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One Week into Social Distancing: Update on COVID-19

What is social distancing? 

According to the Centers for Disease Control and Prevention (CDC), social distancing means remaining out of congregate settings (crowded public places where close contact with others may occur, such as shopping centers, movie theaters, stadiums), avoiding mass gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others when possible. These steps have been recommended in order to lessen one’s chances of catching COVID-19.

Other examples of social distancing that allows people to avoid larger crowds or crowded spaces include, but are not limited to:

  • Working from home instead of at the office
  • Closing schools or switching to online classes
  • Visiting loved ones by electronic devices instead of in person
  • Cancelling or postponing conferences and large meetings

Remember that social distancing is different from self-quarantine and isolation. People who have been exposed to COVID-19 and are at risk for coming down with it may practice self-quarantine. The CDC recommends that self-quarantine lasts 14 days. Self-quarantine involves washing your hands frequently and practicing standard hygiene, not sharing things like towels and utensils, staying at home, not having visitors, and staying at least 6 feet away from other people in your household. For people who are confirmed to have COVID-19 through testing, isolation is the recommendation. This means keeping people who are infected with a contagious illness away from those who are not infected. Isolation can take place at home, hospital, or a care facility. Special personal protective equipment (PPE) needs to be used to care for these patients in health care settings.

What is “flattening the curve?”

Coined by the CDC, this term refers to the implementation of protective practices to slow the rate of COVID-19 infection, in order to ensure that hospitals and health care facilities have enough room, supplies, and health care providers for all patients who need care. A large number of people becoming very sick over the course of a few days can potentially overwhelm a hospital or health care facility, as we have seen in other countries already. Too many people becoming severely ill with COVID-19 at the same time can result in a shortage of hospital beds, equipment, and providers.

On the contrary, if that same large number of people became sick at a slower rate, over the course of several weeks, the line on the graph would be a longer, flatter, curve. In this case, there is a better chance of the hospital being able to keep up with adequate supplies, beds, and health care providers to care for them.

At this time, our practice has decided to postpone appointments that are not urgent, including routine physicals. Other general consultations and illnesses will first be evaluated via a virtual visit, which includes, but is not limited to: phone call, text, FaceTime, or video chat. Our goal as a practice is to make sure our patients follow the practice of social distancing, and to stay at home as much as possible. This pandemic can be overwhelming, but every person can help slow down the spread of COVID-19. By doing your part, you can make a big difference to your health and the health of others around you.

 

A note to our patients regarding COVID-19

We are closely monitoring the Coronavirus (COVID-19) situation and following recommendations from the Centers for Disease Control and Prevention (CDC), World Health Organization, and the City of Austin.

At this time, we are postponing all events scheduled for this month until further notice. This includes the free skin check with Dr. Tyler Hollmig scheduled for March 25th and our “A Walk in the Park” event scheduled for March 29th.

At this time, all testing for patients who qualify are held at the public health labs. Please refer to this website: http://www.austintexas.gov/department/health for the Austin Public Health Department or call (512) 972-5555. If you are presenting with symptoms but are not able to get tested, please quarantine yourself for 14 days and until completely symptom-free.

In an effort to protect you, our medical team, and the general public, please do not go directly to your doctor’s office or the emergency department without calling first. A phone call will allow care teams to determine the best location for you to be evaluated. In some cases, phone calls may allow you to avoid an in-person evaluation, which helps minimize exposure to the public. If you are experiencing a medical emergency, such as severe shortness of breath, chest pain, or altered mental status, please call 911.
To keep yourself and others healthy:
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue or bent elbow (if tissue is unavailable), then throw the tissue in the trash.
  • Avoid all non-essential travel.
  • Know the symptoms: fever, cough, shortness of breath
If you have an existing routine appointment scheduled, and are experiencing respiratory symptoms such as fever, cough, or shortness of breath, please call the office prior to the appointment to discuss how your care will best be served.

This is a rapidly evolving situation, and one that we are actively monitoring. We are ready to adjust as things progress, and we will keep our patients up to date throughout.

Should you wear a mask? And other facts about COVID-19

What is coronavirus disease 2019 (COVID-19)?

CDC is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in China and which has now been detected in almost 70 locations internationally, including in the United States. The virus has been named “SARS-CoV-2” and the disease it causes has been named “coronavirus disease 2019” (abbreviated “COVID-19”).

Only the Centers for Disease Control and Prevention (CDC) and other public health labs are authorized to provide testing for COVID-19 in the U.S. 

  • All tests have to be run by the CDC through your local health department. If you are experiencing the symptoms below, please refer to this website for the Austin Public Health Department: http://www.austintexas.gov/department/health or call 512-972-5555.

Ten things to do to avoid getting sick

  1. Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing
  2. Avoid touching your eyes, nose, and mouth with unwashed hands
  3. Stay home when you are sick
  4. Cover your cough or sneeze with a tissue or bent elbow (if tissue is unavailable), then throw the tissue in the trash
  5. Get your flu shot 
  6. Practice social distancing by keeping a 1-3 foot barrier between others when in conversation
  7. Quarantine yourself for 14 days if presenting with symptoms
  8. Avoid non-essential travel to the following countries: China, Italy, Iran, Japan and South Korea
  9. Clean and disinfect frequently touched objects and surfaces especially your phone and steering wheel
  10. Only go to the hospital if you are exhibiting symptoms and are in need of immediate medical attention and testing (If unsure, call your doctor first.)

You can help stop the spread of COVID-19 by knowing the signs and symptoms:

  • Fever
  • Cough
  • Shortness of breath

Should you wear a mask?

If you are healthy and not working in healthcare, the answer is NO.

You can visit the CDC website for more information at cdc.gov

  • Click here for a Coronavirus fact sheet.
  • Click here to keep up to date with the current count in Texas.

What to do if you may have COVID-19

What is coronavirus disease 2019 (COVID-19)?

Coronavirus Disease 2019 or COVID-19 (formally known as 2019-nCoV) is the name for the respiratory syndrome caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Only the Centers for Disease Control and Prevention (CDC) and other public health labs are authorized to provide testing for COVID-19 in the U.S.

  • Schedule an appointment with your doctor for the flu vaccine or visit your local pharmacy if you have not already been vaccinated. Coronavirus-19 presents with similar symptoms, so in order to protect yourself and others around you, vaccinate yourself!
  • Currently, CPL, Quest Diagnostics, or LabCorp are not allowed to run any tests, and all tests have to be run by the CDC through your local health department. If you are experiencing the symptoms below, please refer to this website for the Austin Public Health Department: http://www.austintexas.gov/department/health or call 512-972-5555.
  • Quarantine yourself for 14 days if presenting with symptoms.

There are simple things you can do to help keep yourself and others healthy.

  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue or bent elbow (if tissue is unavailable), then throw the tissue in the trash.
  • Avoid all non-essential travel to the following countries: China, Japan, Iran, Italy, South Korea.

You can help stop the spread of COVID-19 by knowing the signs and symptoms:

  • Fever
  • Cough
  • Shortness of breath

You can visit the CDC website for more information. Click here for a Coronavirus fact sheet. 

Coronavirus Disease 2019 (COVID-19) Update

What is coronavirus disease 2019 (COVID-19)?

Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. The virus that causes COVID-19 is novel coronavirus that was first identified during an investigation into an outbreak in Wuhan, China.

There are simple things you can do to help keep yourself and others healthy.

  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.

You can help stop COVID-19 by knowing the signs and symptoms:

  • Fever
  • Cough
  • Shortness of breath

Seek medical advice if you have traveled to China in the past 14 days and feel sick. Call ahead before you go to a doctor’s office or emergency room. Tell them about your recent travel and your symptoms.

You can visit the CDC website for more information. Click here for a Coronavirus fact sheet. 

Flu still “widespread” in Central Texas

Well, the weather is a lot more spring-like that it was a few days ago with our dusting of snow. However, that does not mean that flu season is over – in fact, we are seeing a lot of cases. St David’s is reporting that this season’s flu – both strains A and B – is more widespread compared to last year (story here).

There are some practical steps you can take regarding the flu:

  • Wash your hands, and make sure surfaces are disinfected.
  • Get immunized – it is not too late.
  • Drink water – water can help strengthen your immune system, keeping the flu at bay (from webmd.com).
  • If you get symptoms – the CDC now recommends anti-virals for many patients. Contact our office quickly if you get symptoms – as the sooner you take these, the more effective they are.

Some people have asked about the effectiveness of surgical masks to prevent the flu and other viruses. The answer is “Maybe”, and they certainly don’t hurt. However, they are not 100% effective. If you are sick, they can help prevent you from infecting other family members.

Happy St. Valentine’s Day

Did you know?

The legend of St. Valentine has two popular theories.

1) Valentine was a priest who served during the third century in Rome. When Emperor Claudius II decided that single men made better soldiers than those with wives and families, he outlawed marriage for young men. Valentine, realizing the injustice of the decree, defied Claudius and continued to perform marriages for young lovers in secret. When Valentine’s actions were discovered, Claudius ordered that he be put to death.

2) An imprisoned Valentine actually sent the first “valentine” greeting himself after he fell in love with a young girl, possibly his jailor’s daughter, who visited him during his confinement. Before his death, it is alleged that he wrote her a letter signed “From your Valentine,” an expression that is still in use today.

Make today amazing for loved ones around you by loving yourself first. ♥

January’s Fitness Tip: Resistance Bands

Resistance Bands are an easy on-the-go alternative to working out at the gym. These bands are cheaper than most regular gym equipment and are easy to travel with. Resistance bands increase flexibility and decrease risk of injury due to the ability to control finer movements.

A set of 5 resistance bands can be purchased on Amazon for a low as $10! This set here includes varying strengths to optimize your workout needs. This single piece of equipment is all you need to create a remarkable range of exercises for the entire body.

  • Efficient Workout: Loop Resistance Bands increase the effectiveness of your exercises. Ability to use for a range of workouts, from glute and hip activation, strength techniques to integrate seamlessly with every workout program such as Yoga and Pilates. 
  • Multifunctional: The resistance band can be used to exercise all parts of muscles such as arms, chest, abdomen, glutes and legs, also good for Physical Therapy, Recovery or to increase Mobility.
  • Gym-in-your-pocket: The exercise bands take up little space so that you can use them at home or carry on the way, such as in office, on a vacation, even can utilize while watching TV at home.
  • Constant Resistance: Whereas free weights create a gravitational force, resistance bands work on creating a constant full range of motion for each exercise. This improves your coordination and balance as you build strength.

Click here for a more in depth look into practicing these exercises!

January’s Featured Recipe: Turkey Chili

Ingredients

  • 1 lb of ground turkey
  • 1 can black beans
  • 1 can red beans
  • 1 can kidney beans
  • 1 can corn
  • 4 cloves minced garlic
  • 1 medium sliced onion
  • 1 can peeled tomatoes
  • 1 can diced tomatoes
  • 2 cups chicken stock
  • Several pickled jalapenos (if desired)
  • 1 packet of chili seasoning
  • 1 packet of taco seasoning

Directions

  1. Saute ground turkey, onions, garlic and taco seasoning
  2. Transfer ground turkey mixture to a large pot with remaining ingredients – stir to combine
  3. Salt and Pepper to taste
  4. Bring chili to a boil and simmer for 3-4 hours (if wanting to slow cook) or serve immediately
  5. Garnish with preferred toppings

Garnishes: Avocado, tortilla chips, sour cream and shredded cheese

Ceder Fever is Here – Practical Advice

You may have had the same experience – you look outside at the lovely hills around Austin, and are very alarmed to see clouds of “smoke” rising from many of the trees. After some closer inspection, it is apparent this is not a wildfire – it is just clouds of pollen rising from our local Juniper or “Mountain Cedar” trees. For many of us, this can be a very disturbing sight as we have developed a significant allergic reaction, locally known as the Cedar Fever. If you are new to these symptoms or to life in Austin, here is a short guide on what to do.

Symptoms

Cedar Fever affects each of us differently, and tend to get worse with time. Symptoms can include sneezing, runny nose, itchy eyes, cough, headache and sinus congestion. Cedar Fever can easily be confused with the flu or a cold, and can persist over many days.

Treatment

There are a number of ways to treat this condition.  Over the the counter antihistamines, decongestants, or nasal sprays can help ease some symptoms. If your symptoms are severe, contact our office for more aggressive treatment options like steroids. Chronic suffers may benefit from a referral to an allergy specialist, which I can can help with.

Prevention

Here are some tips on minimizing the symptoms.

  • Keep windows and doors closed
  • Make use of your heating/cooling system and it’s filtration system, and change the filter frequently using HEPA grade filters
  • Dust frequently and use a HEPA filter vacuum cleaner.
  • Bathe pets frequently to avoid spreading pollen from their fur
  • Drive with car windows closed
  • When outside, cover over your nose and mouth with an allergy mask
  • After being outdoors, be sure to shower and change clothes. Changing bed sheets frequently can also help.

This condition is not any fun. If you are suffering, please get in touch with me – you don’t have to suffer needlessly.

Roxana Rhodes MD