At this point, the only communicable disease we know of that is more transmissible than the novel coronavirus is measles. This is why our concierge doctors were concerned about a recent report from the Centers for Disease Control and Prevention (CDC) that warned of a potential measles outbreak among children.
Our concierge doctors have said previously that COVID-19 affects all ages, including young children. But the highest death toll has been among older people, from ages 60-65 and up. In the U.S., 80 percent of deaths from this pandemic have occurred in adults age 65 and older.
Our concierge doctors thought this would be a good time to tell you about viruses in general, especially the novel coronavirus known as SARS-CoV-2, aka COVID-19. SARS-CoV-2 is the name of the virus; COVID-19 is the disease it produces. This nomenclature is similar to the human immunodeficiency virus (HIV) and its resulting disease, acquired immune deficiency syndrome (AIDS).
So much has happened in the last few weeks. Finally, though, it seems as though we can see a faint light at the end of the tunnel. There is so much conflicting data on how to move forward that we thought we would try to help you parse through it.
As I’m sure you have noticed, there has been noticeably less talk about hydroxychloroquine. Unfortunately, some recent studies have shown no positive effect with its use, and possibly increased risk. It’s too early to say since there are larger ongoing studies, but for now hydroxychloroquine doesn’t seem to be recommended for treatment of Covid.
There has been exciting news from Gilead in regards to their drug Remdesivir. Their most recent studies showed significant improvement in a vast majority of critically ill patients. That’s one to definitely keep an eye on and may be one to help us come out of this crisis.
There are recommendations that have not changed, and, frankly, ones that should continue indefinitely. Those include staying active, exercising, eating well, sleeping well and avoiding excessive alcohol use. Although we would discourage outdoor activities at peak sun exposure (10-2), we would strongly encourage you to go outside for walks, bike rides, etc. This helps build Vit D levels which are helpful for your immunity, improves physical fitness which has shown to correlate with improved Covid survival, and can have a significant positive impact on your mental health.
There is a lot of confusion about testing and test results. And, to be honest, the picture is not clear. Rapid Immunoglobulin testing has gained significant traction. Several of you have already had the test. While the accuracy of the testing nationwide is under investigation, we still have to make certain assumptions based on the information we have. If you have a positive IgM it suggests that you have had a recent exposure to Covid. IgG antibodies develop later following infection, and generally do not begin to appear until 7 – 10 days after infection. When IgG antibodies are present it often indicates a past infection but does not exclude recently infected patients who are still contagious, especially if detected with IgM antibodies. It is unknown how long IgM or IgG antibodies to SARS-CoV-2 will remain present in the body after infection and if they confer long term immunity. Therefore, we suggest, if you are positive for IgM (with or without IgG) that you follow strict isolation guidelines for 2 weeks assuming you can be contagious. If you are positive for IgG only, then hopefully congratulations is in order. We do not suggest letting your guard down and encourage you to follow statewide mandates. However, there is a good chance you have some degree of immunity which could have implications going forward. There are several options for testing for active Covid infections. If you have symptoms that are concerning please call (561) 642-1000 to schedule a test at FITTEAM ballpark of the palm beaches. Another option, while a little pricey, is a home test provided by Access labs in Jupiter. If interested please go to https://accessmedlab.com/covid19.
Some of you who have tested positive have generously volunteered to donate plasma. While the protocol is not exactly clear, we have been made aware that Oneblood is taking plasma donations at their center in Pompano. If interested, please check their web site at Oneblood.org.
We are very thankful to you, our wonderful patients, for your patience and understanding during these difficult times. Although we are encouraging you to stay away from the office to avoid unnecessary exposure, we are still available and ready to take care of any issues, Covid related or not. We look forward to seeing you face to face in the near future when things settle down.
Sincerely,
Morgan and Amir
As our concierge doctors have mentioned in the past, data on the new coronavirus is continually evolving as we gain more experience with it. One of these areas is in the use of face masks or face coverings for the general public.
Fake “cures” and bad advice are flying around the Internet at warp speed. Our concierge doctors understand the need to think that something can help. The virus is spreading rapidly, we don’t yet have widespread testing, and there is no vaccine available.
Our VIP concierge doctors at MD 2.0 in Jupiter have seen the results of this year’s flu outbreak, and it’s especially difficult because so many of those affected are children. The Centers for Disease Control and Prevention (CDC) reports that, so far this year, there have been twice as many pediatric flu deaths than at the same time last year. This year, 54 children have died; at the same point in the 2018-19 flu season, 16 children had died.
High blood pressure (hypertension) can be deadly. In addition to spawning myriad health problems including heart attacks and strokes, other illnesses associated with hypertension can include kidney disease, blindness, and dementia. Unfortunately, it rarely produces detectable symptoms in sufferers until it has done serious damage.
Our concierge doctors at MD 2.0 can help if you contract a severe cold or the flu, but we also know that the best way to fight these unpleasant—and sometimes deadly—infections are to head them off before they strike.
As we’ve mentioned on numerous occasions, you can’t ignore your heart health throughout your life, then pop a pill and expect everything to be fine. Our concierge doctors in Jupiter regularly dispense the same proven recommendations for keeping your heart—and the rest of your body—in tip-top shape:
