Half of newly diagnosed coronavirus cases in Washington are in people under 40
Oops.
This shit is real and it is scary. COVID is taking patients down, and we do not know how to stop it. The images of overflowing EDs, overworked providers, patients who cannot breathe—these are real and it is happening. Do not let anyone tell you its not.
Rebecca Karb MD
Click on the link for the NEJM Journal Watch weekly update. NO paywalls on any of the links in this article.
The Latest in COVID-19 News: Week Ending May 30
Meanwhile in Oklahoma…
A nail salon in Bartlesville, Oklahoma, said an employee tested positive for COVID-19 — just days after it reopened.
Oops.
According to Ginger, an organization that provides mental health services to companies, compared to January and February of this year, prescriptions for psychotropics, most of which were antidepressants, were up 86% for the months of March and April.
The stress of unemployment, social isolation and health concerns are all cited by Americans who say the lock down is having a serious impact on their mental health.
Pharmacy group Express Scripts also revealed that prescriptions for anti-anxiety medications were up 34.1% between mid-February and mid-March, while prescriptions for antidepressants increased 18.6%.
Wow.
I tried so very hard not to post anything about Covid-19 this week.
But this is just too good not to share.
Most of us have already witnessed the viral picture of the party in the Ozarks. I guess wearing a mask is too hard for some.
Sub Project #1 went to the zoo today. Wear a mask? Not a problem.
Get ready to bop yo head.
I listened to this and had to play it over and over and over again.
This article is written by an Emergency Medicine doctor for other Emergency Medicine doctors as a quick primer on recognizing and diagnosing anorexia. While those of us in the life insurance business are not diagnosticians you will definitely benefit from this short ten minute article on the next case you encounter where Momma Bear is applying for $2,000,000 on her skinny 15 year old daughter who can’t seem to gain weight no matter how much the kid eats.
AN is a common, severe psychiatric illness. It is often present with co-morbid psychiatric illnesses. There is a high mortality rate, 5.6% per decade. It is notoriously difficult to treat with psychotherapy and pharmacotherapy.
Citation: California Border Hospitals Hit by Surge in COVID-19 Cases From Mexico – Medscape – May 20, 2020.
Here’s the link:
California Border Hospitals Hit by Surge in COVID-19 Cases From Mexico
Here’s an excerpt:
Imperial County has registered fewer than 800 known coronavirus infections and just 15 deaths to date. Baja California, by comparison, has reported 3,458 confirmed COVID-19 cases and 134 deaths. Two main medical centers in Baja’s state capital – Mexicali Hospital General and IMSS Regional Hospital 30 – are both “saturated” by the outbreak, Mario Cervantes, head of relief services for the Red Cross of Mexicali, told Reuters. Some arriving ambulances have had to wait hours to deliver new patients, while others were turned away altogether, he said. Baja health department officials said neither Mexicali hospital had exhausted its bed space, but Dr. Rafael Abril, president of the Mexicali College of Surgeons, told local news in April that half the IMSS hospital’s doctors were infected with COVID-19, which could lead to staffing shortages.
Coronavirus: hamster research shows effectiveness of masks ‘huge’
Hamsters placed in adjoining cages with infected subjects were infected at a 66.7 per cent rate; the introduction of a barrier saw the percentage drop to 16.7%.
The study, which the team called the first of its kind, found the rate of non-contact transmission – in which the virus was transmitted via respiratory droplets or airborne particles – dropped by as much as 75 per cent when masks were present.
“I know wearing masks will be difficult during the summer time. My advice is especially when you are in an indoor or closed environment where there’s no free air exchange, in crowded places or on public transport, you must wear a mask.”
I follow physicians on the front line so that I can understand the risks of our new normal better and to periodically adapt my behavior to minimize those risks to my health and well being. An example follows:
The credentials from Emory University School of Medicine:
Dr. Milad Sharifpour is an anesthesiologist and intensivist at Emory University Hospital. His clinical expertise includes perioperative care of patients undergoing neurosurgical and vascular surgical procedures, as well as postoperative care of patients undergoing cardiothoracic surgery in the intensive care unit. His clinical and research interests include perioperative stroke, perioperative fluid resuscitation, intraoperative mechanical ventilation, and postoperative pulmonary complications.
The May 15, 2020 tweet:
For those protesting social distancing (doubt they would read this) – a small group of my friends got together for lunch 10 days ago: 1 is on a vent, another admitted to a regular floor bed, 5 others are COVID + at home. You can be asymptomatic and have COVID19.
The state of Georgia started reopening a few weeks ago.
Yikes.
“We have a very large country and the dynamics of the outbreak are different, in different regions of the country.”
Anthony Fauci MD
We have better numbers in Oklahoma as the state enters Phase Two of our reopening and I still haven’t gone to a restaurant for a dine-in meal.
The YMCA has reopened and I’ve not gone for a work out yet.
My dentist called. I haven’t called back yet.
I have been highly selective regarding which stores to shop at for essentials.
My barber has reopened and I have an appointment for May 31st.
It will be nice to get a real haircut.
There has clearly been a lot of media interest in PIMS-TS but it is still an extremely uncommon disease entity in the context of all children presenting to emergency and acute care services. The vast majority of children, including those who were critically ill, have made a good recovery.
lifeunderwriter.net 
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