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:

Sign up for free and you get updates that are not in the mainstream media!

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.

Left Wrist / Right Wrist

finishing

People have noticed that I am wearing a watch/fitness tracker on both wrists.  I quickly advise I have been comparing the two.  Week 2 is complete and I lost another 2 pounds. Weight loss is not really my goal, being more fit is. I am on the upper end of normal weight for height. I’ve heard that you should not lose more than 3 pounds per week. If that is true, I am on track. According to this article on the CDC website, 1 or 2 pounds a week is good, especially if you can maintain a healthier weight over time. The trackers are indeed motivating me to be more active.

scale

This week, I changed the clock faces on both the Fitbit Versa and the Apple Watch. I like how you can easily change the appearance of the trackers. With all the various faces, you can be assured that you will not get bored with the look. Both trackers have several options and one does not seem better than the other with this feature.

When it comes to interacting with the trackers themselves, I tend to reach for the Apple Watch more often. It tends to vibrate more than the Fitbit, especially when I get a text message on the phone. Apple Watch reminds me every hour to stand while the Fitbit sometimes reminds me to move 10 minutes before the hour is up. Many of the notifications are controllable, so this feature does not make one better than the other in my opinion. Some of the faces for the Apple Watch can include information including the local weather, UV index, stock markets, heart rate, etc. The Fitbit tells me steps, heart rate, miles walked, flights climbed, exercise minutes, local weather and calories burned.

When I reach for my phone – I open up the Fitbit app a lot. I rarely open the Apple rings app. The Fitbit app has the ability to document food, calories and water intake. I like to see how I am doing with my sleep and I log my weight on the Fitbit app. It will graph the facts, including showing me the percentage of carbohydrates, protein, and fat I’ve consumed for the day. The information is valuable and helps me to achieve my daily goals. I know there are other apps available which can do the same things as the Fitbit. Apple Watch relies on the consumer to decide which apps for sleep and calorie counting to use.

I have been using I-Tunes and the Apple watch exclusively to play music. The ease in which I can use the watch to pause, replay or fast forward the songs is a great feature. I will make an effort to use Pandora with the Fitbit and see how I like music with the Fitbit. With Thanksgiving on Thursday, the temptations on the table next week could set me back….