How long does COVID-19 last? Resource Centers on Coronavirus


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Lancet offers free public access on coronavirus. The Lancet resource center on coronavirus is here

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There is also The comprehensive Ars Technica guide to the coronavirus 

 

How long does COVID-19 last?

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“On average, it takes five to six days from the day you are infected with SARS-CoV-2 until you develop symptoms of COVID-19. This pre-symptomatic period—also known as “incubation”—can range from one to 14 days.”

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“From there, those with mild disease tend to recover in about two weeks, while those with more severe cases can take three to six weeks to recover, according to WHO Director-General Dr. Tedros Adhanom Ghebreyesus, who goes by Dr. Tedros.”

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From Wuhan, they followed CT of lungs. Two weeks after recovery patient discharged negative, if CT lesions appear to get worse, pneumonia symptoms recur. It’s not over til it’s over. 

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I do not have the reference and cannot verify the source. I have read that recurrence two weeks later is the overactive immune system creating a cytokine storm with excessive mucous secretions that create mucous bolts. Bolts plug airways and kill. One hospital had 50% reduction in deaths from aggressive suction of mucous.

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Dont forget to isolate and quarantine yourself even if mild. It’s wildly contagious.

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The material on this site is for informational purposes only.
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It is not legal for me to provide medical advice without an examination

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

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For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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No Respirator Masks, No Respirators, Healthcare Workers Not Protected


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National Shortage of Everything Needed to protect

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Healthcare Workers

 

A massive kick in the gut REALITY

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We will have to accept a deadly crisis as stark dead cold reality in vast numbers with things we’ve never imagined could happen here. Don’t be getting bored or lulled to sleep now by the quiet that comes before the tsunami.

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“As coronavirus cases in Washington state mounted and the country’s first death was announced Saturday, health authorities scrambled to get more specialized masks for front-line clinicians who need to protect themselves from the highly contagious disease.

Washington state authorities sent an urgent request for 233,000 respirators and 200,000 surgical masks to be released from the federal government’s Strategic National Stockpile. The stockpile is a repository of drugs and supplies for deployment in major public health emergencies, such as an infectious disease outbreak.

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Within 24 hours, Washington state’s liaison to the federal government, Casey Katims, was told his state would get assistance. But it would be less than half the amount they requested — 93,600 N95 respirators and 100,200 surgical masks..Washington’s experience highlights one of the country’s biggest gaps in preparedness for battling the respiratory virus that causes the disease known as covid-19. The United States has about 1 percent of the 3.5 billion respirators that experts estimate the health-care system needs a year to fight a severe influenza pandemic. That translates to 12 million N95 respirators and 30 million surgical masks, Health and Human Services Secretary Alex Azar has said. An additional 5 million N95 respirators may be expired, he has said.

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The material on this site is for informational purposes only.
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It is not legal for me to provide medical advice without an examination

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

Please ignore the ads below. They are not from me.

The advertising below is not mine.

In exchange, this blog is less expensive............

Coronavirus symptoms by order of frequency


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Comments following a Washington Post article on why the US Health System is not ready.

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The writer references the NYT – I do not have the NYT link:

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“We caught up with Donald G. McNeil Jr., our infectious-diseases reporter, to ask him what it’s actually like to contract the coronavirus, based on what we’ve learned so far from China, which has the vast majority of cases. What does this illness look like? I’ve heard some people compare it to the flu. No, it’s different from flu. It’s a lung disease, not a stuffy nose disease. Ninety 90 percent of people get a fever, 80 percent get a dry cough, and then it drops down to 30 percent get shortness of breath and malaise — you know, being tired. A runny nose shows up in only 4 percent, and that may be people who also happen to have acold or flu, too. What are we learning about asymptomatic cases? The good news is that a large study from China suggests that less than 1 percent of cases are asymptomatic. Almost all people get sick.”

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OK, back to @Flowman here:  I was appalled to see WAPO post an article yesterday that stated a common COVID-19 symptom was a runny nose.  Read the NYT quote above regarding COVID-19 symptoms again:  

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90% Fever
80% Dry Cough
30% Shortness of Breath / Malaise (fatigue/tiredness)
4% Runny Nose – but suspected of being due to concomitant cold or flu

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And for the record, I am a retired Epidemiologist.

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Reiterating what he said: “Almost all people get sick.”

The coronavirus is different from the Trumpvirus.

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We need leadership grounded in science. And we need it now. Those are not the only symptoms but they give some perspective. They are symptoms of lower respiratory disease, i.e. lung predominantly.

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Some have severe intense muscle pain, sweating, chills, some even have diarrhea and of course chest pain with shortness of breath means you should rule out a heart attack. Damage to lungs can be intense and certainly strain the heart.

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination..

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~~~~

For My Home Page, click here:  

Welcome to my Weblog on Pain Management!

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Please ignore the ads below. They are not from me..

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The advertising below is not mine.

In exchange, this blog is less expensive.

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Coronavirus: Expect people you know to die. Take it seriously. Stay calm


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“Coronavirus: an email to my family”

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by an infectious disease epidemiologist.

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“I wrote this originally to share with my family.”

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…”I graduated from the CDC’s Epidemic Intelligence Service and have over 17 years of experience in the field, most of that with CDC.”

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Who should you listen to?

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The CDC and your state health department are your best place for information about COVID-19. (Listen to them before you listen to me.) Be cautious about other sources of information – many of them will not be reliable or accurate.

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How bad is this going to be?

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It’s possible that COVID-19 will be similar to a bad flu year but there are a number of indications that it will be very much like the 1918 Flu Pandemic. To put that in perspective, the 1918 flu did not end civilization as we know it but it was the second-deadliest event of the last 200 years. Expect people you know to die.

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However, there is one critical difference between COVID-19 and the 1918 flu – the 1918 flu virus hit children and young adults particularly hard. COVID-19 seems to be most severe in older adults. Children and young adults generally have mild infections. We are grateful for this.

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What can we expect?

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This is not the zombie apocalypse. Core infrastructure (e.g., power, water, supermarkets, internet, government, etc.) will continue to work, perhaps with some minor disruptions. 

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There will be significant economic disruption: a global recession is very possible and there will probably be significant shortages of some products. The healthcare system will be hit the hardest. The number of people who are likely to get sick is higher than our healthcare systems can probably handle.  

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Daily life will be impacted in important ways. Travel is likely to be limited and public gatherings will probably be canceled. Schools will probably be closed. Expect health departments to start issuing these orders in the near future, especially on the West Coast.

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The acute pandemic will probably last at least for several months and quite possibly for a year or two.

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What can we do?

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We can’t keep COVID-19 from being a global pandemic but the more we can do to slow the spread of the disease, the less severe the impact will be. With that in mind, here are the things you can do:

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Stay calm but take it seriously. This will likely be bad but it’s not the apocalypse.

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Stay home if you’re sick or someone in your house is sick. 

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Leave medical supplies for healthcare workers. You shouldn’t be stockpiling masks or other medical supplies. They are needed in hospitals to keep our healthcare workers healthy.

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Wash your hands. Get in the habit of frequently washing your hands thoroughly and covering your cough.

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Minimize your exposure. Now that we’re starting to see community transmission in the U.S., it’s probably time to start cutting back on your exposure to other people. Depending on your circumstances, consider:

  • Canceling non-essential travel

  • Avoiding large-scale gatherings

  • Working from home if possible

  • Minimizing direct contact with others including hand shakes and hugs

  • Reducing your trips out of the house. If possible, shop for two weeks of groceries at once or consider having your groceries delivered. Stay home and cook instead of going to a restaurant.
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Remember, keep calm and prepare. This is likely to be bad but if we respond calmly and thoughtfully we can handle it.

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Others have added: no more fist bumps or hand shakes. Elbow bumps or, as they are doing in China, toe bumps.

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The material on this site is for informational purposes only.
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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~~~~

For My Home Page, click here:  

Welcome to my Weblog on Pain Management!

Please ignore the ads below. They are not from me.

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The advertising below is not mine.

In exchange, this blog is less expensive.

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COVID-19: 20-year-old Wuhan woman infected 5 relatives, showed no signs of illness – tested negative


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COVID-19: Case study of 20-year-old Wuhan woman traveled 400 miles, infected 5 relatives despite not showing any signs of illness – and tested negative.

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Published February 21, 2020 in JAMA

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There are reports that a person may be able to infect as long as 38 days, not two weeks. This case is an important example.

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Hand washing is more important than ever. Soap and water are more effective than hand sanitizers, alcohol disinfectants.

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Areas most frequently missed

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especially the thumb, tips of fingers, areas between fingers and back of hand.

 

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The material on this site is for informational purposes only.
.
It is not legal for me to provide medical advice without an examination.

.
It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~~~~

For My Home Page, click here:  

Welcome to my Weblog on Pain Management!

 

Please ignore the ads below. They are not from me.

..

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The advertising below is not mine.

In exchange, this blog is less expensive.

 

 

Simply Calming


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First, an introduction or just skip below to web link, below, of the sweet Suzuki Roshi breathing practice of exhalation. It is so simple people with Alzheimer’s can do it. So instantly calming.

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It is best to practice while we are young and build a solid practice, make it part of being with your Self. The Divine Self. It is so simple and so sweet. It is who we are.

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A wonderful practice and highest teaching. We are all the divine essence, the serene soul. Enjoy how simple and calming…..relax and be in the moment of which the highest teachings speak, as far back as the Vedas and Upanishads, Buddha and all spiritual traditions have taught. 

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There is no god but God. There are no other gods. Not dreamy woo woo stuff. It just Is. Omnipresent. 

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“This is no world. It is God Himself. In delusion we call it world.” Vivekananda (6:371) “Complete self-surrender is the only way to spiritual illumination. Vivekananda (5:258)

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Acceptance. Enjoy who you already are. 

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Just be. You are That. We forget our true self. This is real. No kids play. 

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We all experience these moments. Being. Just being. Simple as breathing. 

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“ There is no question that breathing is taking place. Can you see that there is no breather to be found anywhere? The body is empty, the breath is empty and you are empty.” 

 

The Upanishads describe that stage as turiya pure consciousness. Turiya is the background that underlies and transcends the three common states of consciousness.

Buddhists call this emptiness. Advaita calls it fullness. The Divine Essence. God. The self that merges into the Absolute beyond, time space and causation Beyond name and form there is nothing else but the Self, Existence-Consciousness-Bliss. And this pure simple breathing out brings it into this very moment.

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from the dharma message of Zen priest and teacher White Lotus Judith Ragir.

click above name to go directly to the website for this  dharma teaching – it will be easier to read. 

 

Exhaling and dissolving.

Here are some quotes from Suzuki Roshi in “Not Always So” (chapter: Calmness of Mind) that emphasize working with the exhale while meditating:

Calmness of mind is beyond the end of your exhalation. If you exhale smoothly, without even trying to exhale, you are entering into the complete perfect calmness of your mind. You do not exist anymore. 

Inhaling without effort you naturally come back to yourself with some color or form. Exhaling, you gradually fade into emptiness – empty, white paper. That is shikantaza. The important point is your exhalation. Instead of trying to feel yourself as you inhale, fade into emptiness as you exhale. 

To take care of the exhalation is very important. To die is more important than trying to be alive. When we always try to be alive, we have trouble. Rather than trying to be alive or active, if we can be calm and die or fade away into emptiness, then naturally we will be all right. Buddha will take care of us. Because we have lost our mother’s bosom, we do not feel like her child anymore. Yet fading away into emptiness can feel like being at our mother’s bosom, and we will feel as though she will take care of us. Moment after moment, do not lose this practice of shikantaza.” 

This is very impressive quote to me. It is in alignment with the fourth Tetrad of the Anapanasati Sutra. The Anapanasati Sutra is composed of sixteen contemplations, which divide rather neatly into four sets of four: The body group, the feelings group, the mind group, and the wisdom group. They are in a “somewhat” developmental order in that mindfulness of the physical movements of the breath is the first emphasis in any concentration practice. The feelings group is ***becoming sensitive to rapture and joy in meditation***and then calming or letting go of rapture. The third group is the mind group – becoming aware of the mind, gladdening the mind, steadying the mind, and liberating the mind. (See “Breath by Breath” by Larry Rosenberg. This is a book Clouds in Water studied several years ago).

The fourth group the wisdom group is very similar to Suzuki Roshi’s quote above.

From a Thich Nhat Hanh translation:

13. I am breathing in and observing the impermanent nature of all dharmas. I am breathing out and observing the impermanent nature of all dharmas. He practices like this.

14. I am breathing in and observing the fading of all dharmas. I am breathing out and observing the fading of all dharmas. She practices like this.

15. I am breathing in and observing liberation (cessation). I am breathing out and observing liberation (cessation). He practices like this.

16. I am breathing in and observing letting go (relinquishment). I am breathing out and observing letting go (relinquishment). She practices like this.

This sutra demonstrates how the breath can take you all the way to the deepest realizations. The breath often is used as the first object of concentration. But it also can practiced as a complete teaching which leads to insight.

In Larry Rosenberg’s book, he writes about Buddhadasa’s approach to breath practice and its use for going all the way to realization. He writes:

“ When we got to the thirteenth contemplation – which concerns impermanence, this is where real vipassana begins – he said that Anapanasati was one of the simplest and most effective means for realizing emptiness.” 

Buddhadasa said: “There is no question that breathing is taking place. Can you see that there is no breather to be found anywhere? The body is empty, the breath is empty and you are empty.” 

Perhaps this is where Zen and Vipassana meet. Where the Mahayana and the Theravada come to the same conclusion.

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.http://www.judithragir.org/2014/01/exhaling-and-dissolving/

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Give to Those in Need – RSDSA


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Donate to RSDSA for Pain Research

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REFLEX SYMPATHETIC DYSTROPHY SYNDROME ASSOCIATION

for decades has funded research into all causes of pain.

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RSD Syndrome Association is a vibrant, nonprofit organization that has been raising awareness of pain and of Complex Regional Pain Syndrome since 1984 and helping those who suffer from this worst of all neuropathic burning pain.

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They are an amazing organization that has been bringing together leading scientists, funding research and reaching out to people with pain in order to develop new ideas, new connections, new therapies.

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Please give to them. They do a lot.

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They help so many children and adults. 

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

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Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

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For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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