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How Much Do You Know About Covid? Test Your Knowledge!

 There isn’t a person, a pet or a plant in this country who is not aware of COVID-19.  With regret, but not surprisingly, the pandemic has struck back as it successfully targets the unvaccinated community.  We have to hope that this outbreak will be the last gasp of the pandemic and not that of many ailing Americans. The nation has been deluged with information, misinformation and disinformation.   We confront facts and alternative facts.   Even legitimate public health experts are not consistently singing from the same hymnal. So, I thought this was an apt opportunity to test your knowledge on the novel coronavirus with ten True or False questions – no multiple choice or essay.   What could be easier?   And there is no penalty for guessing.   Answers appear at the foot of this post.   Good luck.   Let the games begin. How Much Do You Know?   The Delta variant is so named since this strain was brought in from overseas by a Delta airline pilot. CNN, a leading cable news sta

How Do We Reach Herd Immunity Against COVID-19?

Last week I conjectured that the Center for Disease Control and Prevention (CDC) obfuscated when they recently recommended that vaccinated individuals resume indoor masking under certain circumstances.  My speculation was that the policy was justified but that the CDC was not forthcoming in explaining the rationale for the policy revision. The revised re-masking recommendation, as with every other aspect in this pandemic, has only further polarized a nation that seems to be trying very hard not to heal itself literally and politically.   I predict that our collective political affliction will long outlast the coronavirus plague.   I routinely ask patients if they have received the COVID-19 vaccine.   Recently, a patient replied that has not received one.   I asked what his concerns were and he firmly responded that he would never get vaccinated against the coronavirus.   Not much space for dialogue here. The CDC and public health experts admit that masks are not the antidote.  

CDC Reverses Indoor Mask Policy - Are We Getting the Whole Truth?

Depending upon your politics, the Center for Disease Control and Prevention (CDC) has either shamelessly reversed course or simply issued a new guideline in response to new medical evidence. Indeed, many are hostile to the agency’s recent 'new & improved' recommendation that those who have been vaccinated against COVID-19 mask up when indoors in regions where the Delta variant is highly prevalent. The dissenters point out that this directly contradicts very recent CDC and public health expert advice that clearly stated that those vaccinated could be safely liberated from their face masks.  In fact, this demasking was offered as a direct incentive to those who remained hesitant to roll up their sleeves.  The CDC and its supporters maintain that their new policy on masking the vaccinated is based on a sound review of recent data, which they tarried in releasing.  I am a rationalist who practices gastroenterology guided by medical evidence.   Despite some missteps, I have la

Should COVID-19 Vaccines be Mandatory?

 I think we’re headed in that direction.  There are various angles and positions to consider.  But, as in so many disputes, it’s not a matter of right and wrong but an issue of which side has the better argument. When a judge rules for one party in a dispute, this does not mean that the other side had no legitimate position.  If means that the judge concluded that an analysis of the facts and the law tilted toward one side. We must acknowledge that an individual has a right not to be forced to accept a vaccine or any medical treatment.   The doctrines of informed consent and patient autonomy are bedrock pillars in American medical care.   If, for example, I recommend a colonoscopy to a patient with symptoms highly suggestive of a serious colon condition, the patient is free to decline my advice.   While I may feel strongly that this decision – referred to as informed refusal – is unwise, no medical practitioner or ethicist would argue that I should be able to compel compliance with m

A New Kind of Stress Test

Readers of this blog, and those with whom I have shared my philosophy of medical practice, know that I am a conservative practitioner.   I rail against overdiagnosis and overtreatment.  Less medicine results in more healing and protection.  In an example, I have explained previously why I advise patients not to undergo total body scan s , despite the lure that they offer a cancerophobic public.  I’ve never undergone a CXR in my life.   I’ve never entered medicine’s Tunnel of Adventure, also known as a CAT scan.  My fear would be that the scan would show various internal imperfections of no meaning that would generate anxiety, expense and a cascade of medical tests to follow up on the ‘abnormalities’.  Any real patient reading this who has been around the block once or twice, will validate my scanophobia.   Not a week goes by in my practice, that I am not facing a worried patient who was found to have some trivial finding on a scan that nearly always is entirely innocent.  Often,

Why I Cancelled a Colonoscopy

This morning, as I wrote this some time ago, a patient came to my office for a colonoscopy.  I sent her packing.  Here’s what happened. In our Ambulatory Surgery Center (ASC), in my prior private practice, we introduce light into dark spaces every day.  This is where we perform colonoscopies and upper endoscopies.  We have a program in place where referring physicians can have their patients contact our ASC and schedule a procedure without seeing us first in the office for a consultation.  Obviously, we have to have a vigorous screening process in place  We do not want to meet a person for the first time for a colonoscopy and discover that he has complicated medical issues and is dragging an oxygen tank behind him. Our screening system works extremely well, but it is not perfect.  On occasion, it misfires  The patient arrived at our office at 7:00 a.m. after a 45 minute drive.   She had ingested the required purge,  often the highlight of the experience.  I hadn’t seen her for

Independence Day 2021

  We have nearly emerged from the pandemic's abyss, but we have not yet reached the other side. The wily virus tries daily to morph into other variants to slide past our defenses. The politics of division and personal destruction have not yet been set aside. The surreal scenes of January 6th are seared onto our memories.   The recent horrors in Surfside, Florida leave us all gasping. We are still a divided nation. I want to believe that there is an ache and a hunger to come closer together. July 4th is upon us.  Might this be an occasion when we might begin the process? ”I am apt to believe that it will be celebrated, by succeeding Generations, as the great anniversary  Fes tival. It ought to be commemorated, as the Day of Deliverance by solemn Acts of Devotion to God Almighty. It ought to be solemnized with Pomp and Parade, with   Shews , Games, Sports, Guns, Bells, Bonfires and Illuminations from one End of this Continent to the other from this Time forward forever more.” John Ad