General Wellness

Thanksgiving Get-togethers and Superspreading Events

Andrew Chuma No Comments

Thanksgiving is not cancelled. It’s just different this year.

A wedding, which took place back in August, had 55 people in attendance. There was no distancing and masks were not required. 30 people who attended the event later tested positive for Covid-19. That wedding led to 3 separate Covid-19 outbreaks, leaving 178 people infected, 10 hospitalized and 7 dead. None of those who got seriously ill or died even went to the wedding, and many lived far away from the event.

I’m sure that no one is planning a 55 person Thanksgiving celebration, however, get-togethers will inevitably happen. Please pick your events, how you conduct those events and those you share them with, carefully. The stats are not great. In most metropolitan areas, positivity rates are at least 10%. That basically means that if you are in a group of 10 people, count on 1 person being asymptomatic and infected and if you are spending a meal together, the chances are good that it will spread to at least 2-3 people in that group. In the last week alone, we had just over 1.2 million new Covid-19 cases in the US. In the previous 9 months, there were 12 million. That’s a 10% jump in just one week! Numbers are going up exponentially. Hospitalizations have reached a new record high. However on the good side, the death rate is not rising. It’s high, 1000-2000 a day, just not rising, most likely the result of more younger people getting infected. And let’s not forget that so far, 256,000 have died from Covid-19, not to mention almost that amount who are thought to have died because of lack of access to or timeliness of care due to Covid-19.

PLEASE take care and think, not only about yourselves, but about all those around you. This is not about “my rights” or “i’m not worried about getting it myself since most people do OK”. It’s about everyone else. Your relatives may want to see you, however, not to sound too morbid, it could be for the last time if someone gets sick.

Scenes from airports are pretty crazy. People waiting to board, crammed together like it’s a freaking rave. Many maskless. Little to no distancing. Insanity. I saw an interview with a young woman at the airport who said “I know there are risks but I want to see my family”. First of all, she is clearly not aware of the real risks. Secondly, she is oblivious to the risk she is imposing on her family. Selfishness.

I’m concerned about where we will be in 2 weeks, as if where we are now isn’t bad enough! 

Of course it is great to see people and we need each other, but there will be more occasions when all this is over. Personally, we are considering just a short, outside beverage and possibly some individual appetizers with a few select relatives, weather permitting, but we will only be eating indoors at home with our immediate nuclear family. It will be great. Smaller and different, but great. No doubt, there will be a few zoom get-togethers also.

Thanksgiving is about giving thanks and despite all we are going through, there is much to be thankful for.

I am grateful for so many things. I live in a beautiful, rural area with a garden. My job, in which I get to help a lot of people, keeps me motivated. I have great partners and staff who make doing my job so much easier. I have phenomenal children who are weathering this pandemic well, the best way they can. My awesome wife makes my privileged life possible. My parents are safe, healthy and have a wonderful bubble of friends. I still have a 97 year-old grandmother in a fantastic facility in Toronto. She is amazing. I’m also blessed with great friends who I can’t wait to see more of in the future.

In some weird ways, I am also grateful for Covid. Not of course for the illness and death it has brought, not to also mention the disruption in our lives, but for the opportunity for us to learn and grow from the experience. Some people have actually flourished during the lockdown. The environment has certainly benefited from the drop in travel. I have to be optimistic because the alternative is not acceptable.

One thing we should absolutely appreciate is that Covid is the universal equalizer. Every person on the planet, rich or poor, healthy or not, has this threat in common. We are all equal when it comes to the virus. It does not discriminate and neither should we. We are all connected and equal. 

Dr. Wayne Dyer had a saying: “When you change the way you look at things, the things you look at change”. Thanksgiving, New Years, all the holidays this year, will be different no doubt, but you can still take advantage of what we do have. It’s just a matter of looking at it, approaching it and appreciating it differently.

In preparation for the holiday, please be careful and do the basics. THEY WORK:

MASK UP. Wear it properly, right side up and covering your nose. And don’t touch or adjust it every few seconds!! If you think you need to, the mask is not fitting correctly and you need to get a better one.

DISTANCE. Physically and sadly, socially.

WASH YOUR HANDS and if you do see people, have some extra sanitizer around.

DON’T TOUCH YOUR FACE.

COVER YOUR EYES.

VENTILATE.

VACCINATE. Not just for Covid when it’s available, but also for the Flu and, if over 50, shingles also.

GET HEALTHY! As Dr. Dean Ornish says, “Eat better. Love more. Move more and Stress less”.

Have a great and safe holiday.

Stay safe and be well. 

AC

REGEN COV2 – NEW MAGIC CURE? DON’T HOLD YOUR BREATH.

Andrew Chuma No Comments

The biotech company Regeneron just got emergency approval for their antibody cocktail drug Regen-Cov-2. What this essentially consists of is a number of lab engineered antibodies against various surface proteins on the SARS-COV-2 virus. We generate these naturally (actually naturally we generate many many more different kinds of antibodies against the virus when infected) but the problem is that by the time we generate them, the virus has spread too extensively and the disease Covid-19 takes hold. This drug essentially gives our immune system a head start with identifying and attacking it. In some ways, it is like an artificial vaccine. With a vaccine, you get injected with parts of a microbe and we naturally generate antibodies. Regen-Cov-2 gives us these antibodies in advance of our immune system.

But therein lies the problem with this new “miracle cure”. You need to get it soon enough after infection for it to be of any significant benefit. The same goes for the other “miracle cure” touted by our outgoing president Remdesivir, another drug which got emergency use authorization. The WHO just announced that they no longer recommend getting it since some recent studies show no real benefit, unless you get it soon enough.

By the time most people are in the hospital with Covid, it’s too late. Our president got these drugs faster than 99.9% of us would be capable of, which is why they worked so fast. His manic behaviour afterwards was also a result of the early treatment with the steroid dexamethasone, well known to cause a constellation of emotional issues. Every patient to whom I give this drug, I also give the advice to pull out a broom and get ready to clean the house because you will be amped up and won;t be able to sleep. It works.

As far as the great news about the efficacy of 2 upcoming vaccines, that is great but again, it is no “miracle cure”. Enough people need to take it and presently only ~50% say they would. For herd immunity to occur, all those who do get immunized would have to get it within a fairly narrow timeframe. Presently, even if the most optimistic view is taken that one will be available by the new year, it would take many months for those who want immunization to actually get it. I plan to take it when it is available but I have no delusions that I will be 100% protected nor that I can’t get re-infected and spread it to others. Standard PPE practices will continue. Indefinitely.

We need to stop looking for a cure. An easy way out. 

It doesn’t exist.

Other than the obvious one. 2 weeks of isolation.

That is literally all it would take. Just 2 weeks. The virus, as it is spreading now, would die out.

If everyone on the planet could just isolate for 2 weeks, this present pandemic would go away. Of course if, in addition, if we do not change our ways, something else will just take its place very soon. There is already the next version of bird flu H9N7, much more contagious and much more deadly than previous bird-flu viruses. Where do they come from? Chicken farms. We’re killing ourselves. I like to point out to people that we like to blame the Chinese wet markets on this pandemic but they are shocked to learn that at the same time as this virus started to spread, New York City had over 80 wet markets throughout the city.

It won’t happen though because humanity is lazy, selfish and can’t help itself.

While we need to keep working on treatments and vaccines, we can’t continue to ignore the obvious. The disease is spreading fast. People are getting sick. People are dying and the only way past all this is through. It will be long and slow but if we want to minimize the cases of significant disease and death, not only from Covid itself but the myriad of other diseases people are dying from both directly and indirectly because of Covid, we must do the basics.

MASK UP. wear a good one. Wear it correctly. Cover your nose. Stop touching it.

DISTANCE.

WASH YOUR HANDS. Use hand sanitizers if necessary.

DON’T TOUCH YOUR FACE.

COVER YOUR EYES.

VENTILATE.

VACCINATE.

GET HEALTHY.

CHECK IN ON YOUR FAMILY AND FRIENDS. We need each other.

Stay safe and be well. 

AC

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