Hi I’m Kirk Jowers and I’m
pleased to host a new series from doTERRA about COVID 19. As always my expert to guide us
on this is Dr. Russell Osguthorpe. Hi, Kirk Thank you for being with us. Good to be with you. This is the second of our
foundational episodes on social distancing and coping, and I want to get practical
right off the bat today. Everyone keeps seeing these
lists and people still can’t really list them but I think
this will get us there. So I’m going to ask you some
questions in rapid fire for you to answer and we’ll just kind
of walk through them. Okay. All right. These are practical questions
for people who do not have the virus or at least
are asymptomatic, have no symptoms of the virus. Should people go to work? That’s a really easy one right
off the bat. It totally depends on where you live, What the recommendations are of
your local government, your public health department, and
health care professionals is the short answer. But underneath your
question is a, it’s a question about risk but I’ll get I know that my
answer sounds a little bit like I’m dodging the question but it really does matter on
where you live and what viral transmission is like
where you live. So in countries where viral
transmission is very high, the answer to the question is no,
you shouldn’t go to work. In countries where viral
transmission of COVID 19 is very, very low, the question
is yes, you should probably go to work and we should watch very
carefully for when the virus is increasing rapidly and once it reaches a threshold
then epidemiologists and folks at the Public
Health Department, along with government officials, will make recommendations about
don’t go to work or stuff like that. Does that help? That does help. Good. Because of course I knew it was
an impossible question because of course a lot of
people have to go to work because we still have to eat,
we still have to–we still need toilet paper apparently because
people are fighting for it all over the world. But should people take subways,
buses, airplanes, trains? OK. So really easy again. Yeah But right now I would say if
you can avoid that, I would. Social distancing is the
way I answer this question. It’s very hard to socially
distance on a subway. It’s very difficult to
do it on an airplane. If you can avoid travel or if
there is another way for you to get where you are going, this
would be the time to do that. And you should avoid methods of
transportation and travel that require you to be in very close
contact with large numbers of people. And I think, personally, that
that makes sense worldwide. This now is in most countries
and for the countries that are in– 23 countries according to the
World Health Organization. Right. And in many of the
countries where we don’t have evidence of COVID, they’re
probably not testing. Right. And so I would say that if you
can limit travel, you should. Restaurants, grocery stores? Again it comes down to risk. So what I would say to grocery
stores and restaurants, they’re two different things,
so I’ll tackle both. Yeah. We need to
go to the grocery store. We need to get food and we need
to provide for our families. So yes, you can go to the
grocery store. Just do so in a manner that allows social
distancing to be your phrase of the day And danger zones would be the
handles of the carts Yeah. OK. things like that, right? If you can go to the grocery
store and you’re going to use a cart that’s been used by others
before wipe it down. Right. Make sure
that it’s clean. Try and use
sanitizer of some sort. Before you use a cart that’s
been used by others, frequent hand sanitizer. This is just a
real common sense stuff. Yeah right. So I don’t want to get people
to panic around these sorts of questions that you’re asking because people need to live but going to the grocery store
is different than getting on a plane with 300 people going to the grocery store is
not the same as getting on a crowded subway. I think the most important
phrase is social distancing. You want to remember that and
if you can if you can manage social distancing. Whatever question you’re asking
should I do that should I do this social distancing is the
way that you answer the question If you can do it,
then the answer is likely yes. I think that’s probably pretty
safe or very low risk If you can’t maintain social
distance from somebody, then it becomes something you should
try and avoid. Local gym. We’re told in
addition to all things, yeah, we’re supposed to exercise,
eat right, you know, supplements, do all the things
that our imunity boosted. But now if we that maybe we can
get our social distancing at the gym but we still don’t know
who touch the barbell and that equipment before we did. It’s really important to do
things that decrease stress and improve your health while going
through a pandemic. Exercise is one of those things
that’s been shown to decrease stress and improve health. So as I answer this question,
please don’t think that I’m saying don’t exercise. OK What I want people to think
about though is is that if you can exercise more safely,
do so. Go for a walk, go for a run,
don’t use the treadmill if you can avoid it if it’s
been used by 100 people or make sure that if you are
using a treadmill, if weather requires that you exercise
inside or at a gym, wipe things down use
hand sanitizers. You can mitigate risk. You can
mitigate risk by wiping things down and cleaning
things carefully. But in general, do things that
allow you to keep social distance Switching for just a moment so
that people understand the magnitude of this, You’ve in your almost two
decades of experience in infectious diseases, you’ve
seen a lot. How infectious is this virus
compared to the others you’ve experienced? Data is changing rapidly on
what we know about the infectivity of the virus. There’s a lot of epidemiologic
research behind how we define a certain viruses infectivity and
that data is not yet completed for COVID 19. So we can’t answer that
question definitively, but so far the preliminary information
out of China would indicate that a person who is infected
does spread the virus to more than one person. But how many people? We’re
we’re going to wait and see until we’ve got enough
data to answer that question definitively. Speaking of more and more
people being worried about having the virus and,
of course, actually having it, reports of overloading
hospitals clinics looking for tests, tell us the main three symptoms
again so that we hear them. What should we be, what should
we be advising people as far as as far as getting these tests
or trying to get these tests? OK. So the symptoms of COVID 19
again are fever, cough, and shortness of breath. Those are the the triad that we
spoke about in our last episode. They’re
very similar– Shortness of breath. Just make sure what that means.
The other two seem pretty easy, pretty obvious, It means that you’re you just
feel like you have to breathe more frequently to
catch your breath that you’re trying to catch
your breath all the time. It doesn’t necessarily mean
that you have to work really hard to get your breath, that
you have to strain to get breath in, the short of breath just means that
you’re breathing, but you can’t catch your breath. You just feel like you’re
constantly trying to get more air. If you’ve got two out of
the three, are you getting nervous or do you really need
all three at this point? The triad is not
seen in every patient. OK. OK. So if you have any of those
symptoms and live in an area live in a part of the world
where coronavirus transmissions is extremely high, if you had any one of
those symptoms, you should seek medical attention and
potentially be tested. Your medical professional will
help you decide if you should be tested or not
in your local environment. Because testing is different in
every country right now. If you think you have the
disease or maybe even know you have the disease, if your country has enough
tests to confirm that for you, What should you do? So if you think you have the
disease and can’t get tested or if you’ve been tested
positive for COVID 19, you should quarantine yourself. And that means that you should
stay at home, not go out, and not expose other
people to the disease. That will slow the transmission
of the disease because once you know you have the disease or once you think
you have the disease you should really take yourself
out of circulation, stay at home until you get better. Seek medical attention
if you get worse. If you go from
mild shortness of breath to I just am struggling to
breathe. I am really really working hard to breathe. I’m having to use all of my
muscles to get breath. You need to be seen. But if you can
stay home and get better from what for most people in
the Chinese outbreak in the Korean outbreak seem to have
mild disease, not requiring hospitalization, then you can stay at home take
yourself out of circulation and not expose others
to the virus. And what about the next step? What if it’s what if it’s my
wife who has it? But I’m with her all the time. Do I need to get away from her? Or do I now have some
responsibility towards the rest of the community as well
because I am now a higher risk person? Yep, it’s a great question. So what we do for close social
contacts is we want to limit their isolation to the rest of
the community as well. But caregivers at home of
somebody who has COVID 19 need to be very mindful of
handwashing and avoiding secretions whenever possible. If you have a home where you
can isolate in a different part of the home or a different room
you should do that. And whenever possible you
should limit and try and cover coughs with elbows so that you
don’t infect others in your family, if
at all possible. There is some evidence that
family transmission is quite efficient coming out
of the Chinese outbreak. So sometimes like many
viral diseases, I’m sure in your family you’ve
seen viral diseases go through multiple members of the family
over a several week period of time. Right. And that can happen it looks
like with COVID as well. So anybody who’s caring for
somebody with COVID or thinks that they have COVID, should really use common sense
measures of keeping social distance when you can, covering cough if you’re the
one who’s sick, washing your hands frequently. Those are the those are going
to be the best ways of preventing transmission within
family members. And then lastly, if you can
isolate the individual even within your own home as much as
possible from other members of the family. The last topic I wanted to
address because we’re hoping these episodes are ones that
people will have as a resource to go back to and maybe they don’t care too
much about it now because everyone’s healthy, but if something happens, but
let’s talk about the mental health and coping
during a pandemic both for just everyone at
large. What can people do to support themselves? Yes, very important actually. But I guess let’s start here,
what type of reaction should we expect during infectious
disease outbreak? Anxiety. So what is so striking
about any pandemic is the amount of news
coverage and anxiety that. These situations bring some of
that anxiety is very warranted and some of
it is overexaggerated. But regardless of how the story
unfolds with whichever disease we’re talking about, anxiety is
a real problem during a pandemic. I believe personally that it’s
a real problem right now in many parts of the
world for COVID 19 And how should parents be
supporting their children and their anxieties that
they may be feeling. I think it’s really important
just to recognize it and talk about it with one another and
be patient with one another. People are different and they
respond to stressful situations differently even within your
own family. Personalities do differently. Definitely, we’ve been trying
for a couple, we’re trying to say this is actually something
you need to pay attention to. We don’t want you going to a
200 person dance now and they laugh because no big
deal is no big deal. And others are quite nervous
about the whole thing or maybe overly nervous over there. So we have
ends of the spectrum. Yeah. So I think we just need to be
cognizant and allow one another room to experience the
difficult questions and anxieties that COVID 19
are bringing. When people feel this anxiety,
they their voice levels raise. People start to yell. Things
that didn’t bother them before start to bother them now. Family members get
stressed at one another. People get stressed that are
not family members at other people in the workplace and in
lots of different locations. Most important thing we can do
and we need to take a break from pandemic is to unplug. I believe the most effective
measure that you can employ to decrease your feelings of
stress and anxiety are to just put your phone
down and turn off the computer and engage with your family
doing something that you love to do. Go for a walk outside, see
the sunshine, see the sky. Don’t look at a screen, right,
for for an hour or two. If you were to do that, you’ll
see that things will feel differently afterward. We all have our breaking point
and when you are approaching it do things that will
lower your breaking point. These kinds of things will
dramatically improve in just a relatively short period of time
how you feel at that moment. Thank you so much for joining
us today, and remember every day as long as it’s warranted, we will have a new episode that
will hopefully concisely let you know the events of the day
and how you can best cope with with COVID 19. Take care of each other take
care of as many people as you can. Be kind