THE SURGE IN ARIZONA CONTINUES AS IT DOES IN ALL OF THE FOUR CORNER STATES. OUR REGION IS SEEING AN ONGOING, PERSISTING SURGE.
OTHER STATES HAVE DROPPED BELOW SURGE LEVELS (CALIFORNIA/TEXAS) …. WE HAVE NOT. PLEASE REMAIN VIGILANT UNTIL WE ARE BELOW SURGE LEVELS.
WHEN WE ARE SURGING, WE REMAIN AT HIGHER RISK AND MASKING IS STILL BENEFICIAL. VACCINES AND BOOSTERS ARE THE BEST ANSWER.
1. WEAR YOUR MASK IN BUSY PUBLIC SPACES KN95 OR N95. CLOTH MASKS ARE OF LIMITED VALUE.
2. GET YOUR BOOSTER!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
PFIZER BOOSTER, MODERNA BOOSTER, AND J & J BOOSTER RECOMMENDED & APPROVED FOR ALL OVER 65 + THOSE IN HIGH EXPOSURE PROFESSIONS (HEALTH CARE/TEACHING) + IMMUNE SUPPRESSED.
MIXING AND MATCHING VACCINES IS FINE. TRY TO STICK WITH YOUR VACCINE IF YOU CAN, BUT IT’S FINE TO MIX AND MATCH (THERE MAY BE A BENEFIT…BUT THE DATA IS LIMITED).
BOOSTER FOR THE J & J…. I RECOMMEND MODERNA OR PFIZER….DO NOT RECOMMEND REPEAT J & J…NOT AS GOOD.
GET YOUR BOOSTER SHOT. (ONLY EXCEPTION IS FOR THOSE WHO HAVE HAD BOTH COVID INFECTION + 2 VACCINES…THEY DO NOT NEED A BOOSTER)
WALK IN APPOINTMENTS ARE BECOMING LESS COMMON…. SET UP ‘ONLINE’ WITH THE PHARMACIES (LINKS ARE BELOW).
(WANING IMMUNITY OCCURS WITH THE CURRENT VACCINES AND A BOOSTER IS REQUIRED FOR MAXIMUM PROTECTION SO THAT YOU CAN BE ACTIVE IN PUBLIC WITH MAXIMUM CONFIDENCE.)
3. CHOOSE YOUR EXPOSURES WISELY AT THIS POINT. A-OK TO GO OUT IF VACCINATED BUT BE SELECTIVE AND SMART UNTIL THE SURGE IS OVER.
ONCE SURGE IS OVER, PUBLIC ACTIVITIES SHOULD RESUME AT NORMAL, PRE-COVID LEVELS. IF YOU ARE VACCINATED AND BOOSTED YOU SHOULD LIVE LIFE AS NORMAL, UNLESS YOU ARE AT HIGHEST RISK DUE TO IMMUNE SUPPRESSION.
4. GET A COVID SELF- TEST KIT NOW.... TO HAVE AVAILABLE FOR SELF-CHECK SHOULD YOU HAVE SYMPTOMS THAT SUGGEST COVID. SELF TEST KITS ARE IN SHORT SUPPLY, SO GET YOURS NOW...AND IF YOU CANNOT FIND ONE...KEEP LOOKING. YOU WILL BE GLAD YOU DID.
5. DO NOT CALL US FOR SHOTS...... WE DO NOT HAVE BOOSTER SHOTS.... PHARMACIES WILL BE GIVING OUT BOOSTER SHOTS.... SEE LIST BELOW.
YOU CAN TRY A ‘WALK IN’ APPOINTMENT AND SEE IF THEY ARE AVAILABLE.
GENERAL COVID STATUS
SCOTTSDALE/PHOENIX/ARIZONA:
WE ARE SURGING.
CASES ARE AT A HIGH LEVEL AND NOT QUITTING…. THIS IS DISAPPOINTING NEWS. COVID EXPOSURE IS STILL HIGHER THAN DESIRABLE WHEN YOU GO OUT….
BEHAVIOR IN PUBLIC IF YOU ARE VACCINATED:
NOW IS THE TIME TO GET OUT YOUR GOOD MASK AND WEAR IT. ASSESS YOUR SITUATION AND CHOOSE TO WEAR A MASK ACCORDING TO YOUR ASSESSMENT OF THE RISKS INVOLVED.
I RECOMMEND YOU USE YOUR BEST MASK…. N95 OF KN95. THIS WILL MAKE A BIG DIFFERENCE. CLOTH MASKS…LESS SO.
YOU WILL GET MILDLY SICK IF YOU ARE VACCINATED AND GET THE COVID, BUT IF YOU DON’T WANT TO DEAL WITH COVID…. START WITH YOUR MASK AGAIN IN PUBLIC SPACES.
MASKING RECOMMENDATIONS:
I RECOMMEND MASKING IN BUSY PUBLIC SPACES SO YOU DON’T HAVE TO DEAL WITH EVEN A MILD COVID COLD.
IF YOU ARE OVER 85 OR HAVE SIGNIFICANT HEALTH ISSUES/KNOWN REDUCED IMMUNITY, THEN MASKING IS A MUST. FOR SUCH PEOPLE I RECOMMEND A KN95 OR 95 MASK TO ACHIEVE THE DESIRED PROTECTION. REGULAR MASKS WILL NOT BE PARTICULARLY HELPFUL.
PERSONAL INTERACTIONS IF YOU HAVE NOT HAD A BOOSTER:
IMMUNITY IS WANING. YOU MUST BOOST. IF YOU HAVE NOT BOOSTED AND IT IS 5+ MONTHS SINCE YOUR VACCINATION SERIES, YOU ARE INCREASING YOUR RISK WEEK BY WEEK UNTIL YOU ARE BOOSTED.
PERSONAL INTERACTIONS AFTER YOU BOOST:
BOOSTING IS ESSENTIAL. ONE WEEK AFTER BOOST YOU ARE AT NEARLY 10X THE ANTIBODY LEVELS. WE HAVE SEEN PEOPLE GO FROM UNMEASURABLE ANTIBODIES TO 20+ (MAXIMUM) ANTIBODIES FROM THE BOOSTER.
ONCE YOU ARE BOOSTED YOUR RISKS FOR SERIOUS COVID INFECTION ARE DRAMATICALLY DECREASED AND WE ARE ANTICIPATING 6-12MONTHS+ OF PERSISTING ANTIBODY RESPONSE FROM THE BOOSTER SHOT.
ONLY TIME WILL TELL US WHAT ACTUALLY OCCURS, BUT THIS IS OUR CURRENT EXPECTATION.
PERSONAL INTERACTIONS IF YOU HAVE NOT HAD ANY COVID VACCINATION:
YOUR RISK FOR COVID IS HIGH. YOU ARE BEING FOOLISH AND TAKING CHANCES WITH YOUR HEALTH AND THE HEALTH OF THOSE YOU LOVE.
YOU WILL GET COVID…. WE SEE PEOPLE EVERY WEEK GET COVID AFTER BEING ‘LUCKY’ FOR 18 MONTHS. THIS THINKING IS FOOLISH AND WILL LEAD TO UNNECESSARY HARDSHIP, HOSPITALIZATION, AND POTENTIAL LONG-TERM HEALTH CONSEQUENCES FOR YOU. DO NOT BE ONE OF THE PEOPLE THAT ‘WISHES’ YOU GOT YOUR SHOT. WE ARE STILL SEEING THIS HAPPEN…AND IT’S SAD.
FOLLOW ALL MASKING AND DISTANCING PROTOCOLS 100%. REDUCING RISK IS NOT THE SAME AS ELIMINATING RISK. THOSE AT THE HIGHEST RISK WHO ARE UNVACCINATED SHOULD NOT BE TAKING ANY CHANCES, PERIOD!
BOOSTER SHOTS:
PFIZER, MODERNA, AND J & J BOOSTER SHOTS ARE APPROVED FOR THOSE WITH REDUCED IMMUNE SYSTEMS AND OVER 65 AND HIGH EXPOSURE PROFESSIONS.
BOOSTER SHOTS PER CDC GUIDELINES:
- People 65 years and older and residents in long-term care settings should receive a booster shot 6 months after their primary series.
- People aged 18-64 years who are at increased risk for COVID-19 exposure and transmission because of occupational or institutional setting may receive a booster shot of COVID-19 vaccine at least 6 months after their primary series, based on their individual benefits and risks
VACCINATION RATES ARIZONA:
53% (+0%) ARE FULLY VACCINATED.
61% (+0%) PARTIALLY VACCINATED.
NEW VACCINATIONS ARE NEARLY AT A STANDSTILL.
DELTA VARIANT (INDIA VARIANT)
IS 99% OF CURRENT INFECTIONS IN THE USA.
ALL PATIENTS WHO HAVE RESPIRATORY SYMPTOMS SHOULD COVID SELF TEST FIRST, BEFORE THEY ARE IN CONTACT OR PLAN TO COME INTO OUR OFFICE.
IF YOU HAVE A POSITIVE COVID RESULT YOU SHOULD NOT COME INTO OUR OFFICE, BUT PLEASE NOTIFY US.
WHAT IF I GET COVID DESPITE BEING VACCINATED?
IF YOU ARE VACCINATED AND YOU GET COVID IT WILL ALMOST CERTAINLY BE A MILD ILLNESS.
I HAVE LABELED THIS A ‘COVID COLD’
THE RISK FOR SERIOUS ILLNESS IS VERY REMOTE…BUT BE IN TOUCH FOR FURTHER INSTRUCTIONS.
NEW TREATMENT OPTIONS EXIST INCLUDING:
STEROID INHALERS
FLUVOXAMINE (AN ANTI DEPRESSANT RECENTLY SHOWN TO REDUCE COVID INFECTION SEVERITY & HOSPITALIZATION.)
THERE IS NO WORRY IN THIS SITUATION. CONSIDER THIS VERY MUCH LIKE YOU WOULD FLU EXPOSURE DURING WINTER FLU SEASON…. BE ATTENTIVE, BUT NOT WORRIED.
AND PLEASE WAIT 10 DAYS FROM BEGINNING OF SYMPTOMS TO BE AROUND OTHERS.
TESTING FOR COVID IN PATIENTS WHO ARE VACCINATED IS NECESSARY WITH ANY SIGNIFICANT RESPIRATORY SYMPTOMS.
HOW DO I GET TESTED FOR POSSIBLE ACTIVE COVID INFECTION?
TESTING CAN BE DONE AT LOCATIONS THROUGHOUT THE CITY OR BY A SELF-TEST FROM YOUR LOCAL PHARMACY.
YOU MAY PURCHASE A HOME TEST KIT FROM AMAZON OR YOU CAN GET SIMILAR KITS AT WALGREENS OR CVS OR YOUR LOCAL PHARMACY.
I THINK IT WOULD BE A GOOD IDEA TO HAVE A HOME KIT FOR SELF-TESTING AT HOME. IT IS LIKELY YOU WILL USE IT BY THE END OF WINTER.
RECOMMENDED HOME TEST KITS FROM AMAZON ARE:
- BinaxNOW COVID-19 Antigen Self-Test
- Quidel QuickVue at-Home OTC COVID-19
COVID ANTIBODY TESTING:
COVID ANTIBODY TESTING IS NOT REQUIRED IN GENERAL, BUT SHOULD BE DONE IF:
- YOU ARE OVER 85
- YOU ARE ON IMMUNE SUPPRESSING MEDICATIONS FOR CANCER TREATMENT, ARTHRITIS TREATMENT, GI TREATMENT OR SKIN TREATMENT
FLU SEASON:
FLU SEASON IS BEGINNING… BE SURE TO GET YOUR FLU VACCINE!
FOR THE UNVACCINATED:
I AGREE WITH THE CDC RECOMMENDATION FOR VACCINATION OF 5-15-YEAR-OLDS. THIS IS SAFE AND IT WILL BE EFFECTIVE IN REDUCING THEIR RISKS AND THE FAMILIES' RISK OF INFECTION.
PLEASE ENCOURAGE EVERYONE YOU KNOW TO GET VACCINATED NOW!
IF THEY DO NOT GET VACCINATED, THEY WILL GET COVID AT SOME POINT.
WE ARE NO LONGER ROUTINELY TESTING IN THE OFFICE FOR COVID EXPOSURE OR ILLNESS, BUT RATHER YOU SHOULD TEST AT A FACILITY OR DO A SELF-TEST PURCHASED FROM A PHARMACY OR AMAZON.
TESTING LOCATIONS CAN ALSO BE FOUND HERE:
COVID IMMUNIZATION:
THE RATE OF PFIZER & MODERNA VACCINATION IS DECLINING NATIONALLY. BOTH OF THESE VACCINES ARE AMAZINGLY EFFECTIVE…VIRTUALLY 100% IN PREVENTING HOSPITALIZATION AND DEATH FROM COVID...BOTH OF THEM. THEY ARE SAFE FOR MEN AND WOMEN OF ALL AGES.
THE JOHNSON AND JOHNSON VACCINE IS BACK ONLINE AFTER THE ‘HOLD’ DUE TO 1 IN 300,000 CLOTTING RISKS IN YOUNGER WOMEN SPECIFICALLY (UNDER 55). GENERAL SAFETY HAS BEEN ESTABLISHED.
I RECOMMEND THE J & J FOR MEN OF ALL AGES AND FOR WOMEN OVER 65 YEARS OLD.
POSSIBLE COVID VACCINE SEVERE
ALLERGIC REACTIONS:
OCCURRING AT A RATE OF
1 IN 50,000 (VERY LOW)
YOU SHOULD PLAN ON PROCEEDING WITH IMMUNIZATION UNLESS YOU HAVE A KNOWN ALLERGY TO PEG (POLYETHYLENE GLYCOL). .... A COMPONENT OF THE CARRIER IN THE VACCINES.
YOU CAN SEE DAILY TRENDS FOR ARIZONA AND THE U.S. HERE, ON THE CDC WEBSITE…JUST CHOOSE ‘ARIZONA’ FROM THE LIST.
