE AROUND BARRICADES.
  • IF SHELTERING DURING HIGH WINDS, GO TO A FEMA SAFE ROOM, ICC 500 STORM SHELTER, OR A SMALL, INTERIOR, WINDOWLESS ROOM OR HALLWAY ON THE LOWEST FLOOR THAT IS NOT SUBJECT TO FLOODING.
  • IF TRAPPED IN A BUILDING BY FLOODING, GO TO THE HIGHEST LEVEL OF THE BUILDING. DO NOT CLIMB INTO A CLOSED ATTIC. YOU MAY BECOME TRAPPED BY RISING FLOOD WATER.
  • LISTEN FOR CURRENT EMERGENCY INFORMATION AND INSTRUCTIONS.
  • USE A GENERATOR OR OTHER GASOLINE-POWERED MACHINERY OUTDOORS ONLY AND AWAY FROM WINDOWS.
  • DO NOT WALK, SWIM, OR DRIVE THROUGH FLOOD WATERS. TURN AROUND. DON’T DROWN! JUST SIX INCHES OF FAST-MOVING WATER CAN KNOCK YOU DOWN, AND ONE FOOT OF MOVING WATER CAN SWEEP YOUR VEHICLE AWAY.
  • STAY OFF OF BRIDGES OVER FAST-MOVING WATER.
BE SAFE AFTER
  • LISTEN TO AUTHORITIES FOR INFORMATION AND SPECIAL INSTRUCTIONS.
  • BE CAREFUL DURING CLEAN-UP. WEAR PROTECTIVE CLOTHING AND WORK WITH SOMEONE ELSE.
  • DO NOT TOUCH ELECTRICAL EQUIPMENT IF IT IS WET OR IF YOU ARE STANDING IN WATER. IF IT IS SAFE TO DO SO, TURN OFF ELECTRICITY AT THE MAIN BREAKER OR FUSE BOX TO PREVENT ELECTRIC SHOCK.
  • AVOID WADING IN FLOOD WATER, WHICH CAN CONTAIN DANGEROUS DEBRIS. UNDERGROUND OR DOWNED POWER LINES CAN ALSO ELECTRICALLY CHARGE THE WATER.
  • SAVE PHONE CALLS FOR EMERGENCIES. PHONE SYSTEMS ARE OFTEN DOWN OR BUSY AFTER A DISASTER. USE TEXT MESSAGES OR SOCIAL MEDIA TO COMMUNICATE WITH FAMILY AND FRIENDS.
  • DOCUMENT ANY PROPERTY DAMAGE WITH PHOTOGRAPHS. CONTACT YOUR INSURANCE COMPANY FOR ASSISTANCE.

Always have an emergency plan, practice it with family members, discuss with distantly located relatives how you will notify each other of your safety, and stay tuned to your radio, TV, wireless emergency alerts encase evacuations are ordered.

 

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Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.