Vinay Prasad MD MPH is a Very Smart Person

For most people, once you get 14 days out of your second dose of vaccine, I believe you can ease up on masking or another restriction, such as visiting a loved one for lunch or having more than one person visit a nursing home at the same time, or a small gathering of vaccinated people for dinner without masks.

Op-Ed: Throw Away Your Mask After COVID Vaccination? — Op-Ed: Throw Away Your Mask After COVID Vaccination?

Dr. Prasad’s Op-Ed article is worth reading. Or if you’re a watch, listen and learn type check out the video.

BUT if you have an hour to spare the following podcast is downright entertaining.

Consistently Inconsistent With the Virus (as with life)

I’d thought long and hard about what I wanted to do when Will — and, soon after, his brother, Theo — returned home. The by-the-book Dr. Anthony Fauci approach would have been to have the boys keep on their masks, send them upstairs for a couple of weeks, and open all the windows in the house in the meantime.

But as the pandemic has taught us, there are things we value more than perfect protection from the virus. When it comes to them, we’re willing to puncture our bubbles, because without them, living feels like something less than being fully alive…

I admit that, at least to an outsider, my behavior seems inconsistent. But to me, it makes perfect sense. The risks I’m choosing to take are the ones where the payoff is biggest relative to the risk I perceive. (Yes, even the haircut! I love a good high-and-tight, and my barber is applying the clippers in his open-air home workshop.)

Before you argue with me, I get it. These aren’t the choices you would make. And that’s my point.We all have things we value. And risks we are willing to take for them. Neither of these two categories will be exactly the same for any one of us.

When it comes to the virus, we are all consistently inconsistent
Adam Cohen Published: Sun, December 13, 2020 1:07 AM Updated: Sun, December 13, 2020 1:36 AM —

Exposed to grandchildren? Why take the chance?

reader comment

A reader’s comment above stopped me in my tracks. The past nine months have been spent mostly in the house with minimal forays out of the house for essentials like food and beer. I didn’t get a real haircut for months. The insides of a restaurant are now foreign to me. I cancelled my gym membership. So the comment made me think, why did I take the chance to spend time with Tiny Human Petri Dishes? When I stumbled upon the Cohen article I realized I was not alone. Nine months have disappeared and we all struggle with our own individual risk/reward scenarios.

The Grandchildren Bubble is unique. Risk was reduced to zero for six months. After six months all of the adults decided the Covid risk was minimal for several reasons. Two of the four adults (the most cautious and conservative ones) caught the virus. Thankfully both were fairly mild cases on the spectrum of asymptomatic to death and both have fully recovered. So two people have antibodies. The third adult is a front line HCW who deals with Covid each and every time he goes to work. The doctor has gotten tested multiple times all with negative results. One Tiny Human attends preschool and if a child has anything near a small sniffle they have to stay home and cannot rejoin the class until they have a negative Covid test. She recently received a negative test. Tiny Human Too just started crawling and doesn’t get out the house much. Not much to worry about here.

And for readers who have been counting that leaves yours truly. I lived with one of the infected before we knew she was infected. I tested negative the day before she got her test results. One of our neighbors asked if I left the house to live in a hotel. No I didn’t. Living apart while under the same roof was an interesting experience that I hope never to repeat. And despite having Covid in the house I didn’t catch it.

So I spent some time in my only trusted bubble mask less and I end up catching one or two non-Covid-19 coronaviruses. Next time I’m wearing a mask.

Long Covid…(yeah, it’s real)

A total of 669 people were followed (mean age 43 years, 60% female, 25% of healthcare professionals and 69% without underlying risk factors that could be related to complications from COVID-19). At 6 weeks from diagnosis, nearly a third of participants still had one or more symptoms related to COVID-19, mainly fatigue (14%), shortness of breath (9%) and loss of taste or smell (12%). In addition, 6% reported a persistent cough and 3% reported headaches. Dr. Mayssam Nehme, Senior Resident in Professor Guessous’s team and first author of this work, also explains how these patients felt: “In addition to the physical distress of their symptoms, many were very worried: how much longer would it last? Were some after-effects irrecoverable? Even without a clear medical answer, in the current state of knowledge, it is important to accompany concerned patients and to listen to them,” she adds. With this in mind, the HUG has set up a specific consultation for long COVID patients in order to improve their care and guide them through the health system.

Université de Genève. “COVID-19: persistent symptoms in one third of cases.” ScienceDaily. (accessed December 8, 2020) —

Journal Reference

  1. Mayssam Nehme, Olivia Braillard, Gabriel Alcoba, Sigiriya Aebischer Perone, Delphine Courvoisier, François Chappuis, Idris Guessous. COVID-19 Symptoms: Longitudinal Evolution and Persistence in Outpatient Settings. Annals of Internal Medicine, 2020; DOI: 10.7326/M20-5926

I’ve been quiet for a few days, no writing, no posting. I conducted a small experiment of allowing contact with tiny human petri dishes while not wearing a mask. Naturally I caught whatever those tiny disease vectors had. The good news? My life partner wore a mask during the encounter. She’s fine.

Masks work.

Meanwhile in Oklahoma – About That Mask Debate 11.13.20

Oklahoma Weekly Epidemiology and Surveillance Report 11/6-11/12 2020

In Oklahoma we don’t have a statewide mask mandate. Mask mandate decisions are at the city level. The last time I looked at these numbers I focused on the percent change from 8/1 to the present study date. Today my eyes focused on the Nov. 1 seven day average case numbers mask vs no mask. My small brain is trying to understand what I’m seeing. Under the assumption mask wearing is effective in helping stop the virus from spreading why is the gap narrowing?

Numbers notwithstanding, I’m still going to wear a mask.

Utah – What Up?

And the people of Utah responded appropriately…

“He doesn’t have the authority to tell us what to do in our own lives, in our homes and what we wear,” said Ken Whetstone, who was protesting outside the governor’s mansion on Monday, according to the Deseret News.

Utah Mask Rule Spurs Protests; Colorado Extends Its Mandate —

When the NBA season came to an abrupt stop in March it just happened to be one of the Utah Jazz athletes who tested positive.

That’s it. No other snarky comments at this time.

Scary Charts San Francisco Edition – Nov. 2020

There were 2,532 homes listed for sale in San Francisco at the end of October, up 77% from the same week a year ago, according to data from Redfin. About two-thirds were condos. According to data from Compass, inventory of condos for sale was up 85% year-over-year. Inventory of single-family houses was up 25%:

Condo Prices Drop 9% in San Francisco, All-Time Record Inventory Glut Piles Up —

Meanwhile in Aspen…

In 2019 throughout the entire year, 27 residential properties sold for a price over $10 million. So far this year, a record 48 properties have sold for prices over $10 million, of which 39 have sold since April. This is twice the volume of 2019 and we still have almost four months remaining in the year.At the beginning of 2019, the median price per square foot of a residential property in Aspen was about $1,350. At the end of August, that median square-foot price had risen roughly 15% to about $1,550. In the Snowmass market at the beginning of 2019, the median price per square foot for a residential property was about $680. At the end of August, that median price had risen to about $760, a roughly 12% increase.

Small: The pandemic and rising real estate values locally —

And since I have your attention down here near the end of the post about that mask debate in Oklahoma… Weekly Epidemiology and Surveillance Report
…the needs of the few

Two-layered polypropylene mask doubly better than a single-layered cotton mask, study finds — Science Chronicle

While fitted N95 masks allowed zero droplets to pass through, the three-layered surgical masks too performed very well with 0-10% droplet transmission. N95 masks with exhalation valve fared poorly. Double-layered cotton masks were better that single-layered ones. Finally, the efficiency of N95, surgical masks and 12 other masks made of different materials to reduce droplet […]

via Two-layered polypropylene mask doubly better than a single-layered cotton mask, study finds — Science Chronicle

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