>>> AS WE MOVE FORWARD THROUGH THIS PUBLIC HEALTH CRISIS, THERE
SEEM TO BE TWO COMPETING
IMPULSES, ONE IS WE KNOW AND
LISTEN TO EXPERTS THAT
CORONAVIRUS IS MORE SERIOUS THAN
THE FLU SO YOU WANT TO TAKE IT
SERIOUSLY.
SERIOUSLY. IF YOU CONTRACT IT, YOU
DEFINITELY WANT TO STAY AWAY
FROM OTHER PEOPLE.
THE OTHER IMPULSE IS PEOPLE GET
COLDS AND GET SICK AND GET THE
FLU SO WHAT DO YOU DO IF YOU ARE
SIMILAR TOLL
SIMILAR TOLL SYMPTOMATIC.
SYMPTOMATIC. WHAT DO YOU DO IF YOU’RE FEELING
ILL?
ILL? I BROUGHT IN ASSISTANT PROFESSOR
OF EMERGENCY MEDICINE.
GREAT TO HAVE YOU HERE.
>> THANKS FOR HAVING ME.
>> THIS HAPPENED TO ME THE OTHER
DAY, SOMEONE I LOVE, I CAME HOME
AND THAT PERSON SAID I FEEL I
HAVE A BUG COMING ON AND THERE
IS THAT TERROR MOMENT LIKE UT
OH.
OH. A LOT OF PEOPLE WILL FEEL THAT.
WHAT DO YOU DO IF YOU HAVE
SYMPTOMS?
SYMPTOMS? >> AS HAS BEEN DISCUSSED, FIRST
IS PREVENTION.
IS PREVENTION. WE KNOW THAT THIS IS A VIRUS
THAT’S SPREAD BY DROPLETS,
COUGHING AND SNEEZING.
SO ANYONE WHO IS COUGHING AND
SNEEZING SHOULD BE SURE TO COVER
THEIR FACE AND SHOULD HAVE
PROMPT HAND CLEANSING.
WE’VE TALKED A LOT ABOUT
EVERYONE HAS BEEN TALKING ABOUT
SOCIAL DISTANCING AND
SELF-QUARANTINE.
SELF-QUARANTINE. THOSE ARE IIMPERATIVE.
>> IF I HAVE A FEVER AND COLD
AND I FEEL LIKE I HAVE A
FLU-LIKE SYMPTOMS, WHICH IS
GOING TO HAPPEN TO A LOT OF
PEOPLE, WHAT DO YOU WANT ME TO
DO AS A PERSON THAT RUNS AN
EMERGENCY ROOM?
EMERGENCY ROOM? >> SO WHAT I WANT YOU TO DO
FIRST IS DISTANCE YOURSELF FROM
THOSE PEOPLE THAT ARE WELL.
PARTICULARLY PEOPLE YOU KNOW ARE
IMMUNE COMPROMISED AND THE
PEOPLE AT EXTREMES OF AGES.
WE KNOW OUR ELDERLY POPULATION
IS AT MOST RISK AND UP TO ALL OF
US TO HELP TO PROTECT THOSE
PEOPLE, SECONDLY, IT’S IMPORTANT
TO MAINTAIN GOOD HEALTH HABITS,
GOOD SLEEP, GOOD HYDRATION,
TAKING IBUPROFEN AND TYLENOL FOR
FEVER AND MANAGE SYMPTOMS TO
FEEL BETTER.
FEEL BETTER. >> I GO SICK AND GO TO THE
BASEMENT OF MY HOUSE, YOU KNOW,
WE SEPARATE FROM THE REST OF THE
FAMILY AND PEOPLE AND I’M DOWN
THERE AND I’M STILL FEELING
SICK.
SICK. DO YOU WANT ME TO CALL MY
PRIMARY CARE PHYSICIAN?
HOW DO I KNOW WHEN IT’S TIME TO
GO TO THE E.R. IF I START TO
FEEL REALLY BAD?
>> RIGHT.
>> RIGHT. AS WAS MENTIONED, WE’RE ALL
KEEPING ON EYE ON THE OVERALL
CAPACITY OF THE HEALTH CARE
SYSTEM BOTH LOCALLY AND IN THE
UNITED STATES.
UNITED STATES. SO IT’S GOING TO BE REALLY
IMPORTANT THAT EVERYONE WORKS TO
MATCH THEIR LEVEL OF SYMPTOMS
WITH THEIR LEVEL OF CARE.
SO FOR EXAMPLE, PEOPLE WHO ARE
WELL OR HAVE MILD SYMPTOMS, IT’S
REALLY IMPORTANT TO GO TO THE
LOCAL HEALTH DEPARTMENT OR CDC
TO UNDERSTAND WHAT’S GOING ON
WITH YOU AND HOW --
>> THE WEBSITES.
>> THE WEBSITES, YEAH.
FOR PEOPLE WITH MORE MODERATE
SYMPTOMS, IT’S IMPORTANT TO
UTILIZE SOME TELEHEALTH
PLATFORMS TO CONTINUE TO
SELF-ISOLATE BUT SEEK EVALUATION
AND CONSULT AND CERTAINLY, FOR
THE PEOPLE WITH SEVERE SYMPTOMS
LIKE RIS PERESPIRATORY DECEMBERI
NEED THEM USING THE 911 SYSTEM
AND EMERGENCY SYSTEM.
>> WHAT I’M HEARING FROM YOU IS
IT’S VERY IMPORTANT TO KEEP
PEOPLE THAT DON’T NEED EMERGENCY
CARE OUT OF YOUR E.R.
IS THAT A FAIR THING TO SAY?
>> THAT WILL ALLOW US TO TAKE
THE BEST CARE OF THE SICKEST
PEOPLE.
PEOPLE. >> IF I’M 30 AND I’VE GOT A
FAVOR AND
FAVOR AND FEVER AND FLU-LIKE SYMPTOMS AND
DRINKING FLUIDS AND TAKING
IBUPROFEN, STAY THERE, STAY AWAY
FROM PEOPLE AND MAYBE CHECK IN
WITH YOUR DOCTOR THROUGH
TELEHEALTH IF YOU CAN.
>> THAT’S RIGHT.
JUST LIKE IF YOU HAD INFLUENZA
OR A BAD COLD.
>> I KNOW YOU SAID RESPIRATORY
DECEMBER STRIS
DECEMBER STRIS DISTRESS.
DISTRESS. IF I’M 68 OR 70 AND I -- THE
SAME THING HAPPENS AND I START
TO FEEL REALLY PERSISTENT DRY
COUGH, WHAT’S THAT LINE THERE
ABOUT RIS PIRESPIRATORY DISTRESS
>> THE MORE MEDICAL PROBLEMS YOU
HAVE AND THE OLDER YOU ARE.
YOU MENTIONED 68, 70 PARTICULAR
LAY IF YOU HAVE DIABETES, OR
CANCER OTHERWISE IMMUNE
COMPROMISED, IT’S IMPORTANT TO
SEEK CARE A LITTLE SOONER WHEN
YOU’RE HAVING MAYBE FEVER OR
COUGH.
COUGH. >> PRESUMABLY THOSE PEOPLE HAVE
POINTS OF CARE BEFORE THEY GET
TO THE E.R., RIGHT?
YOU WANT TO BE DIRECTING
PEOPLE -- SHOULD THEY TALK TO
THEIR PERSONAL PHYSICIAN.
>> IF THEY’RE ABLE TO, YES.
>> IF PEOPLE ARE IN URGENT
DISTRESS, THEY NEED TO CALL 911
AND GO TO THE E.R.
>> THAT’S RIGHT.
>> WHAT’S YOUR CAPACITY LOOK
LIKE AS A DOCTOR RUNNING A LARGE
E.R. HERE IN NEW YORK CITY WHICH
IS RAPIDLY EXPANDING THE NUMBER
OF CASES?
OF CASES? >> BECAUSE OF THE WAY IT BALLOON
IN CHINA, WE HAVE WARNINGS.
WE’VE BEEN WORKING FOR SOMETIME,
WEEKS, DEFINITELY MORE THAN A
MONTH TO RAPIDLY EXPAND CARE AND
REALLY SCALE UP WHAT WE -- HOW
WE TAKE CARE OF PATIENTS AND OUR
CAPACITY.
CAPACITY. WE HAVE BEEN WORKING HARD TO
PREPARE.
PREPARE. WE’RE READY.