Updated: Mar 16
I was trying to avoid writing about the new illness but the more I hear confusion and misinformation, and people are asking me: "What's your take?" I feel I must respond. I am a nurse who receives daily notices from reliable medical resources made for health professionals and someone who was just coming out of nursing school at the University of Florida when the AIDS Crisis hit.
This strain of coronavirus came about when, it is believed, a meat market in China transferred this virus to humans. (The thing about bats-not true. Thats not how it works) This is a rare event. Illness does attempt to cross the line from animal to human all the time, but it is extremely difficult and often takes repeated attempts and even then may come across but not transfer very well among humans. The COVID 19 is a form of corona virus of which there are many. They call it "corona" like a crown because under a microscope it is the a round shape with little fluffy spikes in a round shape. I think they may have changed the name so that it could be clearly delineating from the other corona virus and be reported, tested, and studied more clearly.
Given the above, the virus is very contagious but only within a certain distance of people and on surfaces that were recently touched with someone who has the virus. The reason for the 14 day quarantine is that SARS and MERS had 14 days so they figure that is a good number but could be more or less. The main most common symptoms are a temperature (anything greater than 98.6 in most people-they say 100.4 from Chinese health data), a dry cough, and shortness of breath after approximately 8 days. There is reportedly a runny nose which causes the cough and causes the illness to progress to pneumonia. They didn't mention bronchitis but I am willing to bet that it is also a possibility. Both are related to shortness of breath. Now, more compromised people and the elderly have higher mortality rates. This is because the route of attachment to the cells is usually compromised in the elderly and easier to get in, damage the little hairs in the airway that keep germs out and cause pneumonia. Children are not really effected for this reason, but they are great germ carriers, and can transfer the illness to others). This is more of a respiratory illness than a "touch your face illness". Its in the air. It is NOT deadly to most people, but take care of your elderly.
I called my mom who is in her 80s in Florida today. She is fairly healthy but because she tends to get respiratory type illness I suggested she stay home for the most part, visit with her friends who are symptom free, do her exercises at home (she goes to the gym), go to the small grocery store across the street, and consider skipping church for now. Also, I may likely have had this illness in January for 6 weeks. Because I am a nurse, I self medicated ( I know...) but also have an inhaler and a lot of alternative supplements and herbs. Still I was not getting better and my Oxygen was registering at 95 with difficulty breathing (someone like me should run 98-99 at the lowest. Because I had a nebulizer machine from a past illness and some albuterol left I took it and was immediately better. Inhaler opens up the airway so the body can heal better and prevent progression pneumonia. So I did-as you all should do now-went to my health care provider. She gave me antibiotics and gave me another prescription for albuterol nebulizer treatment. I did not have a chest X-ray or a test of any kind and at the time (before the news of COVID 19), that seemed appropriate at the time. Within a week I was better. Who knows.
If people aren't tested no-one knows which is why testing is very important. I have heard that some offices are doing drive through testing and that is an excellent idea. Very creative! There are still not enough test available so most Health Departments are suggesting if you have fever and a cough call your doctor. Do not run to the emergency room. The ER is for people who are having shortness of breath (SOB) who cannot get in tough with their health care provider. Also SOB does not mean you are going to stop breathing but probably means you should get some medicine. If they don't offer any please ask. If you need a nebulizer adn insurance won't pay for it you can buy one for your durable medical equipment company. The doctors know who they are. They aren't that much unless you are low income.
NOW from a HOLISTIC perspective we are learning to take care of ourselves. We are also learning that with the political and religious strife occurring internationally, because of the times, we will start to cross lines and realize that we are more alike than different. Secondly, people are very stressed and tired regardless of illness. We need to slow down, take a nap, and spend time with our families. We need to take care of ourselves and each other. Health professionals and their employers need to take better care of our over worked and compassionate caregivers-CNAs, techs, nurses, and doctors. It allows for creativity in using our technology. Stress creates acidity and illness in our bodies so stay calm and stay clean. A sneeze can go a long way(8-10 feet). As a nurse on constant (calm) germ alert I wash my hands completely, frequently even between my fingers and finger nails, cough or sneeze into my elbow or a tissue, open window to air out the house on warmer days, keep my house clean including door knobs, open and close other doors using a finger and my foot. When sick drink plenty of water to clear out the illness and the waste created by the illness through the blood and organs.
Here is info from the CDC to Health professionals:The CDC recommends the following strategies to prevent patients who can be cared for at home from coming to medical facilities, potentially exposing themselves or others to germs:
(this may have been updated as they come out daily)
Using your telephone system to deliver messages to incoming callers about when to seek medical care at your facility,
Adjusting your hours of operation to include telephone triage and follow-up of patients during a community outbreak.Leveraging telemedicine technologies and self-assessment tools.
Separate patients with respiratory symptoms so they are not waiting among other patients seeking care. Identify a separate, well-ventilated space that allows waiting patients and visitors to be separated.
Triage of suspected COVID-19 patients should involve quick identification (and consideration of) pre-existing conditions for prioritized care.
March 6, 2020 American College of Cardiology (ACC) https://www.acc.org/latest-in-cardiology/articles/2020/03/06/15/01/acc-issues-covid-19-clinical-guidance-for-the-cv-care-team “The overall case fatality rate (CFR) of COVID-19 based on published reports remains low at 2.3%. More than 80% of infected patients experience mild symptoms and recover without intensive medical intervention. Morbidity and mortality increase significantly with age, rising to 8.0% among patients 70-79 and 14.8% in patients over 80 in large-scale Chinese case reporting.
Treatment is not yet FDA approved, however, the National Institute of Health (NIH) has initiated an FDA sanctioned randomized investigational therapeutics trial, for hospitalized COVID-19 patients in the United States. The first study is on remdesivir. For information on specific clinical trials underway for treatment of patients with COVID-19, see clinicaltrials.govexternal icon, and www.chictr.org.cnexternal icon
VACCINE DEVELOPMENT and SUPPLY LOGISTICS: Synthetic biology approaches are in process to develop candidate COVID-19 vaccines. In these vaccines, lab-developed RNA or DNA, are being designed to encourage cells to produce viral proteins, initiating an immune response. These approaches intend to produce more effective, scalable vaccines then have previously been available. These efforts are in hope of creating a coronavirus vaccine in time to mitigate further global mortality.
That concludes the CDC information I put here for COVID 19 and I wanted you to see that health professional are getting very valuable information and there is more on the CDC website .
Y'all please stay calm, joking about it is okay for stress relief, and helping each other is a good lesson. Check your with your state Health Department, CDC, and WHO for info (not your facebook). As I understand it the state governors will be convening to make some more helpful decisions. Peace. Ann