{"id":20913,"date":"2020-03-16T09:11:51","date_gmt":"2020-03-16T14:11:51","guid":{"rendered":"https:\/\/wholehealthchicago.com\/?p=20913"},"modified":"2022-03-10T14:29:33","modified_gmt":"2022-03-10T20:29:33","slug":"covid-19-good-news-bad-news","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2020\/03\/16\/covid-19-good-news-bad-news","title":{"rendered":"Covid-19: Good News, Bad News"},"content":{"rendered":"\n<p>Before I get into this, I\u2019m still shaking my head in disbelief at my recent brush with accidental carbon monoxide poisoning as I sat in my car glued to the NPR program ironically called \u201cFresh Air.\u201d<\/p>\n\n\n\n<p>Really, it wasn\u2019t even a close call, just me blurting out loud to myself \u201cDid you really just close the garage door behind you with the motor running? You\u2019re an idiot!\u201d<\/p>\n\n\n\n<p>Apparently, reluctance to leave one\u2019s car occurs not infrequently among NPR listeners. Involved in one compelling program or another, depending on the weather, they may be found half frozen or suffering heat stroke. On the plus side, they never die of boredom.<\/p>\n\n\n\n<p>I thought I\u2019d share the program that held me captive because a lot of you are home today, working or otherwise, and <a href=\"https:\/\/www.npr.org\/2020\/03\/12\/814887953\/how-trumps-mismanagement-helped-fuel-coronavirus-crisis\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">you\u2019ll have time to listen as the incomparable Terry Gross interviews Dan Diamond, the very articulate healthcare reporter from Politico.com<\/a>. The topic is Trump\u2019s astonishing untruthfulness and utter mismanagement of the <a href=\"https:\/\/wholehealthchicago.com\/blog\/2020\/08\/03\/covid-19-worries\" target=\"_blank\" rel=\"noreferrer noopener\">Covid-19<\/a> crisis, his scientific ignorance, and his support by a team of equally incompetent lackeys whose only goal was and is to gain presidential favor.<\/p>\n\n\n\n<p>It\u2019s unlikely we\u2019ll ever be able to tally the number of utterly unnecessary deaths brought about by Trump\u2019s selfishness and incompetence. Even the most refractory Trump supporter will sit and listen to this interview in horror as she learns of the deliberate release of false information by Trump appointees (who have no expertise in the field) supporting random policy choices whose sole goal was not to protect Americans, but rather to shield the president from anything that might impair his re-election.<\/p>\n\n\n\n<p>So far, the administration\u2019s response to the greatest crisis since 9\/11&#8211;and possibly the greatest threat to American lives in US history&#8211;has been first to call it a hoax and then not dangerous, to propose keeping that cruise ship offshore (in order to keep the numbers of infected people low), and finally and amazingly, to blame President Obama.<\/p>\n\n\n\n<p><strong>Let\u2019s start with the bad news<br><\/strong>So in addition to that, here\u2019s the bad news about this coronavirus called Covid-19:<\/p>\n\n\n\n<p>&#8212;<u>You are likely to get Covid-19<\/u>. Your symptoms may range from none or a mild respiratory infection that you\u2019ll pass off as a bad cold to a really uncomfortable flu-like illness with fever, muscle aches, and fatigue. Serious illness, including death, is more likely to occur in the frail elderly, especially those who have chronic illnesses. The death rate is now about 2.5%, or ten times that of the standard seasonal flu. South Korea, which is doing the best job in the world of testing for the virus and following up on contacts, has a death \u00a0rate of 0.77%.<br>&#8212;<u>The virus will spread quickly through the US because most carriers have no symptoms<\/u>. We could, as South Korea is doing, \u00a0\u00a0screen for at-risk people and then test that group, imposing self-quarantine on those who test positive and also on their contacts. In the US, tests promised by Washington have failed to materialize. In South Korea, testing is automated and can be performed at a rate of 12,000 tests per day via multiple drive-through centers. It\u2019s also completely free. US tests are performed manually at a rate of about 1,000 a day. <a href=\"https:\/\/www.cnn.com\/2020\/03\/02\/asia\/coronavirus-drive-through-south-korea-hnk-intl\/index.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Read this piece for more on what South Korea is doing to keep its numbers down.<\/a><br>&#8212;<u>Social distancing is one very effective way we can slow this pandemic<\/u>. Already, and very sensibly, many schools, \u00a0theaters, sporting events, and virtually any location where crowds gather has been closed or cancelled. Illinois has ordered restaurants and bars closed for sit-down service. With social distancing, you reduce the chances of getting the virus yourself, but also of spreading it unwittingly if you\u2019re infected but have no symptoms. This frees up hospitals to treat those in urgent need. <a href=\"https:\/\/staythefuckhome.com\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Here\u2019s a link to a perfectly-named series of guidelines on self-quarantining\/social distancing.<\/a><br>&#8212;<u>Use common sense<\/u>. Over the weekend, the Webster Avenue Irish-themed bars were like mosh pits. I shook my head in disbelief, but then I remembered, \u201cAll 20-somethings believe they\u2019ll live forever.\u201d The warning not to congregate could have been in Urdu and have had the same effect. Minimize or eliminate social contact and use the gym, grocery, and public transportation in off-hours.<br>&#8212;<u>In addition to the frail elderly and those with chronic illnesses<\/u>, people of any age who have asthma are especially vulnerable to complications from the virus. Use telecommunications to stay in touch with family members and friends.<br>&#8212;<u>Take this virus seriously, even if you\u2019re not old<\/u>. Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Diseases, made several important points Sunday:<\/p>\n\n\n\n<p>\u201cYounger people are not immune or safe from getting seriously ill\u2026There are going to be people who are young who are going to wind up getting seriously ill\u2026Even (if) you don&#8217;t get seriously ill, you could bring (the virus) to a person who would bring it to a person that would bring it to your grandfather, your grandmother, or your elderly relative.\u201d Click here for the whole story. (Spoiler alert: Dr Fauci want you out and about.)<\/p>\n\n\n\n<p><strong>And now some (guardedly) good news<br><\/strong>&#8212;<u>Despite its gross inequality of access, the US does have a very good health care system<\/u>. However, it could, like Italy\u2019s very good health system, easily become overwhelmed if the number of Covid-19 patients requiring urgent care outpaces the number of hospital beds (including ICU \u00a0beds) and the physicians, nurses, nurse practitioners, and other dedicated staff who care for them. <a href=\"https:\/\/www.pbs.org\/newshour\/show\/outbreak-tests-italys-limits-a-week-after-lockdown-began\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Click here for more.<\/a><br>&#8212;<u>During times of crisis, Americans have a history of getting off to a slow start but then working together in ways that have surprised the rest of the world<\/u>. We were slow to perceive the evils of the Nazis but by the time WW2 was over the country was totally united, the post- war years were among the best in our history, and the war became known as \u201cThe Good War.\u201d Although we may be disappointed about cancelled concerts and sporting events, \u00a0weddings and dinner parties, just like the endless rationing that occurred during WW2 we see that this is all for the common good and we \u00a0cooperate.<br>&#8212;<u>We also reach out to those in need<\/u>. Check on your less able neighbors and offer support. Could you grocery shop for them or make a medication run? Also remember that even in the best of times the US has an enormous food insecurity problem. Many people rely on the support of food pantries, which are bravely staying open during this tumultuous time. <a href=\"https:\/\/www.lakeviewpantry.org\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Lakeview Pantry<\/a> is an excellent example. Click here to donate or get food or social services. <a href=\"https:\/\/blockclubchicago.org\/2020\/03\/16\/west-side-food-pantries-offer-delivery-grab-and-go-pickup-to-keep-residents-fed-and-safe\/?mc_cid=5c92d8e677&amp;mc_eid=577039f4b6\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Also, here\u2019s a story about West Side delivery\/grab-and-go for seniors and low-income residents.<\/a><br>&#8212;<u>The US has a lot of businesses involved in health care<\/u>. What with 17.8% of our entire GNP (more than one trillion dollars) spent on health care, we have a lot (a lot!) of companies that can develop \u00a0vaccines, antiviral drugs, and build hospitals.<br>&#8212;<u>Americans generally prefer privacy and self-isolation, so self-quarantining\/social distancing is a fairly easy proposition<\/u>. Anyone who has travelled knows that in many other countries the concept of respecting personal space simply does n\u2019t exist. We Americans sit at opposite ends of buses, movie theaters, bars, and restaurants in the best of times. We stand apart in conversations. Most of our shopping areas are larger than airplane hangars with wide aisles and high ceilings and we often find ourselves alone, peering in the distance to find assistance at a Costco or Best Buy. You\u2019ll grin and bear this minor requirement.<\/p>\n\n\n\n<p>In addition to practicing social distancing, the most complete guide to protecting yourself and preparing for the virus is <a href=\"https:\/\/www.nytimes.com\/article\/prepare-for-coronavirus.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">this excellent summary from the New York Times<\/a>.<\/p>\n\n\n\n<p>I\u2019ll add just a couple more fundamentals:<br>&#8212;<u>Open your windows and let in some fresh air every day<\/u>. Viruses thrive in enclosed environments.<br>&#8212;<u>Get outside and into the sun<\/u>. Viruses don\u2019t like fresh air and sun and you need a nice daily walk anyway. Take your dog, head to one of Chicago\u2019s many parks, or meet up with a friend to walk. Just keep about six feet away from other humans. <a href=\"https:\/\/medium.com\/@ra.hobday\/coronavirus-and-the-sun-a-lesson-from-the-1918-influenza-pandemic-509151dc8065\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Click here for a fascinating piece on how outdoor treatment during the 1918 flu pandemic saved lives.<\/a> One of the theories about viral susceptibility during specific seasons has to do with our vitamin D levels. In spring and summer we\u2019re outside more and in the sun. As a result, our vitamin D levels rise (and then the flu season ends).<br>&#8212;<u>Keep a good sleep schedule<\/u>. Sleep is immune-protective.<br>&#8212;<u>Eat nutrient-dense foods<\/u>. Now\u2019s not the time to gorge on Little Debbies and Fritos, even if it does feel like the end of the world.<\/p>\n\n\n\n<p>Would you have ever thought your netflix subscription could come in so handy? Or your kindle?<\/p>\n\n\n\n<p>Stay well,<br><em>David Edelberg, MD<\/em><\/p>\n\n\n\n<p>PS: Take your hand sanitizer and vote!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Before I get into this, I\u2019m still shaking my head in disbelief at my recent brush with accidental carbon monoxide poisoning as I sat in my car glued to the NPR program ironically called \u201cFresh Air.\u201d Really, it wasn\u2019t even a close call, just me blurting out loud to myself \u201cDid you really just close [&hellip;]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,14,195,665,226,296,3,2315,2314],"tags":[242,2138,2129],"class_list":["post-20913","post","type-post","status-publish","format-standard","hentry","category-blog","category-c","category-diseases","category-ear","category-immune-system","category-inflammation","category-knowledge-base","category-most-comments","category-most-view","tag-immune-system","tag-respiratory-infection","tag-upper-respiratory-virus"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>Covid-19: Good News, Bad News | WholeHealth Chicago<\/title>\r\n<meta name=\"description\" content=\"The topic is Trump\u2019s astonishing untruthfulness and utter mismanagement of the Covid-19 crisis, his scientific ignorance.\" \/>\r\n<meta 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