Categories
Epidemiology

(Age + BMI) x Hemoglobin A1C = COVID Mortality Risk

OK, not really. This title is not a scientifically-proven equation and so don’t quote me on it. But it does underscore the observations that there are both powerful modifiable risk factors and non-modifiable risk factors for death due to COVID-19. We started anecdotally noticing this in our ICU in the spring as the COVID-19 outbreak […]

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Epidemiology

The Effect Of Age On COVID-19 Mortality Rates

Last week, I was asked if it would be OK if 20 family members visited one of my patients who is in his 80’s over the holiday weekend. My reflexive response was “Don’t come!” but it raised the question of what is the probability of dying should this patient get infected by COVID-19 and how […]

Categories
Intensive Care Unit

The Management Of Respiratory Failure In COVID-19 Patients

Every hospital in the United States is bracing for a potential deluge of patents with COVID-19 infection and many of these patients will require admission to our country’s intensive care units. There are not enough critical care physicians to manage all of these patients so it may be necessary for doctors and nurses who do […]

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Epidemiology

Why The Purveyors Of COVID Misinformation Keep Winning

Physicians and scientists keep asking why so many Americans are so gullible as to believe in many absurd claims about COVID-19 and the COVID vaccine. For those of us who are taught to be able to read and interpret an article from a medical journal, the reality, epidemiology, treatment, and prevention of the viral infection […]

Categories
Intensive Care Unit

Your Right To Get COVID Stops Where Our ICU Begins

This post is on behalf of all physicians, nurses, and respiratory therapists who work in U.S. intensive care units. To all anti-vaxxers and anti-maskers: For months, you have been telling us that you deserve the freedom to choose: to choose whether or not to get a COVID-19 vaccine and to choose whether or not to […]

Categories
Epidemiology Inpatient Practice

The Next Surge In COVID-19 Hospitalizations

Just when we thought it was safe to go back to the movie theater, to church, and to the grocery store… it looks like we are in for COVID, the sequel. The CDC reported that an outbreak of COVID infections in a town on Cape Cod earlier this month resulted in 469 people becoming infected, […]

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Epidemiology

Is COVID-19 A Rural Disease In Ohio?

Over the past year, I heard repeatedly from patients, politicians, and the press about how COVID-19 was an urban disease and not a rural disease. There was a perception that small towns and farm country were not as affected as cities. Many of my patients who lived in small communities did not want to travel […]

Categories
Epidemiology

An Unintended Casualty Of COVID: Tuberculosis

Currently, 2 billion people are infected with tuberculosis, about one-quarter of the world’s population. It lies dormant in most people but every year, it causes active disease in 10 million people and 1.6 million die of it. It is the number one cause of infectious disease-related death in the world. In the United States, healthcare […]

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Epidemiology

COVID-19 Vaccine Side Effects (and how to prevent them)

I’ve been working at our medical center’s COVID-19 vaccine clinics for the past couple of months. We vaccinate about 3,500 people per day at our OSU Schottenstein Center site (the basketball arena) and about 275 people per day at our hospital-based vaccine clinic. Because of the potential for allergic reactions, we have either an emergency […]

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Epidemiology

Who Should Be Prioritized To Receive COVID Vaccinations?

One sure way to elicit an “OK boomer” comment from anyone under age 50 is to quote the comic strip, Pogo. In the War of 1812, naval commander Oliver Hazard Perry defeated the British navy in the Battle of Lake Erie and messaged the military leadership “We have met the enemy and they are ours”. […]