Coronavirus: My weekly review

3/21 Update- #WhatDidYouDo when the world stopped in 2020

This is the 22nd day of my preparedness and attempt to educate everyone about the coronavirus. I am trying to update people about the reality that we are likely about to face.

I have counseled countless people, patients, friends, and leaders of the private and public sectors. I’m going to try to get my doctors office ready for the new normal that will follow the original 4-6 week surge in cases.

More schools are shutting (at least 124 countries have shut down all schools), and more countries are closing down their borders and shutting down elective services.

Source and get the timeline:

unesco- school closures

The White House has asked that bars and restaurants close, and to not hold gatherings of more than 10 people. This shouldn’t mean that people should try to stay at 10 people. All people should try to limit exposure to others. We need to prevent anyone who has coronavirus to spread it to someone else (many people don’t know they have it). It is easy to catch. Also wash your hands for 20 seconds with soap and water.

SIgn my petition for people of the world to do their part: We can stop the spread of the virus by avoiding contact with people as much as possible. I still work as a doctor which is an essential service, so some people still will need to work. So if you have to work or your parents have to work, pray for the best.

Petition to self isolate

My data shows we are 11 days behind Italy and we are already on the upslope of the exponential curve which can’t be bent for 14 days until after we make changes. Sources and live links are below.

Cases and deaths in US, Italy,Spain,France,Germany,NJ,NY,CT

I endorse these articles that explain the science about the spread of the coronavirus and how long things will take to stop the initial spread. Find the petition to the White House at the top of the second document which I signed.

Thomaspueyo- coronavirus-act-today-or-people-will-die

Tomaspueyo- coronavirus-the-hammer-and-the-dance

My gaming company: I’d like to bring some calm to my social media family and my gaming community, Legendary Alliance Gaming, (LA Gaming) to let you know most people will be OK and recover, but many people will become sick and many people will not live through this pandemic. The most important way that all people can help is to try to avoid other people. When the virus gets into a new person it can spread and we can give it to our parents and grandparents or elderly neighbors. My partner Joel (jmf) and our team are working on ways to help our gaming community with a plan to expand our community to follow.

Twitter: @LAEsportsOP

Discord: LA Gaming discord

Website: (under construction): http://legendaryalliancegaming.com/

You can learn more about me and can educate friends and family at my website:

Dr. Savatta’s website

That website includes a live town hall with my NJ Assemblyman Jon Bramnick at 7PM on 3/17 that can be watched on:

Town Hall with Assembly Bramnick

I have a facebook group that people can join and contribute to, as can anyone they know:

https://www.facebook.com/groups/DrSavattaCovid19/

Lets learn from the Chinese on how to stop the pandemic in the short term- SHUT DOWN AS MUCH AS POSSIBLE:

https://www.worldometers.info/coronavirus/country/china/

Countries that I have been following that have not taken precautions early enough: Spain is 5 days behind Italy, France 8 days, Germany 9 days, and the USA 11 days. It takes 14 days for changes made today to have an impact.

The data can be seen with daily cases at:

Italy Coronavirus: 53,578 Cases and 4,825 Deaths

https://www.worldometers.info/coronavirus/country/spain/

https://www.worldometers.info/coronavirus/country/germany/

https://www.worldometers.info/coronavirus/country/us/

Updates from around the world:

https://www.worldometers.info/coronavirus/#countries

John Hopkins data for new cases and deaths:

https://coronavirus.jhu.edu/map.html

#WhatDidYouDo

#CoronavirusPandemic

#COVID19

TownHall with my Assemblyman

https://www.facebook.com/AsmBramnick/videos/492351074770004/?vh=e&d=n
I was honored to be the guest of my Assemblyman Jon Bramnick. My friend and infectious disease expert, Dr Juan Baez was on the phone with us. Watch the townhall for important info.
I will plan on having my own Q&A on coronavirus in the near future.

The main point was that the coronavirus is very dangerous and will be slowed best by social isolation and distancing.

My new website www.drsavatta.com will has a petition I ask all people to sign and links to my social media

The reason the world is shutting down

Many people are finding it hard to understand the alarm and the unprecedented closures we have been seeing around the world.

https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6

You can see how many people are getting sick from the coronavirus or the daily cases in countries and states I have been tracking.

https://docs.google.com/spreadsheets/d/1De7R90hoTytZL_a3xcx4yHiMl0LhCv0uXHabL_jWpYE/edit?usp=sharing

It’s hard for people to understand exponential growth. 36 hours ago an educated friend of mine told me there were just a few cases in US and that we were doing a better job than Eu at preventing this and 8 hours ago someone with about 8 degrees felt that we would only have a few hundred people die in NYC.

Being able to predict that cases in US will be over 600 the next and Italy over 5000 despite being shut down for a week will help explain what is happening to people.

The best practice in the community is to self isolate as much as possible and we still aren’t doing that in the US.

As I am typing this I am listening to CNN talk about how ER doctors and nurses in Washington and NJ are coming down with COVID-19.

The amount of cases diagnosed in most countries is very under-estimated and when countries shut down it takes 12-14 days for the cases to stop being created. Things are much worse than they seem and will be much worse for 2 weeks. Also the amount of people dying is under-estimated since many deaths aren’t found out to be due to coronavirus. Tests aren’t available and populations that have many cases think they have few or none. Everyone needs to see how many people they can avoid ASAP.

The US says that people should avoid crowds over 50 people. I think we should have isolation as much as is practical and possible.

Latest Dietary Advice for Prostate Cancer – Renal and Urology News

A range of foods, nutrients, and dietary patterns are being studied for prostate cancer prevention or treatment, according to a 2015 research review.

Source: Latest Dietary Advice for Prostate Cancer – Renal and Urology News

While the ideal diet prescription has yet to be determined, the investigators suggest counseling men with these tips, in line with emerging research and a heart healthy diet:

  • Increase fruits and vegetables.
  • Replace refined carbohydrates with whole grains.
  • Reduce total and saturated fat intake.
  • Avoid overcooked meats (such as charred barbecue).
  • Consume fewer calories (by reducing carbohydrates, for example) to achieve a healthy body weight.

Men often ask about dietary changes if they have prostate cancer.  I have been telling them for years to follow a heart healthy diet, which also will help with their prostate cancer.

LUGPA position aims to clarify prostate cancer screening | Urology Times

In an attempt to clarify what it calls conflicting guideline statements on prostate cancer screening from various organizations, the Large Urology Group Practice Association (LUGPA) has issued its own position on the use of the PSA test as a screening tool.

“Unfortunately, these conflicting statements have resulted in confusion amongst both our patients and fellow physicians,” said Deepak A. Kapoor, MD, president of LUGPA. “It should be made clear that a PSA test is simply a tool that facilitates informed decision making; it is neither a commitment to have a biopsy nor an obligation to receive treatment should prostate cancer be detected.”

According to a LUGPA press release, after careful evaluation of previously published guidelines and thorough review of recent statements from the European Association of Urology and the Prostate Cancer World Congress, the LUGPA Board of Directors, in consultation with thought leaders in the diagnosis of prostate cancer, unanimously adopted the following official position on PSA screening:

Risks of prostate cancer screening must be uncoupled from risks of prostate cancer detection and treatment.

PSA testing facilitates the early detection of prostate cancer, which results in a reduced risk of being diagnosed with or developing locally advanced and/or metastatic prostate cancer, and a reduction in prostate cancer-specific mortality.

A baseline serum PSA level should be obtained in men in their 40s who have made an informed decision to pursue early detection of prostate cancer.

Intervals for an individual’s prostate cancer screening should be adapted to: baseline PSA, prostate cancer risk factors (including African-American heritage and a family history of prostate cancer), and the potentially short preclinical timeline of aggressive cancers.

PSA screening should be offered to men with a life expectancy of greater than or equal to 10 years, regardless of age.

PSA testing should not be considered on its own, but rather as part of a multivariable approach to early prostate cancer detection.

via LUGPA position aims to clarify prostate cancer screening | Urology Times.

 

This is the best recommendation I have seen from any medical entity to help diagnose prostate cancer for men whose life has a high chance of being impacted by the disease.

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