COVID update 1/3/21 It's Omicron time. A different beast, obviously way more infectious clinically but with an apparent good opportunity towards early resolution either spontaneously or with appropriate early medical management. We are seeing incredible amounts of newly infected patients daily, most of who won't be recorded due to at-home testing. The application of antibiotics, steroids, inhalers, and other interventions seems to do the trick for most patients within 48-72 hrs. We still refer for antibody infusions when appropriate and saw two immediate resolutions of worsening illness within both patients shortly afterward. We expect further antibody infusion supplies through this week from the Federal Government. In addition, the new antivirals will be arriving. A separate comment about all medical anti-viral interventions relative to Omicron is in order. As it is so infectious (2x greater than Delta) and so rapidly reproducing (2x greater than Delta??) ... keeping in mind the incredible infection rate (3x greater than previous strains) and reproduction rate 23,000% higher than previous strains) of Delta what is the likelihood any will work? My best guess is they will be less effective. Whether you believe in HCQ, Ivermectin, Paxlovid, or Lagrevrio the reproduction rate coupled to the rapid onset of symptoms may render these less effective. On the other hand, we are seeing classic low-intensity interventions including antibiotics, steroids, and inhalers appear to be working extremely well, and I might add anecdotally, even better. So the antivirals may not in the end be that important. We shall have to see. The next 3 weeks are going to be very crazy with a lot of infections, shutdowns due to staffing issues, potential short-term shortages, travel hassles, etc. They will dissipate and we shall move on. Be wise in your choices. This wouldn't be the time to go on a cruise or try that 'death-defying stunt'. Health care options will be limited and you will get trapped on the ship. Be safe. Noel R Williams MD
Humans.... it's the Omicron surge. 27,000 cases in OK over the weekend and almost 2 Million in the US. We will most likely peak in the next 7-10 days.
There will be limited antibody infusions available plus a shortfall on testing. I would encourage everyone to maintain good nutrition, take your supplements and limit interactions with anyone ill.
If you haven't been vaccinated please consider the Moderna or Pfizer injection as option.
The estimated case counts are as high as 80,000 per day in OK next week. This level of infection, if it occurs, will be problematic for our hospitals, healthcare providers, society, and all individuals. I would encourage everyone to plan accordingly... much like if a major bad weather event was coming. I would have several days of food, medicines, Tylenol, Advil, etc on hand.
Omicron variant update or "expunging the misinformation on Omicron" and how little we know. A second title could be summarizing the complete failure of all major umbrella medical organizations to provide a calm organized thought process to COVID 22 months later.
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