FOR
FOR THE
FOR THE CLEVELAND CLINIC. NICE TO HAVE YOU BACK.
SO LET'S GET RIGHT TO IT.
THE FIRST TEXT COMING IN, CAN
COVID-19 BE INTRODUCED INTO THE
BODY THROUGH BREAK IN THE SKIN
LIKE A CUT OR AN
ABRASION?
ABRASION?
ABRASION? >> ONE WOULD EXPECT SO.
IT'S NICE TO BE BACK, BY THE
WAY.
WAY.
WAY. THAT
WAY. THAT IS THE VIRUS WILL GET IN
IN ANY WAY IT CAN.
USUALLY MUCOUS MEMBRANES INTO
THE LUNG BY INVADING, IT CAN
GET INTO THE BLOODSTREAM, SO
YOU WANT TO BANDAGE
THAT AND BANDAGE IT ENOUGH TO
PROTECT YOURSELF.
PROTECT YOURSELF. WE ALSO KNOW IT'S COMING IN
THROUGH A FECAL ORAL ROUTE.
I MENTIONED THAT LAST TIME OR
THE TIME BEFORE, PAUL OF
PENNSYLVANIA HAD, UNIVERSITY OF
PENNSYLVANIA SHOWS THAT GI
SYMPTOMS ARE COMMON IN KOREA
AND CHINA.
AND CHINA. AND HE'S PROVEN RIGHT, SO AT
THAL ORAL TRANSMISSION, YOU
WANT TO HEAT YOUR FOOD TO 140
DEGREES FOR 15 MINUTES
BEFORE YOU EAT IT IT, EVEN
TAKEOUT FOOD.
TAKEOUT FOOD. >> OKAY.
>> OKAY.
>> OKAY. NEXT QUESTION COMING IN IS ON
THE SENIOR, I STILL NEED TO GO
TO THE GROCERY STORE, IF NOT A
MASK CAN A BANDANA OR COVERING
MY NOSE WITH CLOTH WHEN GOING
INTO A GROCERY STORE.
>> WE ARE GETTING A LOT OF
MEDIA ABOUT THE MASK BANDANA
SCARF SITUATION GOING ON.
>> I EVEN HAVE ONE HERE.
YOU ARE PROTECTING OTHER PEOPLE
IT DOESN'T PROTECT YOU VERY
MUCH.
MUCH.
MUCH. HAT, EVEN A BASEBALL CAP,
BECAUSE WHAT WE'VE LEARNED IS
IN FACT IN THE -- BETWEEN
PEOPLE, EVEN GROCERY STORES, IT
GETS ON YOUR HAIR AND IT
SPREADS FROM THERE.
SO, WE DON'T KNOW HOW THAT
SPREAD IS OCCURRING, THEY NOTED
IN THE HOSPITALS IN SEATTLE,
AND SO WEARING A HAT
OR BONNET IMPORTANT IN FACT.
SO, THAT'S A NEW -- THAT'S NEW
TODAY OR YESTERDAY.
SO, THOSE ARE ALL THINGS, BUT
YOU'RE PROTECTING FROM WEARING
THAT BANDANA DOES HELP PROTECT
OTHER PEOPLE BECAUSE IN OTHER
WORDS THE DROPLETS DON'T GET
THROUGH.
THROUGH.
THROUGH. THE AEROSOLS DO GET THROUGH.
SO THAT'S WHY DISTANCE IS
REALLY IMPORTANT.
REALLY IMPORTANT. >> OKAY, THE NEXT QUESTION IS
ABOUT, YOU KNOW, A GOOD
HYGIENE, THE TEXT DOES IT
MATTER IF YOU ARE USING
ANTIBACTERIAL SOAP.
ANTIBACTERIAL SOAP. ANTIBACTERIAL SOAP PROTECTS
BECAUSE BACTERIA NOT VIRUSES.
IT BREAKS APART THAT LIPID
MOLECULE THAT PROTECTS IT AND
THUS FALLS -- RNA FALLS APART.
ANY DETERGENT WORKS.
IT DOESN'T TAKE A LOT OF
CONCENTRATION.
CONCENTRATION. >> NEXT ONE COMING IN NOW,
916321-3310.
916321-3310. I'M HAVING MEDICAL CONDITIONS
JACK GET INTO DOCTOR'S OFFICE
UNTIL AUGUST.
UNTIL AUGUST. SO WHAT SHOULD I DO?
SHOULD I GO TO THE ER?
>> THERE IS TELEHEALTH THAT IS
THE VIDEO HEALTH.
SO, HERE AT THE CLEVELAND
CLINIC SOMETHING LIKE 90% OF
OUR NON-EMERGENT THAT IS NON-
COVID-19 OR OTHER EMERGENCIES
ARE BEING HANDLED BY TELEHEALTH
VISITS.
VISITS.
VISITS. I
VISITS. I SEE PATIENTS TOMORROW AND I
HAVE A LINEUP OF PATIENTS VIA
TELEHEALTH INSTEAD OF MY NORMAL
IN PERSON.
IN PERSON. SO TELEHEALTH WORKS VERY WELL.
AND THE GOVERNMENT HAS MADE IT
SO THAT WE ARE THE HOSPITAL, MY
CASE CLEVELAND CLINIC GETS
REIMBURSED FOR MY
SERVICES VIA TELEHEALTH AND
ALMOST EVERY INSURANCE COMPANY
AS WELL AS MEDICAID AND
MEDICARE ARE PARTICIPATES
IN THE TELEHEALTH.
THAT IS THE EASY WAY.
IF YOU HAVE SOMETHING URGENT,
THEN I WOULD CALL AHEAD TO THE
EMERGENCY ROOM AND SEE WHETHER
THEY WANT TO YOU
GO TO AN URGENT CARE CENTER OR
THE EMERGENCY ROOM BEFORE YOU
GO, MANY EMERGENCY ROOMS ARE
JUST HANDLING COVID
IN SOME PLACES THE REVERSE WAY
WHERE THE EMERGENCY ROOMS ARE
HANDLING THAT NON-COVID AND
URGENT CARE THE
COVID.
COVID.
COVID. >>
COVID. >> MORE QUESTIONS FOR DR.
MICHAEL ROISUM, YOUR TEXT
QUESTIONS.
>>>
>>> FACTS
>>> FACTS NOT FEAR, WE'RE TALKING ABOUT DR. MICHAEL
ROISUM, CLEVELAND CLINIC.
CHAIRMAN OF PERSONA ADVISORY
BOARD.
BOARD.
BOARD. THERE HE IS, READY TO ROLL.
(916) 321-3310.
(916) 321-3310. ALL RIGHT.
ALL RIGHT. NEXT TEXT, I'VE HAD A
TEMPERATURE THAT HOVERS
AROUNDED 9 FOR A FEW WEEKS, NO
OTHER SYMPTOMS.
OTHER SYMPTOMS. SHOULD I WORRY?
>> NO OTHER SYMPTOMS, YOU HAVE
HAD IT FOR A FEW WEEKS, YOU
ALWAYS WORRY BUT NOT VERY
SERIOUS WORRY.
SERIOUS WORRY. SO WHATEVER IS GOING ON SEEMS
TO BE STABLE FOR YOU.
THIS GETS WORSE AND GETS
SHORTNESS OF BREATH.
WHERE YOU WORRY, YOU START TO
GET SHORTNESS OF BREATH, YOU
GET RIGORS OR SHAKING CHILLS OR
YOU HAVE SOMETHING
ELSE THAT POINTS TO A SOURCE OF
THE FEVER.
THE FEVER. 99 -- FOR MANY PEOPLE ISN'T A
FEVER.
FEVER.
FEVER. I
FEVER. I WOULDN'T WORRY ABOUT IT
UNLESS YOU GET ONE OF THOSE
OTHER SYMPTOMS.
OTHER SYMPTOMS. >> NEXT ONE COMING IN.
WHAT SHOULD WE SAY TO PEOPLE
WHO ARE NOT PRACTICING SOCIAL
DISTANCING WHILE STANDING IN
LINE AT THE GROCERY STORE?
THOSE PEOPLE BLOCKING DOORWAYS,
ET CETERA.
ET CETERA. DO YOU SAY SOMETHING OR THAT'S
PROBABLY NOT IN YOUR WHEEL
HOUSE, IS IT?
>> THAT'S NOT MY EXPERTISE.
BUT I JUST MOVE AWAY FROM THEM.
NO REASON TO RISK IT AND IF
THEY MOVE WITH YOU, THEN I
WOULD SAY SOMETHING.
BUT I WOULD TRY AND GET AS FAR
FROM THEM AS POSSIBLE.
>> YEAH, NOT EVERYBODY IS GOING
TO PLAY BALL.
>> NEXT TEXT COMING IN, I'M 67,
TAKING CARE OF THE GRANDKIDS A
FEW DAYS A WEEK TO HELP.
WHAT PRECAUTIONS SHOULD I TAKE?
IS THIS SAFE, DOC?
>> WELL, THE GRANDKIDS ARE IF
THEY GET EXPOSED TO A LOT OF
OTHER PEOPLE IF THEY ARE IN
CHILDRENS GROUPS OR
PLAY GROUPS OR THEIR PARENTS
ARE EXPOSED TO A LOT OF PEOPLE
AND CAN EXPOSE THEM, IF YOU'RE
AT RISK, MEANING
YOU'RE 69, THAT'S NOT AS MUCH
RISK AS IF YOU ARE 87.
BUT IF YOU GOT DIABETES OR
OBESE, SMOKE, VAPE, THOSE ARE
THE THINGS THAT INCREASE RISK
SUBSTANTIALLY, CHRONIC KIDNEY
DISEASE.
DISEASE.
DISEASE. WHAT WE LEARN FROM THE ITALIAN
EXPERIENCE AND THE GERMAN
EXPERIENCE AND KOREAN
EXPERIENCE IS THAT THE YOUNG
PEOPLE HAVE A MUCH LOWER RISK
OF -- NOT 0, BUT MUCH LOWER
RISK OF SERIOUS ADVERSE EVENTS.
SO TAKING CARE OF THE KIDS,
MAYBE YOU CAN HAVE THEM WEAR
BANDANAS, IF YOU WILL, IN A
COWBOY AND INDIAN OLD
TIME BATTLE, OR I GUESS ONE OF
THE WESTERNS OF JESTER YEAR AND
WEARING THAT BANDANA IF THEY
KEEP A BANDANA ON
IT WILL HELP PROTECT YOU.
>> THAT IS GOOD ADVICE.
I'M IMAGINING THE OLD DAYS, I
GOT IT.
GOT IT.
GOT IT. I
GOT IT. I WILL TELL YOU THIS, WHEN THE
NEXT TEXT, WHEN I START TO GET
THE ONSET OF A LITTLE BIT OF A
SOAR THROAT I DO
THE HOT SALT WATER AGGRAVATED
DISCHARGE HE WILL, IF DO YOU
THAT IT HELPS PREVENT
CORONAVIRUS ALONG WITH
DRINKING HOT TEAS OR JUST
WATER.
WATER.
WATER. DOES ANY OF THAT HELP?
>> HYDRATION CLEARLY HELPS.
MEANING NOT GETTING DEHYDRATED,
NOT GETTING -- IF YOU WILL, A
TEMPERATURE SUCH THAT YOU LOSE
FLUIDS.
FLUIDS.
FLUIDS. SO DEHYDRATION IS ONE OF THE
THINGS WE TRY TO PREVENT FOR
COLDS AND FLU OF ALL KIND.
SO ANY KIND OF FLUID IS BETTER
THAN NO KIND OF FLUID.
WE DON'T KNOW IF YOU FEEL
BETTER WITH A HOT SALT
GARBLING, THEN DO IT.
IT MAY HOPE AND WE JUST DON'T
HAVE ENOUGH DATA FOR LARGE
POPULATIONS.
POPULATIONS. WE DON'T KNOW WHY MOM'S CHICKEN
SOUP WORKS SO WELL.
MAYBE THAT'S PART OF THE HOT