We are all interconnected and must do our part to prevent COVID 19 spread.

world in his hands

If you didn’t believe before that we are all interconnected, I am confident you believe it now.

One new viral infection has led to a pandemic.  While pandemics are not new, it is new for most of us in the United States.  Few of us were alive in 1918 when the Spanish flu affected the world.  And if you were here at that time, it is highly unlikely that you even remember it.  If you are now age 105, you would have been age 3 or 4 during the Spanish flu.

I’ve heard many people say, “it is like we are living in a sci-fi movie”. If you would have asked me two months ago, that most flights overseas are grounded, that major sporting events canceled, that nonessential businesses would be closed, and physical distancing measures be implemented,  I would have stated that it is impossible.  However, that is the reality.  If you are among the percentage of people who believe the outbreak to be a hoax, try to not deny what is happening.  Denial will trick you into thinking you will not get sick or the virus does not have any direct impact on you.  Denial will allow you to not follow the recommendations of specialists and experts who understand how pandemics work and are advocating to save lives.  Even if you never get exposed to COVID 19 virus, the implications of this virus have already changed societies and will continue to do so.  For some of us in minor ways, for some of us in tragic ways.

Now is not the time to place blame on other countries.  Now is not the time to blame politicians.  It is not the time for political figures to point blame at travelers, nursing home health care administrators, etc. Blaming one another for this crisis is not allowing us to work cooperatively to solve new problems.  If scientists and experts recommend guidelines on how to move forward, they are the experts who we need to be listening to.  We are still learning about how the virus spreads, infects, and how to medically treat it so we can save lives.  Until more effective treatments are discovered, prevention is your best medicine.  Our world has been through pandemics before and we should learn from the past.  Many have used the lesson learned with two cities during the Spanish Flu that took two different approaches to fight the spread.  Our country is doing similar things.  Every state is making local decisions.  While each location has its own unique circumstances, we will look back at what we did right and what we did wrong.  We just have not seen anything on this grand of a scale for quite some time.  It is my opinion that it is not wise to compare it to the H1N1 virus of 2009, SARS, MERS, or Ebola.  Each of those viruses had a unique impact on the world.  The Spanish Flu of 1918 is probably the best pandemic to compare it to, however, even that was influenza and this is a coronavirus.  We should not compare apples and oranges.  Another parable is that of the blind men and elephant.  We need to listen to experts.  Listen to the infectious disease specialists, epidemiologists, historians, and professors.   

There are times to be offensive and there times to be defensive.  If you want to be successful and win the game, a team works together and knows when to be offensive and knows when to be defensive.  These are lessons we are taught early in life.  The consequence of not winning this war on this virus can have a vast toll on us.  We are in this together.  At some point, medical professionals and/or scientists will find successful treatment and in the process save millions of lives.  Yes, millions. If we do not listen to the experts, we will continue to see sad and difficult days ahead.  We have no idea how long that will be.  You have to do your part.  Now is the time to play defense.   Even if you live in a remote part of the world and do not get exposed to the virus, you can show your support by leading by example.  Stay home.  Rural areas have cases.  No one is immune to a new virus.

Please follow the recommendations of the CDC.  The only recommendation I do not agree with by the CDC is the one that healthy people do not need masks.  I understand the importance of first responders and health care providers to have masks.  Yet, people have the right to protect themselves.  Plus, even if you do not have a mask to wear – consider wearing a bandana over your mouth and nose.  In my observation and opinion, South Korea has been more effective at reducing the spread of the COVID virus.  I read that 70% of the population has been wearing masks over their nose and mouth when they are out in public.  We should be doing the same.  When we do go out for groceries or to the pharmacy, wear a protective mask or bandana. If it is being recommended for those health care professionals who are treating the infected, the same guidelines apply to you to protect yourself from the virus.  You still should try to stay six feet away from others in addition to the other guidelines.  Keep in mind, not all people who are sick will be staying home.  To complicate matters, some infected people may not have symptoms and are unintentionally spreading the virus.

Hope.  The FDA has allowed the ability to begin using antibodies of infected individuals who recovered as a way to treat the severely ill in New York.  I heard today that the virus is not mutating easily.  This is good news.

Some people, like Jahova Witness believers, may not agree to this form of treatment.   Yet, for those who want it, it is a way to possibly defeat the virus and save lives.  Other measures are being discussed and will be attempted.  Until we have an effective treatment, continue to play defense.

Updated 3/25/2020 at 12:14 pm EST

Local reports show devastating impact of COVID 19 in the United States

Reports from around the country: those with comments after the state are noteworthy reads

Alabama

Alaska

Arizona Overdose from self medicating.

Arkansas

California

Colorado

Connecticut One party in early March finds half of the guests got infected.

Delaware

Florida Doctors are starting to see a high number of people presenting to emergency rooms in south east counties in the state.

Georgia

Hawaii

Idaho Emergency room physician shares his thoughts.

Illinois First known COVID-19-related infant death in US

Indiana

Iowa

Kansas

Kentucky Amazon warehouse performs deep cleaning.

Louisianna High jump in deaths overnight.

Maine

Massachusetts

Maryland Majority of cases in Maryland are under the age of 65.

Michigan

Minnesota Rural hospitals attempt to prepare for COVID patients.

Mississippi

Missouri

Montana 6000 workers file for unemployment.

Nebraska

Nevada

New Hampshire

New Jersey Timeline of the outbreak.

New Mexico Air Force base has 3 confirmed cases.

New York. Emergency Room doctor states 90% of those presenting to the emergency room have COVID symptoms.

North Carolina

North Dakota

Ohio In one county, half of the cases are in people aged 20-39.

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee Second death from COVID in Tennessee.

Texas Former Texas A&M guard David Edwards dies from coronavirus.

Utah

Vermont

Virginia

Washington Husband and wife die 2 days apart, both from coronavirus-19

West Virginia Trouble getting tested in West Virginia explains why it was the last state in the country to confirm a positive result.

Wisconsin

Wyoming Trouble getting tested despite symptoms.

Updated 3/28/2020 at 10:28 pm EST

New Coronavirus

No cases in Mongolia

Scary to imagine a situation in which the emergency rooms are full of people waiting to get medical attention, health care providers wearing protective gear to avoid becoming ill themselves and dead bodies covered with sheets in the hallway. It sounds like an apocalyptic science fiction movie you once watched, but no more. Unfortunately, we have that very scenario happening in China. So unbelievable the Chinese government shut down mass transportation in and out of more than 16 major metropolitan areas in an attempt to stop or slow the spread of the virus. Mongolia has closed its border with China and its schools for 1 month in an attempt to prevent the spread of the virus even though as of Feb 6, 2020 – it had no documented cases of the illness.
No cases in Mongolia

If the experts in China have closed cities and other countries are taking steps to prevent the spread of a new, potentially lethal virus – it is wise to continue to monitor the situation as it unfolds and begins to be proactive in your attempts to stay healthy. Now is the time to be prepare before the virus spreads in the Western Hemisphere.

As things develop, it appears that this virus is going to be more difficult to contain than previous virus outbreaks. Look at the following cases from February 18th, 22nd and March 1st:
Feb 18, 2020


COVID 19 as of March 1st.
A summary of other headlines related to the COVID19 outbreak can be found here:

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In the event you do end up in an emergency room, being able to quickly and effectively communicate your medical history will be an asset for yourself as well as the hospital staff. Being prepared ahead of such a scenario can get you prompt and better care.   There is no cost for the basic membership.

Updated 3/25/2020 at 1:12 pm EST

 

Every step measured. Fitbit Versa and Apple Watch 4.

ECG, Apple Watch 4

When I purchased the Fitbit Versa and the Apple Watch 4 my excitement for new electronic gadgets lasted for two weeks. I liked experimenting with the fitness trackers to see what they could do. As the newness wore off, I found myself interacting with them less often. I even became resentful at times of the reminders to be active. However, despite my resistance to exercise, I continue to be more active during the week than I was before I started wearing the trackers. In addition, I am more conscious of the calories and portions of the food I am consuming.

The biggest surprise was over Thanksgiving weekend. The total amount of calories I consumed was more than I should have for the day.  Everyone knows that as Americans we tend to eat way too much food during and after Thanksgiving. In the US, we have an abundance of food.  A celebration with family and friends can easily turn into an overindulgence. How quickly the calories added up on Thanksgiving was difficult to accept when it plotted out in graph form and shown to me on my Fitbit tracker. To my benefit, I was able to play nearly 2 hours of tennis to counter the extra calories consumed. I give the Fitbit tracker credit for making me aware of calorie input. If you are going to make efforts to be healthier, the types and amount of food consumed is an important aspect of that equation. I think that is why more athletic trainers and coaches prefer the Fitbit. I’ve come to the conclusion that the Fitbit is the more effective, economic and practical choice for fitness when comparing it to the Apple Watch 4.

Pumpkin Pie

My cons for the Fitbit include trouble setting up Pandora with the Versa. It was more complicated than it should be. When I finally did figure out how to get Pandora working on the Versa – my wireless AirPods were not discoverable by the Versa. Instead, it found the wireless sound bar under the television. The quality of sound was great, but will not help when I want to listen to music while running. I had to go to Apple support and learn how to pair the AirPods with a non-Apple device. Once connected, the quality of the sound was great. Other reviewers online have stated that their music didn’t play as clear and so far, I have not found that to be true. Another negative for the Fitbit Versa this week was a miss for the heart monitor. I was comparing the heart rate feature on the Fitbit Versa to the Apple Watch 4 after playing tennis. My rate was in the mid 120s. The Apple Watch was correct while the Fitbit Versa was showing a rate of 80 to 90 beats per minute. The Versa watch was not loose on my wrist so I could not explain why the Fitbit was off with the rate.

Last week the Apple Watch 4 released the ECG feature. It took over 60 minutes to download the updates. The first update was on the Watch itself and took about 40 minutes. I then had to update my iPhone which took another 30 minutes. I eagerly opened up the Watch to use the ECG feature. It gave me an introduction into basic heart rhythms comparing a normal sinus rhythm to an atrial fibrillation and gave many examples of how the ECG tracing does not detect heart attacks, other irregular rhythms and is not accurate when the rhythm is greater than 120 beats per minute. Although not intended to be an FDA approved measurement for your heart rhythm, at the end of recording your ECG, it allows you to keep a PDF and send it to your doctor. I am curious how many people with an AFIB diagnosis will be using the new feature on the Apple Watch to monitor their heart rhythm and how it will influence them to make decisions about how to treat. Will this new technology lead to more emergency room visits for abnormal rhythms? Will it lead to improved communication between patients and their doctors? I suspect in a year or so, we will know. Apparently, this new feature is available in the United States and is not an option for consumers in other countries.

I decided that I do not want to swim with my trackers on. While the benefits of swimming are well known for both aerobic benefits and muscle tone while being easy on the joints, it just is not my choice for exercise. Thus, I will not be comparing the two trackers with this feature.
I did set up the cellular feature with the Apple Watch 4. It is a great feature if you want to leave your phone at home. You can still be called via the Watch. I’ve used the watch as a phone only three times so far, but I do like the ability to do so. I can go for a run without having to worry about bringing the phone along, allowing for more freedom.  If you want this feature for a fitness tracker, then the Apple Watch is a great choice.