Covid-19 Update Aggie Physician

1,389,923 Views | 3660 Replies | Last: 3 yr ago by tamc91
lunchbox
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DadHammer said:

Lunchbox

Have you changed your caffeine intake?


I thought about that. I don't think so but I was going to cut back there also.
AggieBiker
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DadHammer said:

I don't think masks will be needed in September. The hard hit countries are already seeing big time declines in cases and deaths. Another month and it will be very low.

Plus people will,pass out all,over the place wearing masks.
Here's a surprising fact, wearing a cloth or surgical mask in high heat does not make people pass out all over the place. If that were true, the streets of Asian countries would be strewn with bodies on the ground all summer. And they are not. Neither do lawn maintenance guys who wear long sleeves, pants and a cloth mask or filter for multiple hours of hot work every day of the summer pass out all over the place. It's a mental thing that people can get over if they desire or if it was a necessity.
3rd Generation Ag
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Why would people pass out wearig masks? I am wearing one now every time I leave my apartment. Not close to passing out. I do find I have to breath more through my mouth, but other than that, no problems. My nose tends to get stuffy (constant allergy person) if I am wearing the mask, so I just breath differently.
CowboyGirl
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Ag210 said:

I believe they masked the hole between the two cages, not the hamsters themselves. Although that would be interesting...
I was wondering how they got little tiny hamster masks. But in my mind as I pictured it, it was really cute!
Dawg6
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87 year old MIL is at the Parc at Traditions. Yesterday they announced 45 new cases. Fortunately, she tested negative. Spousal unit and I are trying to decide to get her out of there. Based on the numbers they provided, 23% tested positive (and most being asymptotic). Thoughts from the medical professionals would be appreciated.
3rd Generation Ag
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Not a doctor, but this is a really upscale place. Much like where I live for the independent level. That is all that is here, not assisted and not skilled nursing/memory. They have stopped all communal events, but we still can get out. Not in lockdown. But it is still super lonely. I am sure that the residents there are hating being confined to just their apartment.

I am responding because I took care of my dad for the last 12 years of his life. I would make the same decision again. After seeing how mom was treated (not abused and no way we could keep her at home but more like a commodity than a person) Dad was adamant about wanting to take his last breath in his own house. If you bring her home, it is a committment. Dad was not in any need except old age when I moved in, but we had to deal with a brain stem stroke, a number of other scares after than, then a final trip with hospice, but in home, for geriatric leukemia when he was too old and weak to even think about fighting it. So moving her home is a great short term option but be sure you are in it for the long haul. Or be sure she can go back. Dad was not one to want to interact except with family, but that social interaction is big for many of the elderly.

We have one amazing 92 year old resident. She survived being a child during WWII in Europe. In a rural village in Hungary. Married a GI, came to this country and never looked back.. Took care of him for ten years or so when he was bed bound and lost him about a year ago. Now she is not afraid of the virus. Takes sensible steps, but still walks every day and refuses to be a shut in. I have to think that it would kill her if we went into full lockdown. She thrives on the social interaction.

How self sufficient is the MIL. That should be a factor. And when this is over, will the place take her back or is this a till the end times decision?
DadHammer
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I don't know, there are lots of older people in the stands. Not yard mowers used to working in The heat.

No yard guys on my street wear masks.
coloradoag69
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I'm sure this has beaten to death, but there seems to be widespread thoughts expressed on this website and in general that those that the number infected by COVID 19 are largely older people.

The data for Colorado has consistently shown that except for those under 10, the percentage of those testing positive for COVID-19 is within two or three percent of the age group in the population of Colorado. The data was available for age brackets broken into 10 years age groups. In Colorado, you still have to have some indication of infection to be tested, so that data doesn't reflect those how are asymptomatic and probably aren't tested. Data from all sources indicate that the asymptomatic folks tend to be younger.

My point is that Colorado data is that getting COVID-19 is apparently not dependent on your age. Beyond the very young, COVID-19 is an equal opportunity infector.

What the data says is true is that the effects of being infected get drastically more serious with age. I don't think anyone disagrees about that. However, that doesn't mean people of all age groups can't get seriously ill or even die. Moreover, there have been indications that long term effects can exist in all the organs, not just the lungs.

I want and expect College Football to be played in the coming season as long as it can be done with high safety for the players and staff. But baring a vaccine or a cure being available in the next five months, I haven't got a clue how anyone can expect to be a part of 100,000 folks for four or five hours without expecting to having a high risk of exposure to the virus. At that point, those infected folks will potentially spread the virus to all they come in contact with whether they ever become seriously ill or not.
Old RV Ag
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AggieAuditor said:

Stay home then. It guarantees your safety. Others are willing to take the risk.
Uncalled for. His post was very discussion oriented.
eric76
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Reveille said:

FrioAg 00 said:

I have consistently taken them since you recommended Doc.

Obviously no way to know for sure but it could have played a role in why I never got symptomatic when I had this thing. So a huge THANK YOU for the advice.
I am so glad it work for you! I hope we are all has fortunate to have our immune systems strong enough to fight it off when we are exposed. There is a study being done with Quercetin and Zinc used as a prophylaxis.
That that I've recovered, I've switched from taking Quercetin and Zinc every day to only taking them after I've had any interaction with other people.

If I remember correctly, there are some issues with taking zinc every day over a long period of time so I prefer to take it only when necessary. Prior to this, the only times I took zinc was when I had a common cold so that it could help fight the rhinoviruses.
DadHammer
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You are probably going to get exposed to the virus at some point. Vaccines are a long ways off if they can even make one. That's why I take the suggested regimen by the doc.

I don't think anyone is saying the younger don't get infected, what their saying is that it is mostly harmless in The young, Yes a tiny tiny percentage have issue but heck the flue and lots of other diseases are comparable with the under 60 crowd so it's not a new type of threat. It's the same as they face every day. Heck more people are going to die from the lock downs by far over anything covid could do. Thousands of people are skipping checkups, treatments, and all kinds of preventive screenings due to this over blown now political lockdown.
DadHammer
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AggieBiker said:

3rd Generation Ag said:

Even with age there are outliers.

And for those it is terrible. Even with survival. And the costs of weeks in the hospital will either ruin the person or the hospital financially.
But you don't live life assuming you are the negative outlier, you live life for what you have today because tomorrow is never promised.

Hospital cost is primarily born by insurance or the government not the patient or the hospital. And the actual cost of hospitalization for Covid patients overall has been lower than the actuaries forecast. Couple that with significantly reduced non-Covid medical costs and insurance companies are having great financial year. Cheer up, everything is not so bad.

Good post!
Waiting on a Natty
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I had never worn a mask like this until this stuff started. I really do not like wearing them. If it is mandatory to wear them at all times, then I don't think I will do it for the September games. I would feel OK going without a mask, but my neighbors who sit around us might be uncomfortable if I did
not have one on. I am not going to be rebellious and make my season ticket friends uncomfortable.
FlyRod
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If people are skipping checkups, they might want to call their doctors' offices and ask about safety procedures. I've had three in person visits since the pandemic started: two with my PPO, one with a dermatologist. Both offices followed very strict safety protocolsall staff in masks, masks required of visitors, waiting rooms closed and alternate arrangements made, distancing enforces, lots of sanitation. Did not feel unsafe at all. But of course such practices likely vary by clinic.

Have been getting frequent emails from dentist office about how they are figuring out how to reopen safely soon.
Strat
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Question for the Docs or anyone else who is knowledgeable. There have been some recent articles that Houston and Dallas may be the next hot spots. I'm skeptical, but assuming this is true, when do hospitals normally have issues? Is it PPE, ventilators, ICU beds, staff issues?

TMC for the Houston area has a great website with hospitalization charts. How easily can hospitals go into their surge capacity for ICU beds, etc before they are at risk of being overwhelmed? How does Houston area look right now based on these charts in the link?

https://www.tmc.edu/coronavirus-updates/tmc-icu-bed-capacity-modeling/

3rd Generation Ag
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Alabama actually seems to be the hot spot right now.
Rachel 98
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What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
Strat
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Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
BiochemAg97
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Strat said:

Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
Cell phone mobility is only part of the picture. People being out and about not locked in their homes does increase risk somewhat. But we haven't returned to what we did in Jan. People are still trying to maintain 6 ft separation and taking other precautions. All those things still reduce R. And we really have no model for mobile but socially distanced, except maybe modeling based on Sweden.

And Sweden data doesn't accurately model the population densities we have in Dallas and Houston.

As for the chart on ICU usage previously posted, 13% were COVID, 18% empty. Right there, COVID would need to more than double. Most of the ICU usage is for non COVID, at least some being from "elective" procedures. Could reduce procedures again as COVID cases increase. Not sure how quick they can switch on the surge capacity, but I would say within the time frame of the disease growth.
BiochemAg97
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Strat said:

Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
Also that article is all over the place on the data they are using to say things are bad. For example: "But the number of daily active cases is still rising in some parts of the state. Dallas and nearby Tarrant County, home to Fort Worth, each had its highest single-day death toll Tuesday. Dallas and nearby Tarrant County, home to Fort Worth, each had its highest single-day death toll Tuesday."

Death is a tailing indicator as people tend to die about 2-3 weeks after infection. Why did the author report the death number and not the daily new case number like they were just talking about? Could it be that Dallas is in a downward trend in new cases and that doesn't match the doom and gloom that author was trying to achieve.
ttuhscaggie
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Inpatient Covid census numbers for TMC have remained relatively stable thus far.
Reveille
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Today's Update!

https://www.facebook.com/Dr-Louis-P-Coates-1998386763777604/
cc_ag92
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BiochemAg97 said:

Strat said:

Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
Cell phone mobility is only part of the picture. People being out and about not locked in their homes does increase risk somewhat. But we haven't returned to what we did in Jan. People are still trying to maintain 6 ft separation and taking other precautions. All those things still reduce R. And we really have no model for mobile but socially distanced, except maybe modeling based on Sweden.

And Sweden data doesn't accurately model the population densities we have in Dallas and Houston.

As for the chart on ICU usage previously posted, 13% were COVID, 18% empty. Right there, COVID would need to more than double. Most of the ICU usage is for non COVID, at least some being from "elective" procedures. Could reduce procedures again as COVID cases increase. Not sure how quick they can switch on the surge capacity, but I would say within the time frame of the disease growth.
What makes you say that? I'm in Collin County and have experienced the opposite when I go out. I'm one of the few people wearing a mask in many places and many people have no interest in maintaining distance. I worked at two different schools last week and attended a graduation "social distancing" parade. I was hugged by multiple people without warning. I'm not a huge hugger even pre-Covid, so that was fun. It honestly felt like some people were going out of their way to prove they weren't "scared."

Our daughter graduates outside in two weeks. After what we've seen in our community in the past week, we have little faith in others to take precautions and aren't sure about attending. She wasn't a huge fan of high school in the first place, so we aren't worried about her missing out on a big moment.
BiochemAg97
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cc_ag92 said:

BiochemAg97 said:

Strat said:

Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
Cell phone mobility is only part of the picture. People being out and about not locked in their homes does increase risk somewhat. But we haven't returned to what we did in Jan. People are still trying to maintain 6 ft separation and taking other precautions. All those things still reduce R. And we really have no model for mobile but socially distanced, except maybe modeling based on Sweden.

And Sweden data doesn't accurately model the population densities we have in Dallas and Houston.

As for the chart on ICU usage previously posted, 13% were COVID, 18% empty. Right there, COVID would need to more than double. Most of the ICU usage is for non COVID, at least some being from "elective" procedures. Could reduce procedures again as COVID cases increase. Not sure how quick they can switch on the surge capacity, but I would say within the time frame of the disease growth.
What makes you say that? I'm in Collin County and have experienced the opposite when I go out. I'm one of the few people wearing a mask in many places and many people have no interest in maintaining distance. I worked at two different schools last week and attended a graduation "social distancing" parade. I was hugged by multiple people without warning. I'm not a huge hugger even pre-Covid, so that was fun. It honestly felt like some people were going out of their way to prove they weren't "scared."

Our daughter graduates outside in two weeks. After what we've seen in our community in the past week, we have little faith in others to take precautions and aren't sure about attending. She wasn't a huge fan of high school in the first place, so we aren't worried about her missing out on a big moment.
Clearly not everyone which is why I said "people" and not "everyone", and not all the time, thus "trying". I think people are also pretty bad at judging 6ft apart. But stores are still encouraging social distancing in lines at check out and other places.

PreCOVID, would you have had more hugs, about the same, or less?

Do you think people are back to what PreCOVID was, or something between lockdown and PreCOVID?

It also isn't a thing that has to be 100% or it won't work. The goal is to slow the spread to keep about R=1 or below. That is a long way from perfect. If we were perfect at social distancing 100% of the time, we would be close to R=0.
cc_ag92
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BiochemAg97 said:

cc_ag92 said:

BiochemAg97 said:

Strat said:

Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
Cell phone mobility is only part of the picture. People being out and about not locked in their homes does increase risk somewhat. But we haven't returned to what we did in Jan. People are still trying to maintain 6 ft separation and taking other precautions. All those things still reduce R. And we really have no model for mobile but socially distanced, except maybe modeling based on Sweden.

And Sweden data doesn't accurately model the population densities we have in Dallas and Houston.

As for the chart on ICU usage previously posted, 13% were COVID, 18% empty. Right there, COVID would need to more than double. Most of the ICU usage is for non COVID, at least some being from "elective" procedures. Could reduce procedures again as COVID cases increase. Not sure how quick they can switch on the surge capacity, but I would say within the time frame of the disease growth.
What makes you say that? I'm in Collin County and have experienced the opposite when I go out. I'm one of the few people wearing a mask in many places and many people have no interest in maintaining distance. I worked at two different schools last week and attended a graduation "social distancing" parade. I was hugged by multiple people without warning. I'm not a huge hugger even pre-Covid, so that was fun. It honestly felt like some people were going out of their way to prove they weren't "scared."

Our daughter graduates outside in two weeks. After what we've seen in our community in the past week, we have little faith in others to take precautions and aren't sure about attending. She wasn't a huge fan of high school in the first place, so we aren't worried about her missing out on a big moment.
Clearly not everyone which is why I said "people" and not "everyone", and not all the time, thus "trying". I think people are also pretty bad at judging 6ft apart. But stores are still encouraging social distancing in lines at check out and other places.

PreCOVID, would you have had more hugs, about the same, or less?

Do you think people are back to what PreCOVID was, or something between lockdown and PreCOVID?

It also isn't a thing that has to be 100% or it won't work. The goal is to slow the spread to keep about R=1 or below. That is a long way from perfect. If we were perfect at social distancing 100% of the time, we would be close to R=0.
Fair enough- I wasn't trying to debate, honestly, just trying to understand your perspective.

There were definitely more hugs. I don't think any of the people who bear-hugged me would have done so before. It was a WEIRD experience for me.

I think there is some in between. I also think there are quite a few people in my community going overboard trying to prove that there is nothing to be cautious about. Like I said, very weird experience.

Do you feel comfortable offering your opinion on this question? After events like that, should I completely avoid seeing my 70+ year old parents? If so, for how long? One of them is obese and borderline diabetic. Both of them are on HBP meds. Previously, we've visited with them once a week in their backyard and kept a distance. They're the reason I want to socially distance from others.
BiochemAg97
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cc_ag92 said:

BiochemAg97 said:

cc_ag92 said:

BiochemAg97 said:

Strat said:

Rachel 98 said:

What was the reasoning in the articles behind thinking that Dallas/Houston would be the next hot spots?
https://www.washingtonpost.com/health/coronavirus-hot-spots-erupt-across-the-country-experts-warn-of-possible-outbreaks-in-south/2020/05/20/49bc6d10-9ab4-11ea-a282-386f56d579e6_story.html

Research team that tracked cell phone data and social mobility. I'm skeptical of the research but it made me wonder how our hospital capacity is currently positioned in Houston and DFW in case we do get a second wave even if it is minor.
Cell phone mobility is only part of the picture. People being out and about not locked in their homes does increase risk somewhat. But we haven't returned to what we did in Jan. People are still trying to maintain 6 ft separation and taking other precautions. All those things still reduce R. And we really have no model for mobile but socially distanced, except maybe modeling based on Sweden.

And Sweden data doesn't accurately model the population densities we have in Dallas and Houston.

As for the chart on ICU usage previously posted, 13% were COVID, 18% empty. Right there, COVID would need to more than double. Most of the ICU usage is for non COVID, at least some being from "elective" procedures. Could reduce procedures again as COVID cases increase. Not sure how quick they can switch on the surge capacity, but I would say within the time frame of the disease growth.
What makes you say that? I'm in Collin County and have experienced the opposite when I go out. I'm one of the few people wearing a mask in many places and many people have no interest in maintaining distance. I worked at two different schools last week and attended a graduation "social distancing" parade. I was hugged by multiple people without warning. I'm not a huge hugger even pre-Covid, so that was fun. It honestly felt like some people were going out of their way to prove they weren't "scared."

Our daughter graduates outside in two weeks. After what we've seen in our community in the past week, we have little faith in others to take precautions and aren't sure about attending. She wasn't a huge fan of high school in the first place, so we aren't worried about her missing out on a big moment.
Clearly not everyone which is why I said "people" and not "everyone", and not all the time, thus "trying". I think people are also pretty bad at judging 6ft apart. But stores are still encouraging social distancing in lines at check out and other places.

PreCOVID, would you have had more hugs, about the same, or less?

Do you think people are back to what PreCOVID was, or something between lockdown and PreCOVID?

It also isn't a thing that has to be 100% or it won't work. The goal is to slow the spread to keep about R=1 or below. That is a long way from perfect. If we were perfect at social distancing 100% of the time, we would be close to R=0.
Fair enough- I wasn't trying to debate, honestly, just trying to understand your perspective.

There were definitely more hugs. I don't think any of the people who bear-hugged me would have done so before. It was a WEIRD experience for me.

I think there is some in between. I also think there are quite a few people in my community going overboard trying to prove that there is nothing to be cautious about. Like I said, very weird experience.

Do you feel comfortable offering your opinion on this question? After events like that, should I completely avoid seeing my 70+ year old parents? If so, for how long? One of them is obese and borderline diabetic. Both of them are on HBP meds. Previously, we've visited with them once a week in their backyard and kept a distance. They're the reason I want to socially distance from others.
My parents are in a similar situation, although maybe slightly higher risk profile, so I completely get your concern.

The general recommendation for known exposure is to self isolate for 14 days assuming your don't develop symptoms.

The odds are good that no one who hugged you was infectious, given the rate of active cases per 100,000 in the area. Also I f you can keep distance in the backyard (especially during the day with the sun), the chance of spreading to your parents is pretty low, especially if you sit down wind so any virus you may have is blown away from your parents, But pretty low may not be good enough for your comfort level.

At the end of the day, it is a matter of balancing your risk, and I would suggest having a conversation with your parents about it. 14 day isolation would basically miss 2 weekly in-person visits with your parents. How much social interaction do they get without you? How important are those two visits to their well-being? Would a video conference or a phone call be good enough?
cc_ag92
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Thank you for your thoughtful reply. It helps. I'm trying to weigh information from reputable sources heavily, but the information overload is real, so it helps to hear from people who actually understand what they're discussing.
3rd Generation Ag
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cc_ag92 said:

Thank you for your thoughtful reply. It helps. I'm trying to weigh information from reputable sources heavily, but the information overload is real, so it helps to hear from people who actually understand what they're discussing.
I appreciate his reply also. Here is Arlington the one time (and I am the risk group of your parents) I got out was a near emergency. I had to take my dog to get toenails trimmed. They were starting to grow into her pads and my dog has to have them ground they are so tough. So I had an appointment at petsmart and it was to me crowded. The people wearing masks WERE keeping social distance but 60 percent or so of the people in the store were family groups with no masks, crowding by those of us in line to check in pets, and touching just about anything they wanted to touch. So now I am mentally counting 14 days from that venture before I can geel safe. Plus next time I will have to wait even longer since I know I will have to have an at opening time appointment to have any hope of it not being crowded.
MadDog73
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I would like an opinion on getting a full service car wash in B/CS. How likely is it that I could pick up the virus from contact surfaces? What can I do to eliminate risk? Thanks.
maroonbeansnrice
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MadDog73 said:

I would like an opinion on getting a full service car wash in B/CS. How likely is it that I could pick up the virus from contact surfaces? What can I do to eliminate risk? Thanks.
Is this a joke? Define "full service."
“It ain’t like it used to be.”
-Jimbo Fisher
Reveille
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MadDog73 said:

I would like an opinion on getting a full service car wash in B/CS. How likely is it that I could pick up the virus from contact surfaces? What can I do to eliminate risk? Thanks.
Not likely at all. The virus is rarely spread through contact of surfaces. The CDC finally revised this the other day.

https://www.livescience.com/cdc-coronavirus-surfaces-update.html
Jackal99
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Doc, to follow up on that, how necessary is it to wipe down surfaces? We rarely leave the house for more than a neighborhood walk or grocery store curbside pickup. We have no visitors inside the house. We've been wiping down countertops, light switches, door knobs, etc, fairly regularly. Should we keep doing that to be safe, or is there not much need for that? Not sure my wife will want to stop either way, but I figured it wouldn't hurt to ask.
AggieAuditor
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If you have no visitors and you rarely leave, why would you need to wipe down all of those surfaces constantly (even before the CDC revised it's guidance on surfaces)?
Reveille
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Jackal99 said:

Doc, to follow up on that, how necessary is it to wipe down surfaces? We rarely leave the house for more than a neighborhood walk or grocery store curbside pickup. We have no visitors inside the house. We've been wiping down countertops, light switches, door knobs, etc, fairly regularly. Should we keep doing that to be safe, or is there not much need for that? Not sure my wife will want to stop either way, but I figured it wouldn't hurt to ask.


No you shouldn't have to continually do this!
Jackal99
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Edit: Wrong Emoji.

Well, it's something that we started doing before we both started working at home (we both work in hospitals), and it's become so routine that we've kept it up. But now that we are both working at home, I was thinking it may not be as necessary.

Thanks, Doc!
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