December 18, 2022, Happy Hanukkah!

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The eight-day Jewish celebration known as Hanukkah or Chanukah commemorates the rededication during the second century B.C. of the Second Temple in Jerusalem, where according to legend Jews had risen up against their Greek-Syrian oppressors in the Maccabean Revolt. Hanukkah, which means “dedication” in Hebrew, begins on the 25th of Kislev on the Hebrew calendar and usually falls in November or December.


Hanukkah 2022 begins on the evening of Sunday, December 18 and ends on the evening of Monday, December 26. Often called the Festival of Lights, the holiday is celebrated with the lighting of the menorah, traditional foods, games and gifts.


Read more here. . . .


Your Weekly COVID-19 Updates

Paradise Valley Medical Clinic,

Douglas M. Lakin, M.D.

Kaitlin A. Kraemer, M.S., PA-C

9977 N 90th Street, Suite 180, Scottsdale, AZ 85258

480.614.5800 (phone), 480.614.6322 (Fax)

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Please watch these videos so you can be prepared and know how to connect with Dr. Lakin for a 'Telehealth' visit.

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FROM THE DOC

December 18, 2022


FOR THE NEXT 4-8 WEEKS WHILE COVID & FLU & RSV ARE HIGH……… CONSIDER WEARING A GOOD MASK (KN95 OR N95) SELECTIVELY AT BUSY LOCATIONS TO STAY HEALTHY FOR THE HOLIDAYS.

 

CONTINUE TO LIVE YOUR LIFE AND GO OUT AND ABOUT AS YOU FEEL COMFORTABLE…… AND YOU SHOULD FEEL COMFORTABLE DOING SO.

 

GET YOUR FLU SHOT AND GET YOUR COVID BOOSTER TO REDUCE RISKS OF INFECTION IF YOU HAVE NOT DONE SO YET. THE DATA IS IN THAT THIS MAKES A DIFFERENCE.

 

COVID REMAINS VERY COMMON.…. OUR PATIENTS ARE DOING WELL.

 

FLU ON THE RISE IN AZ….…WE HAVE SEEN MULTIPLE  CASES IN OUR OFFICE.  FLU IS SKYROCKETING IN ARIZONA MORE BROADLY.

 

RSV ON THE RISE IN AZ…. WE HAVE SEEN A FAIR BIT OF UPPER RESPIRATORY INFECTION THAT IS NOT FLU AND NOT COVID…THIS IS LIKELY RSV. 5 CASES OF RSV SEEN FOR EVERY 1 CASE OF FLU.  

RSV IS SKYROCKETING IN ARIZONA MORE BROADLY.

 

HOW TO MANAGE AT THIS TIME FOR HOLIDAY GATHERINGS:  

 

PEOPLE ARE GOING TO BE COMFORTABLE GETTING TOGETHER AND THEY SHOULD GET TOGETHER.


TO REDUCE RISK....HERE ARE SOME IDEAS TO CONSIDER:


GET YOUR COVID BOOSTER AND GET YOUR FLU SHOT


DO NOT ATTEND GATHERINGS IF YOU ARE NOT FEELING WELL. ASK OTHERS NOT TO ATTEND IF THEY ARE NOT FEELING WELL.

 

KEEP AIR MOVING IN GATHERING AREAS. VENTILATION...BY NATURAL MEANS OUTDOORS OR WITH FANS, CAN BE HELPFUL.

 

CONSIDER HAVING GUESTS DO COVID TESTING PRIOR TO GETTING TOGETHER.  THIS IS NOT PERFECT, BUT IT CAN REDUCE RISK SOMEWHAT. IT’S WORTH CONSIDERING.

 

WEARING A HIGH QUALITY MASK AT GATHERINGS IS GOOD IF YOU ARE TRAVELING AND WISH TO AVOID INFECTION FOR THE HOLIDAYS.  IT IS IMPERATIVE FOR THOSE WITH TRULY REDUCED IMMUNITY...THOSE RECEIVING CHEMOTHERAPY, THOSE WITH SEVERE LUNG DISEASE, AND THOSE RECOVERING FROM RECENT HOSPITALIZATION.

 

GENERAL RECOMMENDATIONS:

 

WEAR N-95 OR KN95 MASKS IN SITUATIONS THAT YOU FEEL ARE HIGHER EXPOSURE IF YOU WISH TO REDUCE YOUR RISK

 

WHEN GOING OUT TO ACTIVITIES…. SELECT OPTIONS THAT ALLOW FOR BETTER VENTILATION INSIDE, OR CHOOSE OUTSIDE OPTIONS

 

IF YOU GET SICK YOU NEED TO TEST FOR COVID. CONSIDER COMING INTO THE OFFICE PARKING LOT FOR FLU TESTING AS WELL

 

TREATMENT FOR COVID AND FOR FLU IS AVAILABLE AND WORTHWHILE IN MANY INSTANCES.

TREATMENT FOR RSV IS PURELY SYMPTOMATIC…. WE TREAT THE SYMPTOMS AS THERE IS NO ANTIVIRAL FOR RSV

  

COVID IS UNDER CONTROL ON A BROAD BASIS  

RISKS OF COMPLICATIONS ARE LOW FOR THE MULTI-VAXXED



BOOSTER COVID VACCINATIONS:

THE NEW COVID VACCINE IS BIVALENT…. THIS MEANS IT CONTAINS THE ORIGINAL VACCINE COVERAGE…. PLUS, COVERAGE MORE SPECIFICALLY FOR BA5 FORMS OF COVID.

 

GIVEN THE SAFETY OF THE VACCINE, IT IS BEST FOR EVERY ADULT TO CONSIDER THIS BOOSTER…BUT….

 

I STRONGLY RECOMMEND THE BOOSTER VACCINE IF:

 

YOU HAVE NOT HAD COVID AND ARE OVER 70 YEARS OLD

 

YOU HAVE NOT HAD COVID AND HAVE HEALTH ISSUES THAT MAKE YOU MORE SUSCEPTIBLE TO COVID COMPLICATIONS SUCH AS…. EMPHYSEMA, SIGNIFICANT DIABETES, HEART FAILURE, OR ARE ON IMMUNE SUPPRESSING MEDICATION.

 

IF YOU HAVE HAD A COVID INFECTION FROM 2020 UNTIL NOVEMBER 2021, THEN YOU HAVE A 30+% PROTECTION FROM THE CURRENT BA-5 STRAIN.

 

IF YOU HAD COVID AT XMAS OR LATER, THEN YOU SHOULD HAVE AN 80% PROTECTION FROM THE CURRENT BA-5 STRAIN.

 

IF YOU HAD COVID YOU CAN STILL BENEFIT FROM ANOTHER BOOSTER, BUT IT IS NOT AS ESSENTIAL, AS YOUR PREVIOUS COVID INFECTION DOES HELP BOOST YOUR IMMUNITY THROUGH NATURAL MEANS.

 

IF YOU HAVE HAD 4 COVID VACCINES, THE 5TH VACCINE IS NOT AS ESSENTIAL, BUT IT WILL PROVIDE ADDITIONAL PROTECTION AND IS WORTH STRONGLY CONSIDERING.

 

REMEMBER, IF YOU GET COVID WE CAN ALWAYS TREAT YOU WITH PAXLOVID PILLS, THEY ARE VERY EFFECTIVE.

 

IT IS PROVEN SAFE TO GET THE FLU SHOT AND THE COVID SHOT AT THE SAME TIME…… …BUT I RECOMMEND YOU SEPARATE THEM IF POSSIBLE SO YOU DON’T HAVE A STRONGER REACTION TO THE COMBINATION.

**Read Dr. Lakin's Full December 18th,

Comments. . . CLICK HERE

TOP PODCAST DONE WEEKLY

BY DR. MICHAEL OSTERHOLM

(UNIVERSITY OF MINNESOTA)  

 

He is a world-renowned epidemiologist who was credited with first elucidating TOXIC SHOCK SYNDROME in the 1980’s.

He provides comprehensive and understandable/actionable ideas related to COVID.

 

Dr. Osterholm Update: COVID-19

December 15, 2022


https://www.cidrap.umn.edu/covid-19/entering-phase-5


'Entering Phase 5'

In this episode, Dr. Osterholm and Chris Dall discuss China's new COVID mitigation strategy, a COVID query about KN95s, and the fifth phase of the pandemic that we have recently entered.


According to Dr. Osterholm……


  • CHINA WILL BE DEVASTATED BY THE COVID OUTBREAK THAT IS ABOUT TO DEVELOP AS THEY OPEN UP.    COVID OMICRON SUBVARIANT S ARE LIKE THE WIND…YOU CAN’T STOP IT, BUT YOU CAN TRY TO CONTROL IT.  THE ZERO COVID POLICY OF CHINA WAS UNSUSTAINABLE AND IS OVER.
  • BA5 IS AND THE SUBVARIANTS OF BA5 ARE INCREASING WORLDWIDE
  • USE MASKS IN SETTINGS OF CONCERN. YOUR MASK MUST BE KN95 OR N95
  • GOOD VENTILATION IN ROOMS/HOME/BUSINESSES IS A GREAT WAY TO PREVENT TRANSMISSION
  • VACCINE, VACCINE, VACCINE…THIS IS OUR PROTECTION.  ALL VACCINES ARE EFFECTIVE AND WITH TIME WE ARE SEEING THAT THE J&J VACCINE IS PICKING UP STEAM AND GIVES SOLID LONG-TERM PROTECTION.
  • BOOST, BOOST, BOOST…THIS WILL BE NECESSARY TO PREVENT RECURRING SURGE AND TO RAISE ANTIBODY LEVELS IN THOSE ALREADY SET WITH THE PRIMARY COVID VACCINE SERIES.
  • ANTIGEN TESTING IS USEFUL, BUT OF LIMITED VALUE. DON’T DEPEND ON THIS TEST IF YOU HAVE CLASSIC COVID SYMPTOMS.
  • MASKS OF THE KN95 AND N95 VARIETY CAN BE HELPFUL. CLOTH MASKS AND SURGICAL MASKS ARE CURRENTLY NOT AS EFFECTIVE WITH DELTA VARIANT 
  • THE THREE/FOUR/FIVE VACCINE REGIMEN IS PARTICULARLY EFFECTIVE AGAINST SERIOUS ILLNESS AND HOSPITALIZATION. DEATHS AMONG THE VACCINATED ARE MASSIVELY REDUCED.
  • GET YOUR BOOSTERS AS SOON AS POSSIBLE. 



Know that unvaccinated remain a source of potential infection.  Avoiding unvaccinated persons will reduce your risk of COVID.

Flu and RSV Hit Hard and Early: Now, COVID-19 Is Starting To Rise. . . .

Sleepy

Just when you thought it was safe for a holiday visit with your Auntie Mary and her fragile health, RSV and the flu reared their heads – and now Covid-19 numbers are creeping up again.


Health officials are emphasizing the availability of the protective measures, tests and treatments that they say will be key to preventing a repeat of the Covid-19 surges of the past two winters.


Case numbers are now below those of earlier waves, but about 14% of the US population is in an area that meets the US Centers for Disease Control and Prevention’s criteria for a “high” Covid-19 community level, up from less than 5% last week. New York City, Los Angeles County and Phoenix’s Maricopa County are among those areas.


Covid-19 hospitalizations have been on the rise since early November, and older people are bearing the brunt of these serious illnesses. Hospitalization rates are four times higher for seniors than for any other age group.

In the first week of December, the US had the most Covid-19-related deaths in months. Even with vaccines and treatments widely available, the CDC reported nearly 3,000 deaths for that week.


Read more here. . . .

Is It COVID, Flu, or RSV? A Few Hallmarks Can Help Distinguish Among the Illness. . . .

Covid, flu and respiratory syncytial virus (RSV) are together driving a national wave of respiratory illnesses.

Around 76% of U.S. hospital inpatient beds are full, according to data from the Department of Health and Human Services. Pediatric beds are at a similar level, though six states have 90% or more of their pediatric beds full, according to an NBC News analysis of HHS data.


Covid, flu and RSV can be difficult to distinguish, since they share many common symptoms. But it's useful to know which virus you have, since that determines the treatments you should receive and how long you should isolate.

Certain hallmarks — either symptoms or how the illness progresses — can help differentiate each virus. Here are five factors to consider.


Some symptoms are unique to particular viruses

A runny nose, cough, congestion or sore throat can arise because of any of the three viruses or a common cold. But a loss of taste and smell is more commonly associated with Covid than with flu or RSV. And wheezing is often a tell-tale sign of a serious RSV infection, usually found in kids or older adults.


The only way to know for certain, though, is to get tested.

As COVID Cases Tick Up. Here Are Latest CDC Guidelines For Testing and Isolation

Average daily Covid cases have risen 11% in the last two weeks, according to NBC News’ tally. The country is recording around 39,000 new cases per day, on average, though many cases detected via at-home rapid tests aren't included in that tally. Covid deaths are down 9%, but around 280 people are still dying of Covid every day.


Guidelines from the Centers for Disease Control and Prevention about masking, testing and isolation haven't changed much since the CDC last updated its recommendations in August.


But as the virus continues to spread, here's what the agency recommends in regards to masking, testing and isolation.


Read more here. . . . .



After you received your COVID vaccinations, please let us know!

We would like to document this information into your chart.



BUT FIRST.......

PLEASE COMPLETE THE INFORMATION ON THE CARD BEFORE YOU SEND IT TO US!

What we need:

  1. Your name
  2. Date vaccination received
  3. Brand name
  4. Lot number if available
  5. Which dose you have received


**Email your COVID vaccine completed info HERE


The places where COVID-19 cases have increased the most, least in the last two weeks

Case numbers for the previous two weeks are compared to the two weeks before.

For More information.....CLICK HERE

Mask Policy in Our Office

At our office, we are continuing to follow CDC guidelines and will strive for ways to keep our patients and staff safe.



We recommend that all unvaccinated and vaccinated patients and visitors entering our office cover their nose and mouth at all times.


To prevent further spread of the Delta & Omicron variants, the US Centers for Disease Control and Prevention updated its mask guidance on March 21, 2022, to recommend that fully vaccinated people wear masks when in areas with “substantial” and “high” transmission of Covid-19.


We have a limited supply of paper masks and will make these available to patients while they last, however, we encourage you to bring your own facial covering.


We Are Here to Take Care of Your Healthcare Needs.
We Are Here to Serve!
 
Our office is using all techniques to reduce exposure to a minimum during your visit. These include: 
·       Temperature checks of all patients and staff.
·       Masks for all people in the office.
·       Cleansing of hands and surfaces repeatedly.
·       Multiple Super-HEPA filters to filter out potential virus and particles in the office.
·       High Level UV light air cleansing in the office to eliminate bacteria and viruses in the air.
  
OUR OFFICE SCHEDULE
 
DOORS OPEN     
7AM - 4PM Monday through Thursday
7AM - 11AM Friday
 
IN OFFICE
APPOINTMENTS: MONDAY – THURSDAY
7AM – 11:15AM & 1PM – 3:30PM
 
APPOINTMENTS: FRIDAY
7AM – 10:30 AM
 
DR. LAKIN WILL CONTINUE ‘TELEHEALTH’ VISITS WITH FaceTime, WhatsApp or ZOOM WHEN NEEDED.
Dr. Lakin's Info For COVID-19 Kit &
Recommended Treatments

SUMMARY OF A COVID KIT & CHECK LIST:

 

This is what you should have at home to prepare for possible COVID, to monitor yourself if you were to get infected:

 

DIGITAL ORAL THERMOMETER: MANY BRANDS ARE FINE…HERE IS ONE EXAMPLE:

https://www.amazon.com/Digital-Thermometer-Reading-Waterproof-Indicator/dp/B087T3S4TR/ref=sr_1_6?dchild=1&keywords=THERMOMETER&qid=1597159324&sr=8-6

 

PULSE OXIMETER:  TO CHECK OXYGEN LEVELS. MANY BRANDS ARE FINE...HERE IS ONE EXAMPLE:

https://www.amazon.com/Innovo-Fingertip-Oximeter-Plethysmograph-Perfusion/dp/B07YVGZPRZ/ref=sr_1_20?dchild=1&keywords=PULSE+OXI&qid=1597159388&sr=8-20

 

OTHER ITEMS FROM THE HOME MEDICAL KIT:

 

·       TYLENOL, ADVIL, OR ALEVE

·       Sudafed 30mg tablets

·       Chlorpheniramine 4mg tablets

·       Robitussin DM syrup

·       Imodium AD


**CLICK HERE TO READ COMPLETE INFORMATION