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21 hours ago
Oceanbum I'm thinking about your good question, are we more at risk for COVID-19 because of being on an AI?
Not as far as I've heard or seen, but be sure to pay attention to your other risks (below), and ask your MO for guidance on this very good question. This exact question probably isn't possible to answer, as the disease is so new. There probably hasn't been enough time yet to collect all possible data for different populations.
My sources for understanding COVID-19 response/risk: Watching Dr. Fauci (NIH)and WHO and CDC experts and other epidemiologists, ICU pulmonologists, etc explain who's at the most risk, is how I'm researching these things. And, my son-in-law, who regularly gives me updates on future prediction modeling and safety guidelines. He teaches at a medical school (Dartmouth) and is an attending ER doctor there.
People who are having the roughest time (= possible respiratory distress complications) are over 60 + have a particular "co-morbidity" (= underlying/additional health issue) in the following categories: an immune-compromising issue (autoimmune disease or medication that lowers immunity), diabetes, or an underlying respiratory issue such as asthma, a history of pneumonia, COPD, emphysema, or smoke cigarettes.
I am in the special risk category because chemo caused two separate, extremely serious lung inflammation events (x-rays, many weeks of a strong steroid each time, extremely debilitating like bad pneumonia), which is expected to have left me with lung scarring. Over 60 = worse outcomes, and successively so the older we are, with this disease. Anyone who is ill and who struggles with breathing should get to the ER.
HOW WE'RE PROTECTING OURSELVES AT MY HOUSE
My husband is front line. He manages hospice nurses, and is a hospice RN himself, and once in awhile, he has to do a patient visit. Mostly, he can work from home to manage his team of nurses, aides and social workers, with 2 phones and a computer and a tablet and video meetings---this now all takes up our entire dining room. When he has to be out to see a patient (it's rare now), he's suited up with a lot of PPE and a ton of protocols.
We are wearing homemade fabric masks when we go anywhere where there are other humans--I have sewn us a few and will make more soon, due to new recommendations on this. Dr. Zeke Emanuel said the other day in a TV interview that this is now recommended for three reasons:
1. keep us from touching our faces
2. "normalize" (!!!) the pandemic and remind everyone to socially distance
3. possibly prevent some droplets from contaminating others if we're asymptomatically contagious, and possibly protect us a small bit from others
We're sheltering in place almost 100%, to flatten the curve, hoping this helps with PPE and equipment, to lower the "apex of the surge." We go for walks outside, and try to be much more than 6' apart from anyone else, so we're avoiding hiking trails, and just walking out of our house at this point, in our neighborhood, no driving. Don't want to have any unforeseen load on ER's by having an accident, etc.
Outside shoes stay outside. We strip out of our clothes at the door, drop outside clothes (when we've been around other people at all--maybe not if we just walked on the sidewalk in the neighborhood, but yes if it was an errand anyplace where anyone touches anything, like post office or gas station or store) into a pillowcase at the door, and handle them carefully, right into the wash, and wear gloves and a (homemade, fabric, "better than nothing") mask while doing so. Shower immediately and change into inside clothes.
We wipe down everything all the time: phone screens and glasses ear pieces w/ alcohol wipes, and all inside and outside doorknobs and handles and chair backs, etc. AND we wash our hands all the time and try not to touch our faces. Using lysol or bleach spray. CDC website has cleaning guidelines which we follow.
We stay 6' apart from everyone, and more distance if possible. The new research on droplets staying in the air in aerosolized form is very concerning. NO ONE else comes into our house. We visit with people we love on FaceTime or Whats App or Google Hangouts (it's free! I recommend!) or Zoom.
We have groceries delivered every week or two. We wipe down all groceries that come in the house with lysol wipes, bleach spray, don't set outside things on any kitchen surface without spraying that surface down or putting things on a towel that we wash, or we set UPS packages, shelf-stable groceries, etc. aside for 3-4 days before touching anything.
3/2003, IDC, Right, <1cm, Stage IA, 0/2 nodes, ER+, HER2-
6/10/2003 3DCRT: Breast
8/8/2003 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
4/25/2018, IDC, Right, <1cm, Stage IIA, Grade 3, 0/2 nodes, ER+/PR-, HER2-
5/22/2018 Lymph node removal: Right, Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
6/25/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
11/7/2018 Arimidex (anastrozole)
1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant