• COVID and Surgery: Testing Strategy
    As we re-open, patients who have postponed elective surgery will have to decide when to move forward with scheduling surgery
  • Can you catch COVID-19 twice? Cases in Korea
    South Korea is well poised to contribute valuable data on this topic because of their strong testing and contact tracing infrastructure. We desperately need to know if any of these patients who have retested positive have spread COVID-19 to contacts.
  • Indoor air quality & coronavirus: complete guide
    Indoor air quality is an important part of our health. We breathe 3,000 gallons of air daily and absorb many compounds from that air into our bodies! Learn how to keep that air safe and healthy!
  • Reminder – Live coronavirus Q&A Today 4/23 @ 5:30pm
    It can be hard to find specific, credible COVID-19 answers online. I want to give our community a chance to ask these more personal questions. The goal is to share accurate knowledge to transform anxiety into meaningful action. You can ask specific questions about coronavirus myths, immune system boosters, latest medical updates, and anything else.…
  • Can I wash my N95 mask? Can I wash other masks?
    I’ve received many questions about mask usage since the CDC recommended the general public to wear masks. Masks are now required across the San Francisco Bay Area, and similar requirements are likely to trickle across the country, Using more masks means contaminating more masks, so we need to learn how to safely clean them. I…
  • Now should I wear a mask? Can I wash them?
    CDC recently recommended everybody wear a cloth mask in public. San Francisco announced Friday a general requirement for the public to wear face masks. To be safe and comply, let’s Discuss why the change in general face mask recommendations. How to safely reuse face masks. Can we wash them? We want to use methods that…
  • Coronavirus commonly asked questions and safety tips – updated
    I wanted to address several coronavirus commonly asked questions I’ve received. See my other recent coronavirus commonly asked questions in categories of coronavirus prevention, safe mask use, and coronavirus symptoms. What are some foods and immunity enhancers you recommend? This is an important consideration and one of the coronavirus commonly asked questions. There are several…
  • Coronavirus Symptoms: Commonly Asked Questions
    Coronavirus symptoms are vague and not reliable in distinguishing it from other respiratory illnesses. I’ve gathered many of the frequently asked questions about coronavirus symptoms recently to help clarify our understanding of COVID-19 and what you can do to protect yourself. How can you tell COVID-19 apart from the flu or common cold? There are…
  • Coronavirus Prevention: Stop Viral Spread
    We have many evidence-based methods for coronavirus prevention. Unfortunately, there are also many rumors and myths on the internet. I’ve received many questions about common strategies. Here are the answers to your questions. Let’s spread this accurate information to help prevent COVID-19 infection! If I have been exposed to COVID-19 from a coworker what precautions…
  • Coronavirus Safety Tips: Safe Mask Use
    Among all coronavirus safety tips mask usage has possibly been the most heavily debated. There are many reasons for this, ranging from cultural to scientific. In the United States, the critical PPE shortage has also compounded this confusion. I wanted to answer several of the questions I recently received on safe mask use. Update: you…
  • The easiest way to contract COVID-19? Hopefully this doesn’t apply to you!
    Fortunately most of the readers here will never be in this situation! But those of us in the front lines (emergency physicians, intensive care providers, and anesthesiologists) unfortunately land directly in the line of fire of SARS-CoV-2. The highest risk environment is when placing breathing tubes in infected individuals (necessary to connect a patient to…
  • Echinacea vs COVID-19 – friend or foe?
    Many patients ask me about what supplements they can take to boost their immune systems. One of the most common supplements taken across the world for immune support is concentration of the echinacea plant. Across the upcoming series of posts on how to boost our immune systems against SARS-CoV-2, I want everyone to know that…
  • COVID-19 from food
    Update: you can see my interview on this topic with Very Well Fit here! Some more common questions I wanted to share with readers about contracting COVID-19 from food (we all need to eat, after all!): Is COVID-19 transmitted via food itself or items like food containers and grocery bags?  COVID-19 can be transmitted on…
  • Hydroxychloroquine emergency release by FDA
    I wanted to clarify the announcement regarding the emergency release of hydroxychloroquine. FDA statement by Denise Hinton: https://www.fda.gov/media/136534/download To summarize: there has been no new evidence to support any medication in the treatment of COVID-19. That is correct: hydroxychloroquine has not yet been proven to be effective against COVID-19. Given the significant anecdotal evidence, and…
  • COVID-19 and Food Delivery
    Update: I was recently interviewed by very well fit, you can see the article here! Hello all, Here is an increasingly common question I am getting during our “shelter-in-place” ordinance. Is food delivery safe? In medicine there is always a risk-benefit ratio in our decisions. Fortunately, grocery and food delivery can be safe, particularly if…
  • Can we still go to parks? Exercise?
    @docintegrative Stay healthy with ##shelterinplace ##bayarea! ##docintegtative ##socialdistancing with ##exercises ♬ Traffic – O.T. Genasis Mental health and exercise cannot be understated, particularly in times like this. Not just to feel better and improve our heart health, but to also support our immune systems. To help curb the dramatic community spread of COVID-19 many large…
  • COVID-19 from food? Deliveries?
    Thank you to everybody following “shelter-in-place”! As we do so, many of us have find ourselves ordering food and groceries, naturally raising the concern of viral contamination of our groceries and packages. For food: While virus can live on food, cooking food should destroy virus Raw food (think salads) could theoretically have virus on them.…
  • Can people without symptoms be contagious? How?
    Great question – answer is YES! Several important reasons: Incubation period is median 5 days (and you are contagious during incubation period). This means you can be harboring disease, not yet showing symptoms, but pass on to others Some individuals show mild (and possible no) symptoms despite having COVID-19. We don’t yet understand why this…
  • Can I donate blood?
    This is a very good question – and thank you so much for being a donor! Blood donation is crucial to our health system, and the answer for most people will be “yes”. To safely donate, the general guidance is to: Not be high risk for having viral exposure (no travel in last 28 days)…
  • If I have allergies, what should I do about my symptoms?
    This is a common question, especially now with spring coming in full bloom with pollen. Unfortunately, the overlap of allergic symptoms (runny nose, sneezing, coughing, etc.) overlaps with the possible symptoms of COVID-19. There is no reliable way to distinguish the symptoms. COVID-19 can represent as mild respiratory illness in many individuals, meaning that even…
  • Can our children play together? Are play dates okay?
    Unfortunately with the change in the status of our community COVID-19 transmission, and (correct) public healthy policy response, I can no longer recommend the safety of our children playing together. In line with the guidance by our “shelter-in-place” order, we must avoid any events hosted with different families or individuals wherever possible. At this point…
  • Treat any symptoms as COVID-19 infection and isolate!
    @docintegrative COVID-19 symptoms ##docintegtative ##shelterinplace ##covid19 ♬ Fight (feat. Florida Georgia Line) – Tayla Parx A reminder to everybody about COVID-19 symptoms: they are nonspecific and not distinguishable from the common cold or flu. Yes: even mild cold symptoms could represent an infection, especially in the young and healthy (this was well studied in exposed…
  • Advil/Motrin/Ibuprofen and COVID-19
    UPDATE 4/24: evidence remains inconclusive on this matter. Systematic review can be read here regarding the dearth of evidence. After an announcement from France expressed concern over ibuprofen causing severe adverse effects with COVID-19 infection, many have asked for guidance. @docintegrative Ibuprofen and COVID19 risk? ♬ original sound – docintegrative Fortunately, we have an easy…
  • How can we allow emergency surgeries to continue with ICU ventilator demand?
    To understand the importance of “shelter-in-place”, here’s a quick video showing how it relates to emergency surgeries. Conclusion: if operating rooms lose their ventilators (anesthesia machines) then we can’t do emergency surgeries, like bone fractures, that could happen to any of us at any time. @docintegrative stay home to save ventilators! ##shelterinplace ##docintegeative ##bayarea ##covid19…
  • “Shelter-in-place” – THANK YOU
    Thank you to everybody who is taking “shelter-in-place” seriously. From Union Square, San Francisco: @docintegrative ##docintegrative ##covid19 ##shelterinplace ♬ original sound – docintegrative Remember, “shelter-in-place” is incredibly expensive. We are doing this to prevent our hospitals from becoming overrun! Every day we don’t fully follow “shelter-in-place” is a day we’re spending extraordinary money and not…
  • Are we a week before Italy? We are taking steps NOT to be.
    One of the most common questions I receive: We will have similar economic consequences. Armed with the foresight of what happened to Italy and with significant differences in: Geography (better air quality) Cultural customs (social distancing vs greeting with kisses on cheeks) Less smoking Younger population Different early reaction to community spread We are poised…
  • Can we still go to parks? Playgrounds?
    March 17 brings several key announcements regarding what we can do outdoors. This is response to a continue alarming rate of detected cases. Remember, the “shelter-in-place” still allows for going outdoors IF following strict social-distancing and hand hygiene precautions in sparsely populated areas. Today, California state parks are closing campgrounds to better “flatten the curve”.…
  • Are you feeling sick? Here are action items
    Very common question, particularly given how much attention we are paying to our symptoms. At this point, treat ANY possible symptoms as COVID-19 infection. Why? The rate of community spread is likely INCREDIBLY high (and under detected). If STRONG suspicion for COVID-19 infection (eg contact with a known infected contact), call your doctor BEFORE going to a…
  • Are you HIGH RISK now with “Shelter In Place”?
    To understand what shelter in place means, we must first define HIGH RISK groups: HIGH RISK of contracting and spreading disease (“super spreaders“): Displaying symptoms of respiratory illness (even without COVID-19 test result!) ǂ Tested positive for COVID-19  ǂ Close contact of known COVID-19 infection ǂ Close contact of person pending COVID-19 test result  ǂ…
  • Define “Shelter In Place” for children
    Today’s announcement was a significant shift in our approach to preventing disease transmission. We should be thankful that our counties across the Bay Area are protecting our health. The next group we’ll define is “shelter-in-place” for children: Children in San Mateo county are recommended to have NO contact with other children (no play dates, etc.)…