Posted in economy, Health, news, Politics

Did COVID Flip? More Young People Reporting Severe COVID Symptoms

The SARS-CoV-2 virus has not gone away as hoped and is now ravaging young adult communities.

What once was considered a “65 and older” disease, more and more young adults are reporting symptoms of severe COVID.

These include shortness of breath, fever, chest pain, body aches, cough, headache and fatigue.

Additional symptoms include nasal congestion, sore throat, loss of taste and smell, nausea, vomiting, diarrhea and rash.

As businesses struggle to remain open during the pandemic due to social distancing guidelines, employee call-outs due to illness add to the strain of staffing these businesses, thus heightening risk of closure.

In Arizona, Governor Doug Ducey ordered the closure of bars and nightclubs for 30 days as their state has seen the highest uptick in cases in the 20-44 year old age group.

In Nevada, the Department of Health and Human Services show younger individual age groups to be more affected than those over 60 years old.

In the last 7 days, those in the 20-44 year age group saw the most prominent spikes.

Image from Southern Nevada Health District

Why are younger adults more affected?

  1. Firstly, many older individuals might have been exposed and infected during the first wave such that the proportions have changed now that more younger people are testing.

2. More testing is being required by employers, hence non-retired workers, who may comprise the younger population, are coming forward to get tested.

3. The virus might have mutated. Some believe it weakened, but in a sense it might have strengthened to overcome a younger, more healthy immune system.

4. Younger individuals who engaged in vaping, tobacco or marijuana use might have become a more susceptible population for a new strain of COVID.

5. Younger adults might have been more social during reopenings or taken part in mass gatherings, protests and demonstrations thereby exposing themselves more than the older, stay at home, population.

The moral: This virus is unpredictable, may mutate, and will infect various population groups leaving younger individuals just as vulnerable as older ones. Don’t let your guard down, wash your hands, keep safe distances away from others, keep up good nutrition and sleep, and seek medical care and/or testing if you feel ill.

Great Gift!!

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

Posted in Covid-19, economy, Health, news

Disneyland to Reopen Mid July on its 65th Anniversary

Downtown Disney is slated to open July 9th and the theme park, July 17th, 65 years since its original open date.

Disneyland originally opened its gates on July 17, 1955. It remained open every day but closed only 2 prior times in history, one in a day of mourning for JFK after his assassination and the other during the 9/11 attacks.

Then on March 14, 2020, Disneyland closed indefinitely as a result of the COVID-19 pandemic.

Due to its high volume and long line infamy, the Anaheim, California amusement park was not scheduled to reopen until late Fall or early 2021.

But this week we learned that the “Happiest Place on Earth” may reopen its doors July 17th, with Downtown Disney opening a week earlier.

If state officials allow Disneyland to open as scheduled, there will be a few changes. These include:

  • Temporary cessation of parades and character meet and greet/photo ops
  • Reservations required to enter the park
  • Social distancing in lines
  • Multiple hand sanitizing stations
  • Possible mask requirement
  • Possible temperature checks at entry

Frequent cleaning will be done along hand rails and rides by cast members.

Shanghai Disney reopened last month with similar measures.

Disney World in Orlando, Florida plans to reopen July 11th.

This is a developing story…..

The Art of The Boo Boo on Amazon

Great Gift!!

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

Posted in Covid-19, economy, Nevada, news, Politics

Nevada Braces For Budget Cuts

Following the declaration of a fiscal emergency May 11th, Governor Sisolak this week released a plan to address the $812 million dollar shortfall Nevada is facing due to loss of tax revenue from the COVID-19 crisis.

In it includes the following:

  • $67 million in General Fund reductions including:
    • Department of Health and Human Services ($19M)
    • Nevada System of Higher Education ($14.4 M with salary adjustment of $12M)
    • Department of Education ($7.8 M)
    • Governor’s Office ($3M)
  • $49 million in reversals of one-shot appropriations promised during the 2019 legislative session that haven’t been spent yet (including those for Smart 21, Marsy’s Law, Boys & Girl’s Club, etc.)
  • Accessing the $401M “Rainy Day Fund”

and additional cuts to be approved at Friday’s meeting of the Interim Finance Committee.

The Las Vegas Strip during the 2020 shutdown, image by Insider

Significant losses came from lack of tax revenue including that provided by:

  • Sales Tax ($182M)
  • Gaming percentages fees tax ($160M)
  • Live entertainment -gaming tax ($37M)
  • Modified Business tax ($47M)
  • Commerce tax ($28.6M)
  • Cigarettes ($22M)
  • Short-term rental car ($14M)

and more.

With the proposed cuts, Gov. Sisolak hopes to meet the end of the fiscal year with $170M left in the general fund.

What’s putting Nevadans on edge however, is the slow return of businesses with the phased reopenings due to COVID.

If the gaming industry fails to bounce back this summer and businesses continue to stay shuttered or unable to produce profits due to customer volume restrictions, the lack of revenue influx will put the state at risk for another shortfall in the upcoming fiscal year.

Nevada has joined other states in petitioning Congress for federal aid to help fill in the gaps needed for the upcoming budget.

This is a developing story……

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

Posted in Covid-19, economy, Entertainment, Health, news, Politics, sex

Sex Scenes May Be Computer Generated or Scrapped In COVID-era Movie Shooting

Warning Graphic Content

Hollywood begins filming again June 12th, but not without similar social distancing restrictions many other industries face.

“Troy” 2004

Adhering to guidelines will allow filmmakers to work again, but not without the following changes:

  • Social distancing on sets
  • Plexiglass use for separating people during auditions, or done virtually
  • Personal Protective Equipment for those working on the film sets
  • Coronavirus Compliance Officers to ensure guidelines by the film industry and state officials are being met
  • CGI for “close contact” scenes, or removing some completely

Some scenes may be able to work with social distancing, such as this one with Sharon Stone in Basic Instinct.

“Basic Instinct” 1992

However for many others, CGI, or computer generated imagery, will need to be utilized. CGI has been a staple in most modern movies that show men flying, returning from decades old previous movies (as in the Star Wars series), or shooting lasers out of one’s eyes.

Actor Peter Cushing played Imperial Guard Moff Tarkin, but passed in 1994, was CGI in “Rogue One”, 2016

For sex scenes however, it could be challenging to ensure the realism that most viewers expect.

However, for those of us who have missed going to a move for months during the lockdown, if some sex scenes need to be scratched, fine by me. I’m more of an action fan myself…..

Bruce Willis running with automatic weapon in a scene from the film ‘Die Hard’, 1988. (Photo by 20th Century-Fox/Getty Images)

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

Posted in Covid-19, crime, economy, news, Politics

Will a COVID or Protest Arrest Hurt Your Chances of Getting a Job and/or Unemployment Insurance?

Over the last few months and specifically days, many have been arrested for COVID or protest-related activities. These included:

  • Violating social distancing measures
  • Reopening a business prior to Governor phase reopenings
  • Protesting and failing to disperse
  • Curfew violation
  • Disorderly conduct
  • Shoplifting
  • Looting
  • Burglary
  • Vandalism
  • Rioting
  • Assault
  • Secondary offences such as drug possession

Charges can range in severity from misdemeanor to felony with varied amounts of bonds necessary for release.

Moreover, if you lose your job due to an arrest you may be unable to file for unemployment insurance.

Although our world seemed to change over night and “regular life” in general seemed to end during months of shutdowns, events or actions taken within this time period soon becomes our past and may resurface as we try to resume our pre-COVID lives.

Which begs the question, will shutdown infractions come back to haunt you?

Well first, it depends on what state you live in. Some states, such as California, have Ban the Box initiatives, prohibiting applications from including questions that relate to one’s criminal history. Many states, however, may allow the question to surface during an interview.

Secondly, it depends on what you did and if you have a good explanation if asked by a future employer.

Reasons such as trying to work to feed your family or joining others in a peaceful protest might be looked upon much more positively than explaining an assault charge.

It also depends on the employer. Many may feel strongly one way or another about social distancing measures or protesting the death of George Floyd and find empathy or concern regarding your individual actions.

Honesty is the best policy when it comes to interviews as even if the interviewer may not be in agreement with your actions, your sincerity and openness may be qualities needed for the job.

However, some employers may not have a choice. For example in some industries if an employee has a “criminal” record, licensing, contracting and sometimes insurance may not be awarded. An employer may agree with everything you’ve done and stood for but if they had to choose between two applicants, the one without the misdemeanor or felony may be more attractive.

What are your options?

Firstly, try to avoid getting arrested. This might sound obvious but for those are who under the assumption that they will not get caught, taking necessary precautions to ensure you are following the law might put you at less risk.

Consult a legal professional. Just because you were arrested does not mean you are guilty of a crime. Some charges can be reduced if not thrown out depending on what was done and your representation.

Apply for an expungement. Some states allow one to expunge their crime off their record or apply for their records to be sealed. This could prevent it from showing up on some background checks.

Be aware of unemployment insurance rules. If an employee loses their job because they broke the law, they may not be entitled to unemployment benefits.

Know the industry you’re applying to work for. Some are very regimented with employees being required to have clean records whereas others offer more flexibility.

Be prepared for changes in the state law and changes in your industry. What might protect you now may not protect you in the future.

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

Posted in economy, Health, news, Politics

Nevada Will Reopen Bars, Gyms and Movie Theaters This Friday

On Tuesday, Nevada Governor Sisolak was going to hold a press conference outlining his Phase 2 plan for Reopening Nevada. However early that afternoon, we were told he had been possibly exposed to COVID 19 when he visited a workplace where an employee, who was not present at the time of his visit, had tested positive for COVID. The Governor’s office was informed of this Tuesday and was planning COVID testing the following day. He assured constituents in a social media post that he had not shown any symptoms the preceding 5 days since the workplace visit.

A recorded video of the Phase 2 guidelines was going to be released but then due to technical issues, his office provided a written statement to the press.

In it he states that due to a downward trend in positive tests and hospitalizations, Phase 2 can proceed. Thus, the following can open on May 29th:

  • Bars (with seating restrictions)
  • Gyms
  • Movie Theaters
  • Aesthetic services such as tanning, waxing and eyebrow threading
  • Museums
  • Malls
  • Aquariums
  • Massage Services
  • Water Parks
  • Pools
  • Miniature Golf

Clubs, live sporting events with spectators and brothels will remain closed.

Public and Private gatherings can range from 10-50 people while following social distancing.

Vulnerable populations should continue to shelter in place.

All employees will continue to wear a face covering and all businesses operating under Phase 2 need to follow measures set forth by OSHA and other regulatory agencies.

Gyms and fitness classes need to maintain 6 feet social distancing and large gyms can only max at 50% capacity. Locker rooms, showers and saunas will remain closed.

Youth sports may open within Phase 2 with more guidelines to follow.

This is a developing story…..

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

Posted in coronavirus, Covid-19, economy, Employment, Health, news

Did Your Period Change During the Lockdown? Here’s Why…..

Many women have reported their periods have been irregular since the start of the pandemic, not surprisingly though as 2020 has been one of the most unpredictable years yet.

However, some feel it’s because they lack the “syncing” that occurs when women are around other women, such as in the workplace.

The theory of women who live or work together subsequently menstruate the same time during the month has been suggested for centuries. In 1971, Dr. Martha McClintock from the Department of Psychology in Harvard tested this theory on 135 females from a college dorm and found a “significant increase in synchronization” in college roommates and/or their best friends as it pertained to their monthly cycle. This was called the “McClintock” effect.

However multiple studies since then have debunked this theory finding no major evidence of menses syncing among women who are in close proximity to each other.

So if being separated from one’s coworkers is not the cause, why would periods change?

Menstrual cycles can vary in regularity due to multiple factors. These include:

  • Stress
  • Change in exercise
  • Change in diet
  • Change in weight
  • Thyroid disorders – or issues with taking one’s medication regularly
  • Sexual activity
  • Pregnancy
  • Hormonal disorders such as polycystic ovarian syndrome

For those who had strict work, eating and exercise schedules, lockdowns prevented gym attendance and allowed for more stay-at-home-and-eat-activity.

Moreover fear of COVID, being layed off and trying to teach and entertain the kids who would have been in school all these weeks added copious amounts of stress in a short period of time.

Cycles may come every 21-35 days with a 2-7 day menstrual flow. Some women are able to consistently predict the day and time of their next period, whereas others venture a guess that could range up to a week. So menstrual cycle changes are not that uncommon throughout a woman’s reproductive years. However, if one becomes irregular after months of regularity, skips a cycle or finds their bleeding to change significantly, this should prompt an evaluation by their medical provider.

Will returning to work get you back on your schedule? It could, but then again, it could be your “new normal”…..Either way, don’t expect your female work comrades to sync your cycle anytime soon.

Great Gift!!!

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

Posted in coronavirus, Covid-19, economy, Education, Employment, Health, news, Politics, school

Trump Vows Another Shutdown Will Not Occur In the Fall – But Does He Have Control?

Image above from AP/Getty Images

Speaking at a Ford plant in Ypsilanti, Michigan, President Donald Trump vowed he would not allow the country to shut down again if a second wave of COVID plagues us this Fall.

He stated, We are going to put out the fires. We’re not going to close the country. We can put out the fires.”

Although his optimism was applauded by many who have found the economic downturn from months of business closures to be irreparable, many wonder if he actually has control of stopping a second country shutdown.

In early March the Trump administration tried to contain the panic, and keep businesses open, however other powers were at play.

Schools closed down first. With school closures, many employees could not leave their children unattended and needed to stay home.

Then traffic to many businesses slowed, as many chose to “shelter in place” for fear of being exposed to COVID-19. Employees of businesses chose to stay home as well in fear of exposing vulnerable family members to the virus.

Then as death tolls were reported, Governors began to institute stay at home orders and business closures.

As businesses reopen and schools ready for the new school year, many teachers and parents are preparing for a bumpy road ahead.

Even if a COVID second wave spares us, influenza is notorious for causing death, and each year takes its toll on the pediatric population.

Concerned parents may easily call for school closure and online learning because of flu, COVID, school shootings, or any other issues that could tragically affect children.

If schools close this Fall for any reason, employees will be forced to stay home and the cycle can occur all over.

Many businesses are transitioning to work from home models, however many businesses still require traffic and in person customer service such as restaurants, salons, movie theaters, shops, etc.

I believe our healthcare system will, as Pres. Trump suggests, be able to address new COVID cases, however, whether the administration will have the ability to mitigate the panic or calls for business shutdown is entirely another issue.

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

Posted in coronavirus, Covid-19, economy, Employment, Health, masks, news

Business “Mask and Social Distancing Requirement” Puts Employees at Risk of Customer Violence

In early May, a security guard was shot when he asked a customer at a Michigan Family Dollar store to wear a mask per company policy.

One week later a shooting occurred at a McDonald’s in Oklahoma City because a customer was asked to leave when she wasn’t following social distancing guidelines.  Three employees needed to be taken to the hospital but all recovered.

Then last week, an Aurora, Colorado Waffle House customer allegedly shot a cook when asked to wear a face mask or risk not being served.

Employees who work for small businesses who are struggling to follow the new reopening restrictions are putting their lives at risk when a person with mental illness does not want to follow the new laws.

Government officials may not be aware that “laws” being implemented need assistance when it comes to enforcement and the average restaurant or store does not have a security detail to protect their employees and other customers if someone doesn’t want to follow the new laws.

“Refusing service” can trigger one with mental illness to turn violent.  Rejection, accosting, and negative interactions can be perceived as “attacks”, putting an employee who is not trained in tactical movements or negotiation at risk.

A video has gone viral of a Costco employee asking a customer to put on his mask. The customer was not violent but refused to wear one, so his shopping cart was confiscated. Fortunately the altercation ended there, but do altercations need to happen in the first place?

costco-tison-1589985758

If an employee feels a customer is beginning to get angry they should:

  • Not engage the customer
  • Get a manager or someone designated to deal with customer complaints
  • Contact local authorities or call 911 if they feel they are at risk of being harmed

Most government officials will not close a business down if the incident (in which an altercation was diffused by providing service) was documented and reported.

When laws and ways of life change quickly and rules are forced on already stressed employees and customers, chaos can ensue.  State and government officials need to be aware of the consequences that can result without proper guidance in how to execute these rapidly changing rules.

 

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

 

Posted in coronavirus, Covid-19, economy, environment, Health, news

Most COVID Reopening Guidelines May NOT Be Environmentally Friendly…..Then What?

After decades of recycling and limiting pollutants in our air, the US population has been forced to make a 180 degree turn to prevent COVID spread in their workspace.

Disinfectant sprays, disposable paper products and plastic barriers are now at the forefront of most businesses’ reopening strategies.

Lysol disinfectant spray, touted by the CDC as effective against fighting COVID, has received an “F” rating by the Environmental Working Group for its effects on the environment and human body as it contains “MIPA-Borate, Ammonium hydroxide and petroleum gases.”

lysol 2

Plexiglass, being used by salons and casinos as a barrier between customers, contains methyl methacrylate (MMA), which can accumulate short term in a local environment but are not theorized to cause long term damage.

Some restaurants are turning to paper menus rather than cleaning reusable ones, so as to discard each after use.

trees

And don’t get me started on the toilet paper apocalypse…..

Brick and mortar stores who have turned to online sales while forced to shut down are utilizing exponential amounts of boxes for packaging.

Customers waiting to be seated at a restaurant or salon need to wait outside or sit in their car.  During the summer months, cars will need to be turned on and idle to as to allow air conditioning during the wait. This produces more emissions.

So our paper, plastic and aerosol use has exploded in such a short period of time, causing business owners to wonder, will these methods need to be reversed once environmental experts sound the alarm?

I suggest before businesses invest in thousands of dollars of products they may be forced to abandon in the near future to try to aim for “environmentally friendly” solutions if they can.  Not easy, but it could be a mess if both the COVID and Environmental “crises” collide…

 

 

spanish book

Learning Medical Spanish is Easy!!!

 

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