General Wellness

WHAT’S THE MATTER WITH US? Civility Matters.

Andrew Chuma No Comments

WHAT’S THE MATTER WITH US?

I was going to post something I wrote up about steroids and other anti-inflammatories and Covid but heard something this morning that made me sad and angry and I decided to post about it instead (one post every few days is all I can handle).

The piece on the radio was about a volunteer who was spending 12 hours a day, 6 days a week, providing free Covid testing to mostly homeless and indigent people in LA. He worked as a hygienist in a dental clinic with his 80 year old dentist father who ran it, providing free dental care to those same people and when Covid hit, he switched roles. Despite the risks, his father still works daily in that clinic providing free dental care.

He described how every morning, he dons his “space suit” of head to toe PPE and goes out in a van testing people. Initially, he was inspired by the gratitude expressed by people for the free care and the risks he was taking on a daily basis and this inspired him and helped keep him going. People would make signs on pizza boxes, give him food… Small things which were meaningful.

Over the months, the attitude he experienced from people shifted to one of apathy and now, criticism and frequent insults. Most people he sees are still appreciative, but he also regularly gets angry and almost violent reactions such as being flipped the finger or yelled at for his involvement in testing. Long gone are the days of people banging pots and pans, singing from their balconies or even just saying thank you. I certainly don’t expect any such recognition and I don’t think anyone in healthcare or any of the other essential fields expects that, but to be put down or criticised is too much. In June, more than 600 healthcare workers died from Coronavirus related problems and many, many more were infected. By the start of August, it was over 900 deaths. These are workers who risk their lives to help others and some unfortunately pay the ultimate price.

This country was founded on the concepts of freedom and opportunity but neither is possible without community and civility. Everyone has a right to their opinion but not to the right to abuse other people and verbal abuse is just as bad as physical abuse.

As the political “season” progresses, divisions and opinions will become more and more prevalent as will attack ads and negative emotions. We need to keep these things in check and remember that we are all people, trying to make our way in this world and, for some if not most of us, trying to make a difference. The loud, obnoxious, rude few unfortunately get the most press. Keep these people and their opinions in perspective.

As I have mentioned in the past, information keeps changing as we learn. Scientists should not be held to the opinions they had months ago, because they simply do not apply today. Even Dr. Fauci said back in February that masks were not necessary but now, we know how much of a difference they can make. However, the outright lies and opinions expressed by some of our leaders are fueling anger, paranoia, violence and vitriol in people and it is all unnecessary. We must stop thinking as individuals and look out for all around us because without everyone else, we can’t survive.

This weekend is Labor Day weekend, a holiday meant to celebrate all those who work, regardless of what they do. The definition of essential worker is not limited to healthcare workers but everyone who does anything because everything anyone does, matters to someone. 

Have a safe and happy holiday. Love and spend time with your family and friends. Thank a worker, any worker. You don’t have to sing or bang pots and pans. You don’t have to hug them (God forbid!!) or sit in a circle singing kumbaya. A simple thank you goes a long way. 

And if you disagree with someone about an issue, try to appreciate their perspective. Maybe you’ll learn something.

Stay safe and be well. 

AC 😎✌️🌱❤🐖🏃🏻🧘🏻‍♂️🌎😷

CONVALESCENT PLASMA – LIES, DAMN LIES AND STATISTICS.

Andrew Chuma No Comments

CONVALESCENT PLASMA – LIES, DAMN LIES AND STATISTICS.
 
Early in the pandemic, one of the treatments for infected and hospitalized Covid patients was convalescent plasma. Plasma, also known as serum, is the fluid portion of blood (most cells removed) which contains all kinds of other stuff, including clotting proteins, nutrients, enzymes and antibodies. In the case of recovered Covid patients, it contains antibodies to the SARS Cov-2 virus. The rationale for it helping other patients is that the antibodies in the plasma would inactivate viruses in the recipient’s body. These are called “neutralizing” antibodies. Although there seemed to be some benefit to giving them plasma, none of these patients ONLY received convalescent plasma. They received many treatments so it’s impossible to know how much it helped by itself. It makes sense that it would help.
 
The FDAs knee-jerk reaction in approving its Emergency Use Authorization is another example of the administration not understanding the science and shooting before assessing fully. The statistics were manipulated and expressed in a way that made plasma look much more effective than it really is.
 
In addition, the way data is expressed can be deceptive and misleading. That is what the CDC did when they made the announcement about how beneficial convalescent plasma really was. The NIH, National Institutes of Health, pointed out the inaccuracies but the damage is done. Those who want to believe in a magic cure are there already.
 
If it helps, it is limited to recently infected/affected patients. Late administration is probably useless since there is too much viral load to manage. This is another reason to support testing. If we identify patients early, and it turns out that convalescent plasma is significantly effective, it can be administered at an adequate stage of infection rather than missing the chance.
 
In addition to not having statistically significant benefits, there are risks like allergic reactions or contracting another infection like HIV or Hepatitis C, both of which are transmitted in plasma if not screened properly.
 
Just to be clear, I’m not saying that convalescent plasma is bad or ineffective. And I would probably take it if I was that sick and it was offered. However, it’s no miracle cure.
 
There is NO miracle cure. Not Zithromax, Hydroxychloroquin, plasma, zinc, not even Kale, although a healthy, plant-based diet definitely has many advantages with NO side effects.
 
In the meantime, do what we KNOW is helpful:
 
WEAR A MASK. Wear it properly covering your nose. As an aside, the shields some people wear are not that effective. It’s OK to wear, just wear a mask underneath.
DISTANCE APPROPRIATELY
WASH OUR HANDS
GET HEALTHY
VENTILATE
 
And one more important one to add to this list:
 
GET YOUR FLU SHOT. EVERYONE, not just older and sicker people or people at risk because of work. You don’t want a double whammy.
 
Stay safe and be well.
AC 😎✌️🌱❤🐖🏃🏻🧘🏻‍♂️🌎😷
 

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