Friday, March 19, 2021

Covid vaccine schedule

 The vaccine schedule:


As I mentioned in January, by spring everyone who wants a Covid vaccine will be able to get one. This was confirmed by the President last week.
Maryland will be going into Phase 2A next week (March 23rd) and Phase 2B the following week (March 30th).
Phase 2A means that anyone 60 years and over can get a Covid vaccine. 2B means any one over 16 years of age with underlying conditions can get a vaccine.
By April 13th anyone over 55 years of age will be eligible and after April 27th anyone over 16 can get one.
This is great news!

Your patience will be rewarded, hang in there for another month. In the meantime continue your precautions, try not to allow ‘Covid Fatigue’ and 'Spring Fever’ to get the best of you. This next month will be critical. Remember, it takes two weeks for you to develop immunity after you get the last shot.
The top four states for Covid deaths are: California, Texas, Florida, New York (followed by New Jersey and Illinois) are you planning to visit any of these states in the near future?... Don't.

I have already been notified that I have been approved to receive the Covid vaccines. I am just waiting to hear about the logistics and receive a date for shipment.
For those who have not yet been vaccinated I will let you know as soon as I get it. You do not need to call the office.

Stay safe and be heartened.

Monday, March 15, 2021

One year of Covid blogs and other information

 Today’s email is a hodge podge of things.

For one thing it is hard for me to believe I have been writing these emails now for a whole year. Right on time for this anniversary, I received a very sweet card today from one of my patients telling me that my emails have been very helpful in getting her through this pandemic while feeling informed and reassured. I was literally touched to tears by her card. That gives me the fuel to keep writing them, so thank you so very much. I want you to know that it means a lot.
I have been lucky not to lose any patients so far but we cannot quit while we are ahead. At the same time none of us are untouched by this catastrophe.
5 and a quarter million people dead, a number so big it is hard to mentally grapple with it. So big, there is nowhere for us to lay our unspeakable sorrow. 
On Friday a patient came in (at my urging) for a blood pressure check. I hadn’t seen her for a while. On checking her blood pressure it was totally out of control and I asked her why. I thought she was going to tell me that she ran out of her medicine “I buried my son 2 days ago from Covid” was the answer.

I tell this story so people don’t get spring fever and get crazy. It will be déjà vu all over again. The threat is still with us. The only good news is that now we have a vaccine that can help us get on top of the pandemic but the pandemic is going to be with us for a long time. We can’t let up now.

Amidst all the Covid drama do not forget how fragile life is and was, even without the pandemic.
I had two patients diagnosed with cancer last week, confirming the need to continue getting your full physical and routine health check up, even if you feel fine. 
One patient is in the hospital right now battling a very rare form of cancer. Because she came in December for her routine complete physical, I was able to reassure the oncologist how aggressive this new condition is and show that it only started after that time. I provided them with baseline numbers showing there was no sign of it in December. Please take note: you don’t just get a physical to “find something wrong” you also get it to establish what your current state of health is, so you have a baseline for the future.

I also want to continue giving you information that you can use and FYI‘s that are related to what’s going on now. So here are a few tidbits.
FYI:
A study from the UK shows that you should delay any surgery by at least 7 weeks after a COVID-19 diagnosis.

WARNING: People have tested positive after one and 2 shots of the Covid vaccine.

If two is good are three better? No, An elderly man in Hamilton, Ohio, went into shock after accidentally receiving two coronavirus vaccinations for the second dose on the same day at a nursing home.

New pills to treat patients with COVID-19 are currently in mid stage clinical trials and, if successful, could be ready by the end of the year. These medicines would do for Covid what Tamiflu (Ostemavir) does for the flu.

And now to go completely off topic! 2 things I thought some of my patients might find interesting.

According to Medscape: “There is a growing body of evidence that smartphone addiction has a deleterious impact on sleep,” wrote the researchers. This study was published online March 2 in Frontiers of Psychiatry: Smartphone “addiction” may explain poor sleep quality in a significant proportion of young adults, new research suggests.
Investigators found that almost 40% of adults aged 18-30 years who self-reported excessive smartphone use also reported poor sleep.

And last of all:
The University of Virginia in Charlottesville put out a study that shows that the right colon appears to age faster in Black people than in White people, perhaps explaining the higher prevalence of right-side colon cancer among Black Americans, according to results from a biopsy study. Stay tuned…

Monday, March 8, 2021

Covid vaccine. One and Done!

 One and done!

What’s the best Covid vaccine to take? The one you can get your hands on!
I opted to wait for the Johnson and Johnson (Janssen) vaccine and I received it this afternoon. I can honestly say apart from feeling a needle go into my arm it was really amazingly painless. Even less painful than a flu shot. I highly recommend it.
Today Howard county had a special clinic for all Howard county employees, including teachers, and I tried to call as many of my patients as I could think of.
Here’s a tip: the Health Department has various clinics and around 3 in the afternoon they can usually tell if they have extra shots. It may be worth your while to call around that time. There may not be another shipment of the J and J vaccine until the big one on March 18th, I don’t know, but you can certainly inquire with the health department.
Take whatever vaccine you can get if you don’t have severe allergies or an autoimmune condition. If you do happen to get the Janssen vaccine the benefits are: its just one shot. After the 18th it may be the easiest shot to get because it is easy and cheap to make (made in Maryland!). Easy to store and ship and less likely to cause allergic reactions.

Now the bad news! Even if you get vaccinated you still need to wear your mask, use social distancing, hand washing and hand sanitizer until further notice. Getting vaccinated does not mean you can go back to normal or let down your guard.

Stay safe!