Coronavirus Briefing!: Monday, 4/27/2020​



Good afternoon, my friends!

So today is Monday. I have no idea what date it is, but I suspect it’s somewhere around the 27th. Let me think. 28Th, 29th, 22nd. I think it’s the 27th. Anyway, so the country is opening, there is no question about that. Okay. For better or for worse, there are definitely going to be States that are going to be relaxing their restrictions, et cetera, et cetera, et cetera. Some very stupidly others a little bit more intelligently. Although we have to really talk now a pro about, you know, personal responsibility. Okay. And we are at this moment not going to stop people from opening. We’re not gonna stop States from opening. We’re not going to stop cities from opening if that’s what they want to do. We’re not going to stop the country from opening if that’s what they want to do.




Okay. so what we have to do is we have to come up with a personal plan and you know, as people who, number one, are super conditioned for this in the sense that we have been dealing with, you know, infection control and prevention, et cetera, et cetera, et cetera for decades already. Okay? We were the most prepared for it when it hit us, where the most prepared for it now. But what we don’t want is we don’t want you to lose all possibility, you know, semblances of life. But at the same time, we don’t want you to lose your life. So we have to take personal responsibility and don’t rely on other people to tell you what is okay and what is not okay for you. So by this point in time, by this point in our relationship together, by this point in the group together, you guys should know what is okay, what’s not okay.




And being in a group of people who, number one is at higher risk. It’s not that you’re necessarily at higher risk of contracting the virus. Obviously, if you don’t come in contact with it, you’re not going to be at risk of contracting it. However if you were to contract it you would be at a higher risk for multiple complications related to it. So in other words you know, obviously if you don’t go out, if you don’t get exposed to it you are not going to be at risk. But if you were contract it, you might have more problems being that there is, you know, you already have a respiratory condition, you already have a heart condition. You may have diabetes or obesity or kidney failure or cancer, et cetera, et cetera, et cetera, et cetera. So the point being that you cannot possibly you know, rely on the president to give you good information.



You cannot rely necessarily on your governor to give you the right information. You cannot necessarily rely on the mayor to give you the right information. Who can you rely on? You’re looking at him, friends. Nah, I’m just kidding. But here’s the thing, Marcia Lake S a but my point guys, is this, okay. My point is that we will continue to act. So if Trump tells us one thing, okay, if the governor of Georgia tells us another thing, if mayor de Blasio tells us one thing, if governor Cuomo tells us another thing, okay, we still have to be safe and the safest route is always going to be act as if and when it comes to any type of flu, pneumonia, common cold, coronavirus, etc. Etc. Etc. Act as if means taking universal precautions through all. Okay. And what that means is that I assume that any person that I see has it and I will act accordingly to protect myself from it.



I will, you know, avoid people if I can, but if I have to come in contact with people, then I will you know, I’m going to act as if they are exposed, have been exposed. I will treat them as a potential exposure and go from there. So at this point, nothing has changed other than the co company. The country is opening state-by-state. Okay. So one thing is you know, I trust myself, I trust my team to make good decisions. I have, you know, some skills in this area that make this you know, make me kind of a good person to, to know about this in terms of my cardiopulmonary background, my EMS background my infection control and hazards, materials, background, etc. Etc. Etc. But here’s the thing, okay. Universal precautions and universal precautions mean if we are going to come in contact with somebody or something, we assume that there is a potential exposure.



Okay. We assume there’s a potential exposure enact accordingly. That means when necessary gloves. Okay. Washing your hands frequently. Hand sanitizers masks. Okay. You re if you recall, you go back when everybody was trying to discourage us from wearing masks. I’ve been saying wear masks day one. Okay. Especially if you’re immunocompromised, but even if you’re not immunocompromised. Okay. But let’s just, you know what we’re going to talk about over the next couple of days and this week is going to be specific situations. So you know, a situation can be as simple as going out to get your mail. Okay. And when you go out to get your mail, what are we worried about? We’ll worry about are we going to come in contact with anybody on the way to the mailbox? Is there any potential, you know, for exposure in the mail itself et cetera, et cetera, et cetera, et cetera, et cetera.



Okay. So that’s a simple one. I would say one of the more complex situations would be an airplane. Okay. Because an airplane is always going to be a potential risk for us. Why? Because of research related air, because of altitude, because of the stress and strain, because of coming in contact with so many people, there are a lot of potential you know, a lot of potential risks there. And one thing I was thinking about earlier was, okay, if I had to travel somewhere, how would I get there? So in other words, if I had to go to LA, how would I get to LA? Would I take a plane? And there’s the risk benefit of taking a plane, the risk being that you’re in a plane. My feeling is that probably airports are going to be a little bit less congested than they usually are.



So I think that that is a plus. Okay. Being that there’s going to be much, much less people, but you have the idea of being in a plane. So let’s say LA is a six hour flight, let’s say LA is a six hour flight and during those six hours have some exposures there. So I’m going to definitely be wearing a mask. I’m definitely going to have gloves on that I can use to wipe down my seat with kava side or with something else. So something like this. So I will pack that with me. Okay. I will wipe down my seat, I will wipe down my arm rest and I will write down, wipe down specifically the headrest. I will wipe down the seat itself. I will wipe down my neighbor’s seat. I will wipe down the tray. I will not eat anything on the play and I will not use, you know, the magazine holder.



That’s in front of my seat, et cetera, et cetera, et cetera. Okay. And then, you know, it’s getting to the airport. I probably won’t check luggage. Okay. If I do check luggage, then again, I’m going to use gloves to wipe it down as soon as I get it. And again, a good idea is, you know, to really think of this as a sterile field and for you to like for example, when I travel where I go, I will have maybe, you know, 20 pairs of gloves with me. Okay. So for example, if I have to wipe something down, those gloves come right off a new pair of gloves. Okay. And that’s what I would recommend. So every time you change location, so in other words, let’s say you go into the airport, okay? I go through a security. Okay. I get done with security.



I take off my gloves, I put on a new pair of gloves, right? I get to my plane, I have on a new pair of gloves. As soon as I clean my seat, those gloves come off. I don’t think I necessarily have to, I’m gonna think about this one if I would wear gloves while I’m actually sitting on the plane or not. But you get the idea. Okay, so again, country’s opening. Some people are gonna make better choices than others. Some people are going to make worse choices than others and that includes public officials. But we must take personal responsibility, universal precautions at all times. And again, you know, at a certain point, I believe, and I hope we will all be able to go out, but even if there’s an all clear, even if we get a lot more testing, even if we get a lot more information, even if we find out that there is some kind of treatment or cure or vaccine, et cetera, et cetera, et cetera, even if we find out there is some kind of immunity once you’ve had the virus.



Okay. I still think that this is a super reminder that we in this community have cardiovascular disease, pulmonary disease. Anyone who’s got any type of systemic or medical condition or takes a medication like steroids or antibiotics that put them at risk or chemo or radiation, et cetera, et cetera. Anything that puts you at less than 100%, I would consider this universal precautions as something that we will be doing for the rest of our lives. It doesn’t mean stay home, stay in doors, hide for the rest of your life. It just means we have to be super smart about this because the stakes are high. Okay. Somebody asked about the masks. Okay. And I have a number of different masks. Okay. And what I think I would do is I think I would start with this. Okay. And I might even double up and have that underneath another mask or on top of another mask.



But I might, I’m definitely gonna have this, which is an end 95. Okay. And I might even, actually, I just thought of what I think I’m going to do, which is I think I’m going to wear the end 95 and I think I’m going to put this mask just as sort of a physical barrier over the end. 95 and this can be a little bit looser, okay. Because this is not what you’re counting on. This is layer one, so that God forbid, God forbid somebody were actually to sneeze or cough in my face, I’m going to take this off or I had to touch my face. I’m touching that and I’m touching a very cheap, inexpensive mask that is easier to get and that I can actually throw away multiples of those as compared to the end 95, which is harder to get and which you’re not necessarily gonna want to throw away.



Okay. So again, a lot of information here. Main points. If I could summarize countries opening, be smart people. Okay. We have to take personal responsibility just because somebody else tells you it’s OK. That doesn’t mean it’s okay. We have to think about who’s giving us this information, what are their credentials and qualifications and you know, what are their motivations as well? Because trust me, there are a lot of people who have a motivation to open the country from a financial perspective, but you know what there are, and this is not a, if this is not a, maybe there are going to be more people that get the virus. There are going to be more people that get sick and they’re going to be more people that die. Okay. because that’s what’s going to happen in this country. Okay.



But and the world, but I’m not saying this to say gloom and doom. I’m looking at this and saying, you know what? You guys are my army. I’m looking out for my army. Thank you Francine, because you just gave me the idea and we problem solve that together. So yes. So what I’m going to do is I am going to end, you know, order these things ahead of time. Don’t wait until you have a week left to get this stuff. But in my opinion and 95, okay is going to be my first and basic mask above it, which is cheap and easier to get. You could buy them by the 50 or by the 100 over my end. 95 be careful and please, if this is your first time watching or seeing this, et cetera, et cetera, go back in time to our website, pulmonary to the Corona virus updates and we talk about all these things in extensive detail over and over and over again.



Okay. Have a great day. Everybody. one quick question. My doc won’t give me my monthly ibuprofen for back pain due to covert. Do I agree? Tough question. I don’t think it’s a definite about ibuprofen versus Tylenol. You know, I mean that’s a good kind of piece of information to put out from the acetaminophen companies. I guess better safe than sorry, but hard to know. Okay. ibuprofen is Advil, so you know, even if you’re not getting the same dosage, certainly you can buy it over the counter. And that is not what I’m recommending. I’m not recommending that you dis disobey your doctor’s orders and buy it over the counter. But what I’m saying is I’m not convinced of that ibuprofen thing. You know, I get certain aches and pains that a Tylenol doesn’t even touch. Sometimes I get a headache or, or something that Tylenol doesn’t touch, but Advil does.



So again, I think that it’s possible that if you I think it’s possible if you have the Corona virus, if you’re positive, if you have covert 19, then maybe that’s not the time to start taking ibuprofen. But if you’re being careful, if you don’t have any possibilities for exposures, my gut feeling is to say it’s okay. But you know, I would say you know, you could ask your doctor, your doctor gave you his answer, probably trying to protect himself. It’s not, not understandable. I get it, I understand it. And I’m just not 1000% convinced that ibuprofen is necessarily such a bad thing. And I think that some of that stuff was anecdotal. I don’t think there’s a real clear I don’t think there’s a clear you know, a real clear answer to that yet. Why am I bundled up?



I’ve been outside all day and it’s chilly here. So, all right, my friends have a great day and that’s it. Enjoy, stay safe. The country is opening. Be prepared. Okay. And you know, one thing I’ll say is that for various reasons, people are going to try to pressure you into doing one thing or another. You have been well trained at this point, okay. And you are knowledgeable and you know a lot about this, so trust you, trust you. Okay. And and that’s it. Have a great day. My friends, Oh, one other thing this week, Wednesday night, a great, great doctor coming on the show. Doreena drizzle Harris, a super genius of bronchiectasis, NTM, not tuberculosis, microbacteria, Mack Mai cough, mucus, et cetera, et cetera, et cetera. Super smart. Doctor. You don’t want to miss this one. It’s going to be and sign up for a free account if you don’t have one yet. And we will send out an email on the day. Okay? Have a great day everybody, and stay safe.