First, there is now a Resources Page here for the most commonly asked questions I'm getting.
Happy to continue to answer your questions/concerns as best I can, so don't be shy about that.
Reminder, Resilience: One Family's Story... is increasingly pertinent, as some of our politicians shift rightward. All proceeds go to Holocaust education.
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Critical Ohio election coming up that will decide abortion (among other)
Watch this dynamite ad on what's at stake re privacy.
Here is information on what's at stake with Issue #1, special election Aug 8.
Early voting has started.
https://votenoinaugust.org/facts/ and volunteer opportunities. Please help defeat this bill.
To optimize performance of SARSCoV2 rapid tests, if negative
If Asymptomatic—repeat 3 times at 48 hr intervals
If Symptomatic —repeat 2 times at 48 hr intervals
Gene linked to #LongCovid found in analysis of thousands of patients
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From a new preprint of a 2-year, prospective follow-up cohort of unvaccinated individuals with Covid in Spain "Recovery is extremely rare [from #LongCovid] during the first 2 years [full = 7.6%], posing a major challenge to healthcare systems." papers.ssrn.com/sol3/papers.cf
Those hospitalized with COVID, esp in the early pandemic, seem more likely to have forms of #LongCovid that are *not* the neurological form. The neuro form seems to last longer (& often overlaps with ME/CFS & dysautonomia, lifelong conditions). twitter.com/ahandvanish/st
Other factors that correlated with INCREASED likelihood to recover from #LongCovid include: -being male -having cardiovascular comorbidities -lost appetite in acute phase -had smell/taste alterations (this is often its own subtype that can come with no other symptoms)
The risk factors for NOT recovering from #LongCovid were those with these issues in the acute phase: -muscle pain -impaired attention -dyspnea -tachycardia
The acute COVID symptoms that were more likely to signify #LongCovid included dysphonia, tinnitus, visual alterations, insomnia, neurocognitive complaints, sensory alterations, mucosal dryness, tachycardia, dizziness, abdominal pain, and others:
Of the 7.6% who did recover from #LongCovid, the median time to recovery was 11.4 months.
thread from Hannah Davis.
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On transmission, a rant and cautionary tale:
Dr Bob Wachter, a prominent UCSF doc, has a long Twitter thread on his having gotten Covid. He took a hot shower because he was sweaty and uncomfortable, and he passed out, waking up in a pool of blood. Besides lacerations, he had a small subdural hematoma (bleeding surrounding the brain) and a C-spine fracture.
"By the way, I have no idea where I got Covid. Yes, I’ve been on clinical service but haven’t had any Covid patients. And I wear a KN95 in clinical areas. Outside of patient care, I have taken my mask off for meetings in non-crowded rooms…" and dined with others...
My rant relates to the "no idea where I got Covid." Certainly he knows that asymptomatic people can spread infection. That's why we need to improve ventilation and environmental monitoring and encourage masking.
It's also a warning of some of the things that can go wrong. He could have easily been paralyzed from that fall. He may have lingering post-concussion symptoms on top of Covid. Be careful and wear masks. Cheap insurance!
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In-N-Out Burger is banning employees from masking w/o a doctor's note
see their policy here: https://mailchi.mp/innout/mask-policy-update-for-az-co-nv-tx-ut-associates
Please call them at 1-800-786-1000 and tell them how obscene this is. I did (and hope to write about them as soon as I get more of a response. I have to hear their side of it).
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increasingly being found in mammals, too prompting concern about spread to people.
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While not in the news, is still a big problem in Latin America, and now endemic.. Pregnant women are cautioned to avoid Costa Rica and Puerto Rico.
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Rickettisa Bacterium Orientia, associated with #scrubtyphus disease, found in NC chiggers medicalxpress.com/news/2023-07-b
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see News, above
Drugs and Vaccines:
New findings may explain why mRNA vaccines provide limited protection against omicron
Vaccination protects against severe COVID-19 but not against infection. Researchers at Karolinska Institutet and Danderyd Hospital now show that protection against infection with the new omicron variants is linked to mucosal IgA antibodies, which are not induced by vaccination. These are the findings of two studies recently published in The Lancet Infectious Diseases, and The Lancet Microbe, and could explain the limited protection by currently available vaccines against infection.
Devices and Masks:
Tips, general reading for public:
Cleaning indoor air on a budget:
has a pretty good review of what to do and products (e.g. vinegar, baking soda)
Feel good du jour:
"The elderly gentleman was seated in the booth directly across from my family as we ate dinner Saturday night at Eat'n Park in Belle Vernon. We really didn't see him come in. But we did notice when our server, Dylan, dropped to one knee to look him eye-to-eye as he got ready to take his order. The man apologized for not hearing too well. He had forgotten to put in his hearing aids. He talked about how he lost his hearing during his time in the war. He was 91 years old with many stories to tell. Dylan patiently listened giving him his full attention. Eventually the man apologized for talking so much. 'I'm alone now,' he said, 'and I don't often have someone to talk to.' Dylan smiled and said he enjoyed listening. He then helped him figure out what to order and left to take it to the kitchen. It was a touching sight. I wanted offer to pay for the man's dinner, but before I could flag down Dylan, a man seated at a nearby booth asked Dylan to bring him his check. 'Someone's already taken care of it,' Dylan smiled. I guess we weren't the only ones eavesdropping on the conversation. After the man received his food Dylan came back to say he was on a break. He asked if he could sit with the gentleman as he ate. As we left the restaurant the two of them were conversing and many people seated nearby were smiling. It was a touching sight. With all of the negative stories about our youth today this was a breath of fresh air. I wonder if I would have been as kind and attentive if I were the one working there. One thing's for sure, if you are ever at Eat'n Park in Belle Vernon, ask for Dylan. If he's your waiter you're certain to get great service."
Credit: Lisa Meilander
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Pure happiness.. 😊— Buitengebieden (@buitengebieden) July 15, 2023
🎥 IG: annekruegerdegener pic.twitter.com/0piu0vZoti
Bits of beauty: