{"id":21271,"date":"2020-04-04T09:16:09","date_gmt":"2020-04-04T14:16:09","guid":{"rendered":"https:\/\/wholehealthchicago.com\/?p=21271"},"modified":"2021-10-18T11:59:50","modified_gmt":"2021-10-18T16:59:50","slug":"we-are-fighting-for-our-lives-covid-19-update","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2020\/04\/04\/we-are-fighting-for-our-lives-covid-19-update","title":{"rendered":"We Are Fighting For Our Lives: Covid-19 Update"},"content":{"rendered":"\n<p>This Health Tip might contain more about Covid-19 than you\u2019ve read online or heard on a news program. It might even be more than you really care to know.<\/p>\n\n\n\n<p>Obviously we Americans we have some real challenges, far greater than many countries smaller and less \u201cpowerful\u201d than the US. We\u2019re running out of personal protective equipment (PPE) for our healthcare workers and first responders. There are no masks. One of the best ways to determine if someone has Covid-19 is to take the temperature, but finding thermometers has become a real challenge.<\/p>\n\n\n\n<p>Test kits? Give me a break. We\u2019re also running short of ventilators and <a href=\"https:\/\/thehill.com\/homenews\/state-watch\/490033-newsom-170-ventilators-sent-from-federal-government-arrived-not-working\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">170 recently sent to California from the federal government arrived broken and in need of repair<\/a>.<\/p>\n\n\n\n<p>Someone suggested you could improvise a facemask with coffee filters and duct tape. Ah, duct tape, its uses are innumerable. Duct tape, coffee filters? Are we a developing nation already?<\/p>\n\n\n\n<p>Oh, and in addition. Did you lose your job and with it your health insurance? Too bad for you. Trump so detests the Affordable Care Act that he announced he would not re-open enrollment during the pandemic. Instead, <a href=\"https:\/\/www.politico.com\/news\/2020\/03\/31\/trump-obamacare-coronavirus-157788\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">the government is \u201cexploring other options.\u201d<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.washingtonpost.com\/opinions\/2020\/04\/01\/writer-contagion-imagined-all-this-except-inept-government-response\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Here\u2019s a link to an interview with Scott Z. Burns<\/a>, the guy who wrote the screenplay for the film Contagion. You must have seen it by now. If not, <a href=\"https:\/\/www.netflix.com\/title\/70185071\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">it\u2019s available free on Netflix<\/a>.<\/p>\n\n\n\n<p>Even though Contagion was made nine years ago, it\u2019s painfully accurate regarding our current crisis. Burns attributes this accuracy to the expert advice he received from epidemiologists and virologists. One thing he didn\u2019t predict:<\/p>\n\n\n\n<p><em>I never contemplated a federal response that was so ignorant, misguided and full of dangerous information. I thought our leaders were sworn to protect us. I don\u2019t get to write this story this time. This is a story we are all writing together.<\/em><\/p>\n\n\n\n<p>Let us be grateful for the responsible governors and mayors and healthcare workers who will get us through this.<\/p>\n\n\n\n<p><strong>First, some guardedly good news<br><\/strong>The death rate from Covid-19 is much lower than originally predicted. In fact, these numbers are about half of those predicted a few weeks ago:<\/p>\n\n\n\n<p>&#8211;Under age 40, nearly zero death rate (1% hospitalized)<br>&#8211;40s, 0.2% death rate (3% hospitalized)<br>&#8211;50s, 0.6% death rate(8% hospitalized)<br>&#8211;60s, 2% death rate (12 % hospitalized)<br>&#8211;70s 4.3% death rate (15% hospitalized)<br>&#8211;80s 7.8% death rate (19% hospitalized)<\/p>\n\n\n\n<p>It\u2019s estimated that 50 to 80% of the world population will get the virus. <a href=\"https:\/\/wholehealthchicago.com\/2020\/04\/04\/diagnose-it-yourself-covid-19\/\" target=\"_blank\" rel=\"noreferrer noopener\">Click here for our diagnose-it-yourself guide to Covid-19,<\/a> which distinguishes its symptoms from those of strep throat, allergies, and other common conditions.<\/p>\n\n\n\n<p><strong>Virus overview<br><\/strong>Being invaded by Covid-19 is like being attacked and eaten by a zombie. The virus is not alive, but it\u2019s not really dead either. Like hundreds of other viruses, Covid-19 has been lurking in the environment in a variety of forms, inside different animal species, and changing itself in order weasel its way through the barrier of your immune system to gain access to you.<\/p>\n\n\n\n<p>Normally, our immune systems have all sorts of safeguards against unwanted invaders. That\u2019s why healthy populations can generally enjoy a lifespan of close to 100 years (and why we don\u2019t die within hours of being born). Remember, though, you have no immunity to Covid-19, and breaching a body gives the virus a new lease on life. If it could speak, it would say \u201cA fresh body! All these cells (yum!). Now I can replicate.\u201d<\/p>\n\n\n\n<p>Really, haven\u2019t we all seen this movie?<\/p>\n\n\n\n<p>The virus spreads like a prairie fire across a dry Kansas plain. Your immune system screams OMG! &nbsp;and goes into ultra-high gear to get rid of this pest, this critter, this ultimate villain.<\/p>\n\n\n\n<p><u>Pause button<\/u>: This is why people who have taken meticulous care of their immune systems do better against the virus than others. Immune systems thrive on a high-nutrient diet, a few immune-support supplements, and zeroing out unhealthy habits, like smoking, too much alcohol, and fake foods.<\/p>\n\n\n\n<p><strong>But now things get complicated<br><\/strong>Envision your body as the battleground between Covid-19 and the immune system. Lucky for you, your immune system more often than not comes out on top. You emerge from it all bloodied but unbowed. You feel like a Mack truck ran over you, reversed, and ran over you again. But you\u2019re alive. You never noticed how gorgeously blue the sky can be. And all those green leaves. Alive!<\/p>\n\n\n\n<p>However, if your symptoms become severe, you\u2019ll find yourself in the hospital (if there\u2019s any room in the hospital\u2014many are already-overcrowded with virus victims). Since there are no medications available yet to kill the virus, you\u2019ll receive what doctors call supportive care. This means oxygen, fluids, and food. A majority of people recover from hospitalization and walk out quite alive, though again this is dependent on hospitals and the brave people who work in them not being overwhelmed.<\/p>\n\n\n\n<p><strong>So why do some people die?<br><\/strong>You\u2019ve read that people with co-morbidities have a higher death rate. This means they already have heart disease or diabetes or chronic lung disease. For these patients, the added stress of the virus is just too great. The combination of infection and weak lungs, for example, is too much for the body to fight effectively.<\/p>\n\n\n\n<p>Another cause of death is a poorly understood phenomenon called a cytokine storm. Your immune system, facing the virus and now in high gear, suddenly can\u2019t turn itself off. To kill the virus, it has released a cascade of chemicals, called cytokines.<\/p>\n\n\n\n<p>Cytokines are pro-inflammatory, meaning they support inflammation, because inflammation is your most powerful defense against disease. Pro-inflammatory cytokines literally flood your body in order to kill the virus. These cytokines include interleukin-6 (IL-6), interleukin 1 (IL-1), ferritin, C4a, tumor necrosis factor (TNF), and interferons, your immune system grinding them out to kill the virus and save your soul.<\/p>\n\n\n\n<p>Your immune system <u>knows your life is at stake.<\/u><\/p>\n\n\n\n<p>But sometimes the cytokine system can\u2019t turn itself off, which means the inflammation becomes unstoppable. Now the tables are turned. If left unchecked, your own immune system can kill you. Inflammation courses through your body and you\u2019re caught in the whirlwind of a cytokine storm.<\/p>\n\n\n\n<p>Every cell starts collapsing from inflammation, like mobile homes crumpling in an Alabama tornado. You\u2019ve read the phrase \u201cmultiple organ failure.\u201d Liver, heart, lungs, brain\u2014they\u2019re all delicate structures that can\u2019t deal with this immunological onslaught.<\/p>\n\n\n\n<p>We don\u2019t know right now why some people become storm victims and others are spared.<\/p>\n\n\n\n<p><strong>But there is actual light at the end of the tunnel<br><\/strong>Well, maybe not a bright light, but at least there\u2019s a tunnel, which is better news than last week. There are five steps that will end this nightmare. You know a lot of this already, so bear with me.<\/p>\n\n\n\n<p><strong>One &nbsp;<\/strong>You must avoid exposure to the virus to the very best of your ability. Stay at home. Have groceries delivered if possible. Wash your hands with soap and water. No book clubs in person, no game nights with friends. If you have to go to the store, take advantage of the early hours for senior citizens (if you are one), off-hours for the rest of you, when fewer people will be shopping. Stay at least six feet away from others. Use hand sanitizer or isopropyl alcohol and wipe down everything before you touch it. Then disinfect your hands afterward. Masks are in gravely short supply, but if you have one, wear it. If not, wrap something around your nose and mouth. Don\u2019t touch your eyes, nose, or mouth. These mucous membranes are the virus\u2019s point of entry.<\/p>\n\n\n\n<p><strong>Two\u00a0 <\/strong>Consider supporting your immune system with a high-nutrition diet and <a href=\"https:\/\/whcstore.vitogenix.com\/s\/search?q=immune%20system%20support\" target=\"_blank\" rel=\"noreferrer noopener\">immune-boosting supplements<\/a>.<\/p>\n\n\n\n<p><strong>Three &nbsp;<\/strong>The promise of antiviral medication is very real. We know this can be done. We\u2019re already using valcyclovir to kill herpes, oseltamivir (Tamiflu) to kill seasonal flu, and three antivirals combined into Biktarvy to keep the HIV retrovirus under control. &nbsp;<a href=\"https:\/\/www.clinicaltrialsarena.com\/news\/fujifilm-avigan-covid-19-trial-japan\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">On the horizon for Covid-19 there\u2019s favipiravir, under the brand Avigan, which looks very promising.<\/a><\/p>\n\n\n\n<p><strong>Four &nbsp;<\/strong>Researchers are also making progress against the dreaded cytokine storm. There are several blood tests that can predict the storm. The most readily available is ferritin, which is commonly used to measure iron stores in the body, but it also accurately measures inflammation. If a Covid-19 patient is doing poorly and the cause is a cytokine storm, doctors can start any of a readily available group of medications called immune modulators. Normally, these calm the overactive immune systems of people with autoimmune diseases like rheumatoid arthritis and lupus. But they can also quell a cytokine storm.<\/p>\n\n\n\n<p>Currently being tested are the immune modulators tocilizumab, anakinra, and the well-known hydroxychloroquine. You\u2019ve heard of other approaches being tested but you\u2019re smart enough to wait for me to prescribe them if they\u2019re found to be effective: anti-inflammatories (like cortisone or Celecoxib\/Celebrex) and some surprises like statins (cholesterol-lowering meds).<\/p>\n\n\n\n<p><strong>Five &nbsp;<\/strong>Vaccines take longer, but billions are being spent to develop one. With time, having this virus will be no more harmful than having a cold. You can show your grandkids a t-shirt that says \u201cI survived coronavirus 2020.\u201d They\u2019ll feign polite interest, little knowing how close they came to never being born. The entire world is working together on this. The breakthrough might come from a virologist in Seattle, a pharmaceutical team in Tel Aviv, or a fifth generation herbalist somewhere in China.<\/p>\n\n\n\n<p>Mainly, don\u2019t be afraid. Let\u2019s support each other around the US and around the world. And please just stay at home for now.<\/p>\n\n\n\n<p>Chicagoans, trust me. Next year Governor Pritzker and Mayor Lightfoot will let you enjoy a guilt-free St Paddie\u2019s.<\/p>\n\n\n\n<p>Be well,<br><em>David Edelberg, MD<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This Health Tip might contain more about Covid-19 than you\u2019ve read online or heard on a news program. It might even be more than you really care to know. Obviously we Americans we have some real challenges, far greater than many countries smaller and less \u201cpowerful\u201d than the US. We\u2019re running out of personal protective [&hellip;]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,195,226,3,43,1975,48],"tags":[],"class_list":["post-21271","post","type-post","status-publish","format-standard","hentry","category-blog","category-diseases","category-immune-system","category-knowledge-base","category-nutrition-nutritional-supplements-vitamins-herbal-remedies","category-respiratory-health","category-w"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>We Are Fighting For Our Lives: Covid-19 Update | WholeHealth Chicago<\/title>\r\n<meta name=\"description\" content=\"One of the best ways to determine if someone has Covid-19 is to take the temperature, but finding thermometers has become a real challenge.\" \/>\r\n<meta 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