I am back in my home office learning and sharing about shelter in place. Yesterday my son helped me cut my hair. He’s been cutting his own hair since medical school. As the doctor inspected my work he said,
“You missed a few spots.”
So he finished up what I started.
Today I researched “essential” businesses.
Barbershops are not considered “essential”
I expected this hence the shelter in place buzz cut.
Yes, it’s real short. Top view.
Backside view.
What does “Shelter in Place” mean?
The “Shelter in Place” emergency order is effective from 11:59 p.m. Saturday, March 28 through April 16.
In general, it’s simple:
Stay home. Exceptions are below on this list.
- You can shop for groceries, medicine, gas, repairs, and other essential goods and services. “Shelter in Place” emergency order is effective from 11:59 p.m. Saturday, March 28 through April 16.
- You can go to a restaurant for takeout or drive-thru service.
- You can go to the doctor and take care of other essential needs.
- You can exercise outside, including on sidewalks, trails and in public parks. You can enjoy outdoor activities like long walks, bike rides and fishing. Green spaces in parks are open. But all playgrounds are closed. City-owned golf courses, fitness courts, dog parks, recreation center and sport courts (basketball, tennis, volleyball, etc.) are closed.
- You can go to work in an essential job. You can also do business with someone working in an essential job. Those jobs are defined by the State of Oklahoma, using a federal list and one provided by the Governor. Find out more at okcommerce.gov/covid19.
- You can drive, bike, walk and take transit. You don’t need special ID or a permit. Police aren’t asking people to prove why they’re outside their home.
- You can work from home if you work in a job defined by the State as non-essential. You can also work with someone doing a non-essential job from home. Even if it’s an essential job, employers are encouraged to allow employees to work from home if possible.
- Staff are allowed on site even at closed non-essential businesses for basic tasks like maintenance and security.
- You can check on someone in need.
- You can donate at blood drives, volunteer at food banks and participate in other disaster response activities.
- Staff can be at faith-based sites to record or broadcast services.
- Stay 6 feet away from others, for your safety and theirs.
- Wash your hands before you leave your house, and as soon as you get home.
- You can call 911 if you have specific information about someone violating the order. Police may investigate. Officers will ask for voluntary compliance, but may use discretion to issue citations if necessary.
A violation of the City proclamation’s terms would be a class “b” misdemeanor under City Code, punishable by up to 6 months in jail and a fine of up to $750.
Visit covid19.okc.gov for the latest local news, updates and guidance on COVID-19.
Remember that all of this IS NOT ABOUT YOU! Please stay at home except for essential trips as defined above. And if you are a #Covidiot the least you can do is stay off of social media with your uninformed opinions and conspiracy theories.
This is real.
via Covid-19 for the general medicine doctor
Dr. Sean – many thanks for your excellent post with even more excellent commentary and links. Wonderful!
In case the link above does not work try the link below.
https://sean9n.wordpress.com/covid19/
Cardiac Injury Common in COVID-19, Tied to Increased Mortality Risk
After adjustment for confounders, including acute respiratory distress syndrome, cardiac injury remained a significant predictor of mortality.
I get this newsletter by email every morning. Fascinating reporting.
Former Pentagon aide Christopher Kirchhoff wrote a 2016 report about lessons from the Ebola epidemic. He talked with STAT’s Andrew Joseph about the Covid-19 response:
Desperate to free up beds for only the sickest Covid-19 patients, hospitals nationwide are considering the use of an emerging generation of technologies to monitor patients from their homes. They want to avoid the fate of Bergamo, Italy, where centralized care in hospitals appears to have contributed to a sharp rise in the infection rate and death toll, leaving health care workers overwhelmed. Doctors in that city issued an urgent plea to counterparts across the globe to care for more patients outside hospitals. That means ramping up digital tools, making sure doctors and patients are adequately trained to use them, and integrating them with other parts of a hospital’s technology infrastructure, including electronic record keeping systems. STAT’s Casey Ross explains what’s involved.
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Update –
A reader reported the STAT link above did not work. Try the link below:
Previous studies have been done on step counts and mortality. However, they were conducted primarily with older adults or among people with debilitating chronic conditions. This study tracked a representative sample of U.S. adults aged 40 and over; approximately 4,800 participants wore accelerometers for up to seven days between 2003 and 2006. The participants were then followed for mortality through 2015 via the National Death Index. The researchers calculated associations between mortality and step number and intensity after adjustment for demographic and behavioral risk factors, body mass index, and health status at the start of the study.
They found that, compared with taking 4,000 steps per day, a number considered to be low for adults, taking 8,000 steps per day was associated with a 51% lower risk for all-cause mortality (or death from all causes). Taking 12,000 steps per day was associated with a 65% lower risk compared with taking 4,000 steps. In contrast, the authors saw no association between step intensity and risk of death after accounting for the total number of steps taken per day.
Higher daily step count linked with lower all-cause mortality
I am so screwed.
The president of Harvard University has tested positive for COVID-19
On Monday they were tested, and on Tuesday they received the results of the test.
WTF ???
I am beyond pissed off.
Healthcare workers can’t even get tested!
Americans are spending more time than ever at home right now, with trips outdoors limited to only the absolutely necessary. While alcohol businesses, including wine and liquor stores, wineries, breweries, and distilleries, have been deemed “essential” in states where work restrictions are in effect, U.S. drinkers are increasingly making their alcohol purchases online. Over the…
via Alcohol Delivery Sales Surge Amidst Social Distancing — VinePair
Triple. Digit. Growth.
As an EM doc said in a prior post Coronavirus made simple by your friendly neighborhood emergency physician when you fall don’t go to the ER.
CovidActNow.org was created by a team of data scientists, engineers, and designers in partnership with epidemiologists, public health officials, and political leaders to help understand how the COVID-19 pandemic will affect their region.
Since I have a Day Job I promise this is the last Covid-19 post for the day.
Cool map.
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