#200 COVID-19 with Paul Sax MD - Transmission, quarantine, PPE, diagnosis and management

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 22 March 2020

⏱️ 54 minutes

🔗️ Recording | iTunes | RSS

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Summary

Practical tips and discussion of what we do and don’t know about COVID-19 transmission, testing, NSAIDs, ACE inhibitors, quarantine, treatment, personal protective equipment (PPE) and more with Paul Sax MD, @paulsaxMD (Brigham and Women’s Hospital/Harvard Medical School). This episode is sure to go viral! Show Notes | Spotify | Swag! | Top Picks | Mailing List | [email protected]

Credits

Written and Produced by: Sarah Phoebe Roberts MPH; Chris Chiu MD; Beth Garbitelli; Hannah Abrams; Rahul Ganatra MD, MPH; Matthew Watto MD, FACP
Cover Art and Infographic by: Beth Garbitelli
Hosts: Rahul Ganatra MD, MPH; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Paul Sax MD

Sponsor: Cayuga

Time Stamps

00:00 Intro
04:12 SARS-CoV-2/COVID-19 vs. SARS, MERS, and influenza
07:00 Rahul highlights areas of caution interpreting COVID cases studies
12:35 Sponsor
13:20 Case of cold symptoms; Wearing masks in public; Advice on self quarantine with mild symptoms
18:05 Patient with mild symptoms and COVID exposure; Duration of quarantine and PCR positivity
21:15 Who merits testing for COVID-19
23:19 Case of confirmed COVID with mild symptoms; Instructions to patient and family about quarantine
25:50 COVID-19 testing characteristics (sensitivity, false negatives); Does co-infection occur?; Advice on when to send patient to a hospital
30:10 ACEIs, ARBs, NSAIDS; Is reinfection possible?
32:20 Pharmacotherapy: Hydroxychloroquine, Remdesivir, Tocilizumab; Definition of the “high risk” patient; COVID-19 vaccine
36:50 Case of healthcare worker (HCW) with COVID exposure; How long can COVID live on surfaces?
40:20 Do exposed HCWs without symptoms require quarantine?
41:30 Personal Protective equipment (PPE)
45:00 COVID-19 in pregnancy
47:30 COVID-19 and vulnerable patient populations (patients who are immigrants, homeless, incarcerated, etc.)
50:45 Where should you get your COVID-19 information?
52:30 Closing remarks and outro

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only.
0:06.8	And the topics discussed should not be used solely to die in a street cure or prevent any
0:09.3	diseases or conditions.
0:10.3	For the more that you've used, and statements expressed on the podcast are solely those
0:11.8	of those, and should not be interpreted to reflect the official policy or position of
0:13.9	any entity that's either on the possibly, cash like Morhanswo and affiliate outreach
0:16.1	programs.
0:17.1	If indeed, there are any, in fact, there are none.
0:18.1	Pretty much, we aren't responsible if you screw up, you should always do your own homework
0:20.1	and let us know when we're on.
0:31.0	Paul, we're back.
0:33.0	We've done it.
0:34.0	I think we, I think we've cried the case.
0:37.0	Even, yeah.
0:38.0	We fixed COVID.
0:39.0	This is important.
0:40.0	We better rush this episode out before it becomes completely outdated as our, as our,
0:45.0	as our, yes.
0:46.0	Oh, we already have.
0:47.0	Yeah, so I'm going to caveat this up front.
0:49.0	This is a COVID episode.
0:50.0	We recorded it on, this is, this is the 19th of March 2020, and we are going to rush it
	...

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