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COVID 12.0

Posted by on Mar 29, 2020 in Blog | 0 comments

As the cases explode up it’s critical to remember that this is not all exponential growth. It’s more like getting a census of where we are. That’s what mass testing does for you. The US leads the world in testing and therefore leads the world in cases. Makes perfect sense. When the H1N1 pandemic started we did the same thing. Once we realized it was so prevalent we stopped testing and began using estimates. This disease is prevalent but likely has been for weeks, maybe months. We will never find all cases because mild and asymptomatic people escape notice altogether. Probably thousands of recovered people walking around now as well. If we use estimates like we do for flu our denominator is more reflective of how the death and severity rates actually play out. As Dr Fauci said likely...

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Coronavirus 11.0

Posted by on Mar 28, 2020 in Blog | 0 comments

Anthony Fauci, lead author and others wrote in an editorial in the New England Journal of Medicine, March 26th “if one assumes the number of asymptomatic or mildly symptomatic cases is several times as high as the number of reported cases the case fatality rate may be considerably less than 1%. This suggests that the overall clinical impact of COVID 19 may be more akin to that of a severe seasonal influenza (which has a case fatality rate of 0.1%) That’s Dr. Fauci. In the New England Journal. Not me. It’s not an unreasonable assumption either. You can’t read that and still be as terrified of this as most people are. It will be interesting to see how the media does or does not pick this up. Further in this article, it’s estimated to spread from 1 person to...

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COVID 10.0

Posted by on Mar 24, 2020 in Blog | 0 comments

The COVID epidemic is proving to be very hard to stop. I was not real sure we had a good shot at it. This is related to its ability to spread from the mostly mildly ill or even non affected to the more vulnerable or more rarely healthy young people to cause sometimes severe harm. A tragic irony really. One we saw coming as the reports of majority mild illness were reassuring while being ominous in the minds of epidemiologists everywhere. COVID is a lot like RSV (Respiratory Syncytial Virus) in that regard though its much harder on children than COVID. RSV is another viral enemy lost in the COVID narrative that some people have never even heard of before. In the US alone the CDC estimates there are 100-500 deaths, 57K hospitalizations, 500k ED visits and 1.5 million...

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COVID Policy Updated 3/21/2020

Posted by on Mar 21, 2020 in News | 0 comments

We are remaining open to continue to serve our families. We realize fully how stressful these times are but also know that there are other health issues besides COVID that continue to need to be addressed, including wellness. We are maintaining every precaution advised to assure a safe environment. This includes a reduced staff that is screened daily for signs of COVID. We have widely scattered appointments and devoted examination rooms, thoroughly disinfected after each visit. For any one who requests it we are able to use a separate entrance and wear protective masks when you are being seen. You may call us from your vehicle to assure a minimal time in the office as to complete the visit. Doing office visits in a vehicle is possible but discouraged as it is generally impractical and hard to do a...

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Coronavirus 9.0

Posted by on Mar 15, 2020 in Blog | 0 comments

We have now implemented extreme measures. Normal life has been disrupted and we don’t know when it will return. It has been a very strange week in America. Schools closing, major sporting events and seasons cancelled, store shelves emptying, financial markets and retirement accounts decimated as a result of an enemy perhaps as bad as the virus, fear of the virus. The solace we should have is that there have been declining rates in other countries. That’s not being widely publicized. Neither are recovery rates and negative test results. In addition treatments are showing some efficacy in helping some of our sickest patients. That might ease some of the fear. A good example of putting such a negative spin on things was the study that showed the virus survives in air for a short period and on surfaces for...

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