Your daily dose of Covid-19.
The full article (link below) is worth reading.
Dr. Paul Sax is the clinical director of the Division of Infectious Diseases at Brigham and Women’s Hospital, Professor of Medicine at Harvard Medical School, and blogs on infectious disease here.
Infectious Disease Doctor: What Does (And Doesn’t) Scare Me About The Coronavirus
Update:
A reader informed me the link above isn’t working.
Madilyn and I waited for communication from her sister and were shocked that she landed in DFW, on a plane with 348 passengers with masks, and no one asked any questions about exposure or symptoms — there was no screening at all. She quickly realized her mask at DFW looked conspicuous, so she removed it and awaited her connecting flight home.
A physician’s chilling COVID-19 diagnostic journey
Here’s your daily dose on Covid-19.
If you are suffering from Covid-19 anxiety disorder please don’t read the full article.
Marler Clark is a law firm in Seattle Washington. Outstandingly proactive and quoted here for my readers to view.
I especially liked the generous financial contribution to the employees and the last item on the list to stock in your pantry.
Here is what I sent my staff late last week:
All, see symptoms below – if you are sick, please stay home.
https://www.cdc.gov/coronavirus/2019-ncov/about/symptoms.html
I have asked Chris and Michelle to give me some ideas on recommendations on how to responsibly deal with this from a medical issue. We will give you all our thoughts early next week.
All, please email to Leslie all your contact information and a close contact too. Leslie, please share that with all.
All, please let me know if anyone needs any technology to work from home if necessary if this becomes a bigger problem. Think about what you might need to work from home for an extended period of time. What do you need to effectively do your job from home – computer, paper, pens, etc.? COVID-19 is not an excuse to work from home, but I want to be prepared and sensible.
Also, let’s look at travel schedules over the coming months to see if there are alternatives. Please shoot me your travel over the next 30-60 days.
All, take a hard look at your cases – what deadlines might be impacted by Court and other office closures, etc. I want us to be proactive and think ahead. I do not want deadlines missed.
Finally, not to be a “prepper,” but Kelli, please drop $2,500 (pre-tax) into everyone’s account on Monday to be used as they see fit to prepare for some disruptions. I have not thought of exactly what those needs might be, but there are probably a few websites that have suggestions.
Here are some ideas for being prepared for home:
All medications (over the counter *ibuprofen* , allergy, cold etc and prescriptions )
All household products you will need for two weeks (toilet paper, soap, paper towels, laundry detergent, cleaning supplies, etc)
Supply of water for two weeks
Food for two weeks
⁃ Chicken broth
⁃ Beans
⁃ Onions
⁃ Garlic
⁃ Potatoes – sweet, Yukon, etc
⁃ Pasta
⁃ Canned tomatoes
⁃ Steel cut oats
⁃ Peanut butter
⁃ Bread *freezer*
⁃ Eggs
⁃ Frozen meat
⁃ Canned fish
⁃ Jerky or dried meat
⁃ Dried nuts and fruit
⁃ Popcorn
⁃ Chocolate
⁃ Wine/booze of choice
Taco Bell is launching an all-vegetarian menu feature with 50 meat-free items
I’ve been following the Vegan Tsunami for some time now. See here, here, and here, 2018-The year vegan junk food went mainstream.
A few things to remember:
I haven’t eaten at a Taco Hell in years. And the availability of 50 meat free items is not going to entice me to start eating there again. If you’re eating less meat for health reasons that’s fine. But don’t pursue your meat-free lifestyle with fast food.
The Internet Book of Critical Care is an online textbook written by Josh Farkas (@PulmCrit), an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
This online source is highly technical and written for Emergency Medicine specialists. I only know about this source because of Project #1. But if you’re interested in a deep dive into Covid-19 this website offers fascinating reading.
My #1 takeaway:
It remains unclear what fraction of patients are hospitalized.
There may be lots of patients with mild illness who don’t present to medical attention and aren’t counted.
The vast majority of infected patients (e.g. >80%) don’t get significantly ill and don’t require hospitalization.
Stay calm.
Coronavirus Disease 2019 (COVID-19)
This is a link to virus updates from JAMA.
This suggests that the overall clinical consequences of Covid-19 may ultimately be more akin to those of a severe seasonal influenza (which has a case fatality rate of approximately 0.1%) or a pandemic influenza (similar to those in 1957 and 1968) rather than a disease similar to SARS or MERS, which have had case fatality rates of 9 to 10% and 36%, respectively.2
Click here to read the full NEJM Editorial.
I’m hoping the NEJM editorial gets read and shared widely. Clearly all individuals and businesses need to be prepared for the worst case scenario. If you manage a large company, go back and review/revise your disaster recovery/business continuation plans. I’d make absolutely certain your tele-commuting platform is A+ and working as well as possible. You may even consider expanding your remote work capabilities because every one of your employees might be using it. Soon.
Key points
- The highest probability of reaching 90 years of age (longevity) was found for men and women drinking 5– < 15 g alcohol/day (or 0.5–1.5 glass/day); the exposure–response relationship was significantly non-linear in women.
- Usual drinking pattern and binge drinking were not significantly associated with longevity, but the risk estimates indicate to avoid binge drinking.
- The estimated modest risk ratios (RRs) should not be used as motivation to start drinking if one does not drink alcoholic beverages.
Results
We found statistically significant positive associations between baseline alcohol intake and the probability of reaching 90 years in both men and women. Overall, the highest probability of reaching 90 was found in those consuming 5– < 15 g/d alcohol, with RR = 1.36 (95% CI, 1.20–1.55) when compared with abstainers. The exposure-response relationship was significantly non-linear in women, but not in men. Wine intake was positively associated with longevity (notably in women), whereas liquor was positively associated with longevity in men and inversely in women. Binge drinking pointed towards an inverse relationship with longevity. Alcohol intake was associated with longevity in those without and with a history of selected diseases.
Alcohol consumption in later life and reaching longevity: the Netherlands Cohort Study
A year after Tulsa Remote launched, the first participants — a mix of expats from expensive coastal cities, wanderlusty young adults, and those with roots in the region — say they’ve found many of the things they were looking for: a more comfortable and affordable quality of life, new neighbors they like, enough of an economic cushion to ease the stress of buying new furniture, and a fresh start. Many say they’ll stick around past the end of the one-year program. More than that: Some of them tell stories of positive personal transformation that are so dramatic, they might appear too perfect, almost canned. But after checking in with participants over the course of eight months, I found that many of them remained just as effusive. Maybe it’s something about Tulsa. Or maybe it’s something about Tulsa Remote.
According to an analysis of U.S. Census and Bureau of Labor Statistics data by the remote work consultancy Global Workspace Analytics and Flexjobs, telecommuting grew more than 150% between 2005 and 2017. This year, the American Community Survey found that the fastest-growing commute was no commute, as work-from-home arrangements become more popular everywhere.
I love Tulsa. It’s kind of like a really great restaurant you want to tell all of your friends about but you don’t because if everyone knows about it the place gets too crowded or the food quality slips. But for a city to pay remote workers to come live and work is certainly a grand experiment.
My #1 Project currently lives in Owasso, a suburb of Tulsa. He could have gotten a job anywhere but decided to settle and stick roots in the Tulsa metro.
The Citylab article is long but worth reading if you’re interested in tele-commuting and remote work issues.
Here’s a taste of Oklahoma for y’all.
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