A Pediatrician’s Perspective on Coronavirus & COVID-19


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Hello, and welcome to this special edition of The Fitness Mama Podcast, where I will focus a lot on the Corona virus, Quad 19, and everything we need to know about it. I’m here with someone that I really highly respect, and I’m excited to share this topic with you on today’s podcast. Dr. Alyssa Song is MD. She is a pediatrician and pediatrician. She is also a mother. She runs integrated pediatric practices and has been cited throughout the media when it comes to the Corona virus and COVID-19. It has a really well researched post that goes into detail, and will be added to the show notes of valancemama.com, along with all the resources you want to find I talk about that. Episode. And I think that perspective is really valuable both medically and as a mother. It is in daily data. She is seeing patients daily. She keeps a close eye on trends as we are now upgraded to a pandemic. And in this case, she’s really going through, basically, what we need to know medically, what we need to know as a parent, and how to deal with it, both socially and economically. How to handle and if any of our family members And so, today we will take a closer look at all these topics, and she is really about to break the myths about it, what do we need to know and why, when we need to take it seriously. No need to panic or panic. So, without further ado, we’re now joining Dr. Alyssa Song about the Corona virus.

Katie: Dr. Song, thank you so much for being here on such short notice for answers to all our questions.

Dr. Song: Oh, yes, no problem. I mean, it’s really like a last-minute thing because it’s a target run with the Corona virus and we really need to be updated every day.

Katie: Absolutely. And I knew that I wanted to make sure that I talked to you about this because not only are you a pediatrician, but you are also a parent and you are a researcher and you know all this information. I am on the top. So, to start off wide, I know that many people have a lot of questions about the Corona virus, especially Quad19. To make sure we’re all on the same page, can you just describe what the virus really is?

Dr. Song: Yes. This is a great question because you will see many different names in the media. Therefore, COVID-19 is actually the name of the respiratory disease that was born due to the novel coronavirus that was just discovered in Wuhan, China in December. Fast-forward we are not really three months from now and according to our recording only on March 11, the World Health Organization has declared the novel corona virus as a global outbreak. Well, you will see that the virus is actually circulating and now it has a variable so there are two different strain ins that we are aware of. You can see it in the news as the 2019 novel Corona Virus. You can look at it as 2019-nCoV or in fact you can view it as SARS-CoV-2. Now, why is that so? Because years ago when another human corona virus that caused SARS, Acute Acute Respiratory Syndrome, it was SARS-Covey and thus it looked very similar. Therefore, they are all the same names as the 2019 novel coronavirus, 2019-nCoV and SARS-CoV-2 and then COVID-19 is a disease caused by the new corona virus.

Katie: Got it right. This is really helpful.

Dr. Song: Yes. And so what we have to remember is that coronaviruses keep circulating forever and that’s why we have this huge range of coronaviruses. They are named Corona Virus because it means the Latin word corona which means crown. So, if you look at these images, it’s really … I mean, I have to say to the pictures, it’s a really beautiful virus with spikes like crowns that attach to our cells. But the Corona virus can cause more severe illnesses such as colds due to very mild symptoms, as we are now seeing in Covid 19 and SARS and MERS, Middle East respiratory syndrome. So, we really want to understand that, yes, this is one of the most wild and pathogenic viruses that are circulating, but I’m so glad you’re podcasting because we really need a lot of hysteria and panic. Need to break. And I’m telling my parents in my practice, let’s just be rational. Come on, you know, in every kind of panic, try to put a weed in and see what we, as parents, really do for our children.

Katie: Absolutely. And that’s why I want to keep you today. And I know that as you said at the time of this recording, I know that it has recently been upgraded to pandemic diseases. And I know that travel restrictions are now being imposed here and many major events in the United States have been canceled because of this. But based on the numbers, how many people actually have this version of the Corona virus that we’re really seeing? Is it more people with the flu? For example, what are we looking at in proportion?

Dr. Song: You know, it’s not necessary to get the flu right now. I think the concern is, what is the mortality rate, and of course, you can’t help but pick up the paper … I don’t know how many people actually carry paper today, but, you know, Open your laptop, watch the news, turn on the radio, scroll through whatever social feeds you’re on and hear about the death of someone else here and there. And the same thing is frightening parents, grandparents. These are scary children too. Which means: My son literally came home late at night and said … he asked me, “Are all the grandparents going to John?” And I thought, “Wow. Where did you hear that? Right? And he heard it from the other guy in his class. And so, you know, it’s the mortality rate that’s very important. And The way I’ve been tracking it, and there are a lot of flaws in different trackers, but at Johns Hopkins University there is a tracker that uses five different databases. So, I think they are probably the most More accurate and they update … this is literally a live update. You can see the time stamp by going in. Here in the US we are seeing a growing number. There are some challenges in knowing and knowing aid, because we have been lacking in the United States, I would say that the test kits are really unfortunate. It’s only this week that we’re talking, so on March 11th. Physicians like me, you know, in the field, we are the same people who are watching coronavirus and diagnosing Covid 19, but now it’s just that I have the ability to test patients – but even this is very , Is very limited because we are limited by the supply of labs.

So, right now, we know that there were fewer than 1,300 incidents and 38 incidents in the United States on March 12, you know, there were tragic deaths in the states here, many more in Italy and China. But given the mortality rate, we have to keep in mind that there are many possibilities and that is not scary at all, but there are many, many people, children and adults in our communities who are coronary virus and no one Don’t guess. And we don’t know. The Department of Public Health does not know because we have not inspected them. So, when we look at that and then look at the number of deaths, we look at fatalities far lower than the mortality rate. In the news, this is, you know, anywhere from 2 to 3.5%. Some experts believe this is less than 1%. We just don’t know. I mean, one of the concerns is that since it’s a novel, brand new, the world has never seen it before December 31, when Wuhan, China announced. But many are unknown, but even you know, in less than three months, researchers are really trying to find out what’s going on, the characteristics of the coronary virus, the clinical symptoms and how we Can identify better. May also treat coronavirus and Covid-19.

One thing I want parents to know, as far as symptoms are concerned, is that children and newborns are really protected from a serious illness. So, we can breathe a sigh of relief in that sense except that, you know, what worries me is that a lot of kids are likely at the moment, you know, asymptomatic transmitters. And the thing we want to keep in mind is this, you know, a lot of our grandparents, you know, people over 70 years old. Age seems to be the most important factor in serious illness and death. So, you know, we don’t want to do our part to stay healthy and minimize the delivery of novel coronavirus in these susceptible people. But to date, no deaths have been reported in children under the age of nine.

So, now the symptoms of COVID-19. They take the initiative. I mentioned that we can have asymptomatic carriers and we know that’s all. At first it wasn’t clear if you could be asymptomatic and take it, but now we know, yes, people can get around with novel coronaviruses, infections, but with zero symptoms, What we see with influenza. About 50% of influenza patients will have zero or mild symptoms. So, the same is true with this novel coronavirus. The initial symptoms are often referred to as fever if you are really young or if you are really old or immune, and then the symptoms of upper respiratory tract, cold, sore throat, you know, itchy nose, headache, You know, all the things that we might think of like a flu or a flu that is confusing right now because we’re still in the middle of the influenza season. I mean, last week, I saw two kids with influenza B that I experienced. Just yesterday I saw a family, including a whole family of 4, a 10-month-old baby and an approximately 5-year-old boy with influenza A, and I would say, you know, the baby was really minimal, Was. At least symbolic I mean, he was smiling and playing. But then we worry about COVID-19 being more severe, lower respiratory infections with breathing problems and mild pneumonia and then move on to something called more pneumonia and severe respiratory distress syndrome. ۔ This is what you are hearing about, you know, really in the ICU, patients need ventilators in acute care unit, with acute lung disease, and eventually, their organs fail. And they can go into what is called sepsis, I know that many people are familiar with the word sepsis, do not necessarily know what it is. But sepsis is not good because many, many, many people will die from sepsis and that is why people die. But I want to emphasize that 80% or more of people who suffer from the novel coronavirus are mild and probably have no symptoms.

So, do we want to test each one again? If I had this method I would test everyone because I just want to know. Not to discredit or alienate you, and you have to be really careful, especially because there are so many misconceptions about children that I hear about in my children or in their school. When it first came out in China, questions like, “Okay, don’t we eat Chinese food? Should we stay away from all Chinese people?” We don’t know, really spreading these misunderstandings. And we really want to talk to children about what is real and what is not but in an awful way and we can get in, you know how we talk to kids about it. There are a lot of misconceptions out there, but the bottom line, what I tell kids and what I tell parents, to most of us, we have There are mild symptoms, it feels like a cold, so we don’t want to panic, but we also want to keep in mind the fact that there are people who are more prone to serious illness and we are at risk of transition. Want to be aware and mindful of how to reduce

Katie: Yes, from a parent’s point of view, this is a great time for us to talk to our children and explain how their immune system works and why hand washing is so important. Of course, we are all already doing that, but something that we can really help them reach is why it can be so helpful. As such, there are many lessons we can provide to our children based on fear. And I think you’re all right. I’m also not worried about anyone in my immediate family because I know we’re all in the low risk category. But I think we all in our communities have a responsibility to at least consider the utility of others, as you mentioned, the population of the elderly that we will encounter or my There are friends who have been or are considered immune, you know. Donors who will be at higher risk for various reasons. And the fact that I know that in some of the projection models, one of the biggest problems is that if the virus goes away so quickly and many people get infected at the same time, I’ll go away like a sheep in a hospital. And so making sure that we look at the impact, and not just the impact, in this community, is it hurting us, but it really does affect our societies and our macroeconomic development. How can it be affected? So, on this note, what do we need to see as parents? I know you have said that children can be particularly irrelevant and can even move without knowledge, but what do we need to look for and how can we reduce the chances of its spread? ؟

Dr. Song: Yes. So, that’s a big question. So, initially, you know, like I said, it’s confusing right now because they’re really a sign of colds, and we can’t know if you’re getting a cold or not, you know. , A corona virus cousin like the common cold, quotid 19 or influenza until we get it tested. However, I really want to request you all to listen, not to rush to your doctor’s office. Don’t rush to the ER. Do not arrive at the emergency care clinic for a quick checkup because what we saw in China was the cause of the rapid spread caused by many people, many people waiting in the waiting room in the ERs to enter the hallways. And if they didn’t have a test. Corona virus in the first place, they are exposing themselves or, if you have the Corona virus, exposing people who did not have them. Therefore, I will call your doctor’s office first. Find out, is this something you need to experience? Otherwise, what we usually do. I mean, Katie, your blog has so many wonderful resources to really help our kids, you know, really naturally and boost their immune system when you get sick. And we do many, many things the same. It’s no different. I still advise my family, “We are about to manufacture your vitamin D. We are about to manufacture your vitamin C. I use ocelococcinam. We use different immune boosters. بزرگ بیری استعمال کرتا ہوں۔

تو ، بہت ساری مختلف چیزیں ہیں جو ہم کر سکتے ہیں وہی ہوگا۔ لہذا ، ہم شروع میں آپ کے بچے کی سردی یا فلو کے علامات کا علاج اسی طرح کر رہے ہیں اس سے قطع نظر کہ کیا ہو رہا ہے ، لیکن اگر آپ کے بچے کو سانس لینے میں دشواری کا سامنا کرنا پڑتا ہے۔ اب ، آپ کے بچے میں سانس لینے میں دشواری کی کیا علامات ہیں؟ ٹھیک ہے ، اگر وہ تھوڑا سا زیادہ جلدی سانس لینا شروع کردیں تو ، آپ گن سکتے ہیں کہ وہ 15 سیکنڈ کی مدت میں کتنی سانسیں لے رہے ہیں۔ ایک سانس ایک سانس اور ایک سانس ہے اور پھر اسے چار سے ضرب دیں۔ اس سے وہ آپ کو ایک منٹ میں کتنی بار سانس لے رہے ہیں۔ اگر وہ فی منٹ میں تقریبا 40 40 بار سے زیادہ سانس لے رہے ہیں تو میں چاہتا ہوں کہ آپ اپنے ڈاکٹر کو کال کریں۔ آپ کے بچے کو سانس لینے میں دشواری کا سامنا کرنا پڑسکتا ہے ، اس کے علاوہ ، اگر آپ کو کوئی گھرگھراہٹ ، سیٹی بجنے کی آواز سنائی دیتی ہے ، اور بعض اوقات یہ ناک کی طرف سے ہے تو ، ہم نہیں بتا سکتے ، لیکن اگر اس سے بھی نتھنے کو بھڑک اٹھنا اس سے وابستہ ہے۔ سانس لینے میں یا واقعی میں ان کے پیٹ کے پٹھوں یا پسلی پنجری میں اضافی پٹھوں کا استعمال کرتے ہوئے ان کے پمپ کو اندر اور باہر پمپ کرتے ہوئے سانس لینے میں مدد ملتی ہے یا اگر وہ ہر بار خراش نکال رہے ہیں۔ یہ نشانیاں ہیں کہ وہ اپنی “سانس لینے کے کام” میں اضافہ کر رہے ہیں کہ وہ سانس لینے کے لئے تھوڑا سا زیادہ توانائی استعمال کر رہے ہیں۔ تو ، وہ اوقات ہیں جب میں چاہتا ہوں کہ آپ اپنے ڈاکٹر کو کال کریں۔ اور ایک بار پھر ، میں آپ سے گزارش کروں گا کہ آپ فوری طور پر دیکھ بھال کرنے سے پہلے اپنے ڈاکٹر کو کال کریں ، اس بات کا اندازہ کرنے کے لئے کہ آپ کیا کرنا چاہئے۔ اب ، آپ جانتے ہو ، یہ کہا جارہا ہے ، آپ جانتے ہیں ، واقعی میں کورون وائرس کی منتقلی کی روک تھام کا بہترین طریقہ اور ہمارے بچوں اور خود کو بھی انفکشن ہونے کا امکان کم کرنا ، پہلے نمبر پر ہاتھ دھونے ہیں۔ اور میں جانتا ہوں کہ آپ اسے خبروں میں دیکھ رہے ہیں۔ یہ بہت عام فہم ہے ، لیکن واقعتا and اور واقعتا، ، یہ اتنا اہم ہے۔

ایک مطالعہ ہوا… یہاں شماریات دان تھے جنہوں نے ہوائی اڈوں کی طرف دیکھا اور واقعتا looked دیکھا کہ ہمارے ہاتھوں کی دھلائی سے کیا اثر پڑ سکتا ہے؟ اور میں اس میں جاؤں گا جس کے صحیح معنی ہیں۔ لیکن جاننے کے لئے پہلا شماریہ یہ ہے کہ ، آپ جانتے ہیں ، جب لوگ باتھ روم میں جانے کے بعد باتھ روم میں موجود دوسرے لوگوں کے ساتھ دیکھتے ہیں ، اور آپ جانتے ہیں ، بیت الخلا کو چھوڑ دو ، تقریبا about ایک تہائی ، ایک میں تین افراد باتھ روم جانے کے بعد ہاتھ نہیں دھوتے۔ اور تو یہ ایسی چیز ہے جو واقعی چونکا دینے والی ہے۔ اور میں شرط لگاتا ہوں کہ باتھ روم جانے کے بعد اور بھی بہت سے بچے اپنے ہاتھ نہیں دھوتے۔ لہذا ، صرف ، آپ جانتے ہیں ، اس کے بارے میں اپنے بچوں کے ساتھ بات کریں۔ اور پھر انہوں نے دیکھا ، آپ جانتے ہیں ، کیا وہ اسے صحیح طریقے سے کر رہے تھے؟ اور جب انھوں نے اس طرف دیکھا تو انہوں نے دیکھا کہ ان لوگوں میں سے صرف 50٪ لوگ جنہوں نے اپنے ہاتھوں کو دھویا تھا وہ صحیح طریقے سے کررہے ہیں۔ اور میں آپ کو بتا سکتا ہوں جب میں نے اپنے بیٹے کو دیکھا ہے ، ٹھیک ہے ، وہ کیا کرتا ہے؟ اس کے ہاتھ پانی کے نیچے جلدی سے چلائیں۔ ہوسکتا ہے کہ صابن کا تھوڑا سا تھوڑا سا ڈالیں اور اس کے ہاتھ گیلے کریں اور بس۔ ٹھیک ہے؟ یہ ہاتھ دھونے کا مناسب طریقہ نہیں ہے۔ تو ، ہم اسے صحیح طریقے سے کیسے کریں؟ اور میں نے ایک بلاگ لکھا تھا کہ آپ اپنے بچوں کو صحیح طریقے سے اپنے ہاتھ دھونے کا طریقہ سکھائیں کیونکہ یہ واقعی ، واقعی اہم ہے۔ ہم ان کے ہاتھوں کو دھونا چاہتے ہیں میں کم سے کم 30 سیکنڈ ہی کہوں گا کیونکہ انفلوئنزا وائرس کو دیکھتے ہوئے کچھ مطالعے میں انھوں نے پایا کہ 30 سیکنڈ واقعی وہی ہے جس کی ہمیں ضرورت ہے۔ ایک بار اپنے اے بی سی نہیں گانا ، ٹھیک ہے؟ زیادہ تر لوگ اپنے ABCs کو تقریبا 30 30 سیکنڈ میں گاتے ہیں۔ لہذا ، ہم اپنے ہاتھوں کو گیلا کرنا چاہتے ہیں ، صابن سے ہلکا پھلکا ، اور پھر واقعی ، جو واقعی اہم ہے ، صرف اپنی ہتھیلیوں کو ایسا ہی نہ بنائیں جیسے زیادہ تر لوگ کرتے ہیں ، ہاتھوں کی پشت پر ، اپنی انگلیوں کے درمیان اور اپنے ناخنوں کے نیچے۔ اور آپ اپنی ہتھیلی کھول کر اور اپنے ہتھیلی کے اندر سے اپنے ناخن رگڑ کر اور 30 ​​سیکنڈ تک اپنے ناخنوں کے نیچے جاسکتے ہیں۔ اور پھر ہم کللا اور خشک کرنا چاہتے ہیں اور پھر ، یقینا we ، ہم چاہتے ہیں… جب ہم ٹونٹی بند کردیتے ہیں اگر ہم پبلک ٹا inن خانہ میں ہوتے ہیں تو ، ہمارے گھر میں اتنا زیادہ نہیں ، بلکہ پبلک روم روم میں ، آپ اسے بند کرنا چاہتے ہیں۔ یا تو آپ کاغذی تولیہ استعمال کرتے ہو یا اپنی کہنی یا کسی اور چیز کے ساتھ۔ کیوں کہ ہم اپنے صاف ہاتھوں پر دوبارہ مشقت نہیں کرنا چاہتے ہیں۔ لیکن یہ کیوں ضروری ہے؟ انہوں نے محسوس کیا کہ اگر لوگ صحیح طریقے سے اپنے ہاتھ دھو سکتے ہیں ، اگر صرف 60٪ ہوائی مسافر اپنے ہاتھوں کو صحیح طریقے سے دھو سکتے ہیں اور صاف ستھرا ہاتھ برقرار رکھتے ہیں تو ، اس سے کورونا وائرس کے انفیکشن کے پھیلاؤ کو تقریبا 70 70 فیصد تک کم کیا جاسکتا ہے۔ یہ بہت بڑی بات ہے۔

اور واقعی ، آپ جانتے ہیں ، ایک چیز جس کی طرف میں نے دیکھا ، اس کے آغاز میں یہ واضح نہیں ہوسکا تھا کہ پھر وبائی کیا تھی ، پھر کیا یہ ناول کورونا وائرس ایسی سطحوں پر رہ سکتا ہے ، آپ جانتے ہو ، ہینڈریلز ، آپ جانتے ہو ، جیسے آپ کا سیل فون ، لیپ ٹاپ ، کاؤنٹرٹپس؟ یہ یقین نہیں تھا۔ لیکن اب ہم جانتے ہیں ، ہاں ، یہ سطحوں پر رہ سکتا ہے۔ اور جب ہم اسی طرح کے دوسرے کورونا وائرس جیسے سارس کورونا وائرس پر نظر ڈالتے ہیں تو ، ایم ای آر ایس کورونا وائرس کے مطالعے سے معلوم ہوا ہے کہ ، آپ جانتے ہیں ، ہم جانتے ہیں کہ کورونا وائرس کم از کم تین گھنٹے تک سطحوں پر رہ سکتا ہے ، لیکن شاید نو دن تک بھی۔ اب ، یہ آپ کو گھبرانے کی بات نہیں ہے ، بلکہ آپ کو یہ بتانے کے لئے ہے کہ اگر آپ باہر ہیں اور آپ کچھ بھی چھوا رہے ہیں اور ، یقینا ہم ہر وقت چیزوں کو چھو رہے ہیں تو ، آپ اس بات کو یقینی بنانا چاہتے ہیں کہ آپ اپنے دھوئے کھانے سے پہلے ہاتھوں کو مؤثر طریقے سے استعمال کریں ، اس سے پہلے کہ آپ اپنے چہرے کو بالکل ٹچ لیں۔ اب ، جب ہم… یہ بھی ایک اور مسئلہ ہے۔ میں واقعتا was تھا… میں نے ایک رپورٹر سے بات کی جو ایک ماہر اطفال کے ماہر سے اپنے نکات حاصل کرنا چاہتا تھا کہ ہم اپنے بچوں کے ہاتھ اپنے چہروں سے کیسے دور رکھتے ہیں؟ ٹھیک ہے؟ میں جانتا ہوں ، تم جانتے ہو ، بودی… اور یہ نہیں کہ کینزی اس سب میں کامل ہے ، لیکن ، تم جانتے ہو ، بودی چھوٹا ہے اور وہ صرف… میرا مطلب ہے ، وہ صرف تھوڑا کمانے والا ہے ، ٹھیک ہے؟ میرا مطلب ہے ، وہ ہر وقت چیزوں کو چھوتا ہے ، اس کے ہاتھ منہ میں ڈالتا ہے۔ میرا مطلب ہے ، وہ تو ہر جگہ ، آپ کو معلوم ہے۔ اور اسی طرح ، واقعی ، آپ جانتے ہیں ، ہم اپنے بچوں کے ہاتھوں کو ان کی آنکھوں ، ناک اور منہ سے کیسے دور رکھیں گے؟ چونکہ ہم جانتے ہیں ، بالغوں کو ، جب وہ بڑوں کی طرف دیکھتے ہیں ، تو ہم ایک گھنٹے میں کم از کم 23 بار اپنے چہروں کو چھاتے ہیں۔ یہ ہر تین سیکنڈ میں ایک بار سے زیادہ ہوتا ہے۔ اور بچوں کے ل likely ، اس سے کہیں زیادہ امکان ہے۔ اور ، آپ جانتے ہیں ، جب ہم اپنے چہرے کو چھونے لگتے ہیں تو ، یہ عام طور پر ہمارے چپچپا جھلیوں ، آنکھوں ، ناک اور منہ کے ارد گرد ہوتا ہے جہاں ہم کورون وائرس داخل ہوسکتے ہیں۔ لہذا ، ہم نہیں چاہتے ہیں کہ ہمارے بچے گھبرائیں ، یا ہم ان کو نہیں چاہتے… ہم ان کو مستقل مزاجی سے روکنا نہیں چاہتے ہیں ، “اپنے چہرے کو چھونا چھوڑ دو۔ ایسا مت کرو۔ ” ہم واقعتا really جو کچھ کرنا چاہتے ہیں وہ بچوں کو ان کے چہرے کو چھونے کے بعد سے آگاہ کرنے میں مدد فراہم کرنا ہے کیونکہ اگر ہم آگاہ نہیں اور توجہ نہیں دیتے تو ہم اس عادت کو نہیں روک سکتے۔ لہذا پہلے انھیں ذرا نوٹ کریں ، جب آپ ڈنر کی میز پر بیٹھے بیٹھے بیٹھے بیٹھے بیٹھے کتاب پڑھ رہے ہو ، نوٹس کریں کہ وہ کتنی بار ان کے چہرے کو چھو رہے ہیں۔ اور پھر جب ہم پوچھتے ہیں… جب ہم چاہتے ہیں کہ وہ یہ کرنا بند کردیں ، بجائے اس کے کہ ، “اپنے چہرے کو چھونا چھوڑ دو” ، آپ اسے کچھ اور مثبت انداز میں تیار کرنا چاہتے ہیں۔ ہم اس کو اس انداز میں بنانا چاہتے ہیں کہ ہم ان کو بتا رہے ہیں کہ کیا کرنا ہے ، کیا نہ کرنے کی بجائے کیا مثبت کارروائی کرنا ہے۔ “اپنے ہاتھ نیچے رکھیں۔ اپنے سامنے اپنے ہاتھ رکھیں۔ اپنے ہاتھ میز پر رکھو۔ یہ جو بھی ہے کہ ہم ان کو کرنا چاہتے ہیں ، لیکن ، آپ جانتے ہیں ، نیچے کی لکیر ، ہم چاہتے ہیں کہ وہ ان کے چہرے کو چھونا چھوڑ دیں ، لیکن اگر ہم ان پر مستقل مزاجی کرتے اور بولتے ہیں تو ، وہ آخر کار اس بات پر روشنی ڈالیں گے۔ تو ، ہم اس کو زیادہ مثبت انداز میں مرتب کرنا چاہتے ہیں ، ٹھیک ہے؟

اور پھر ، آپ جانتے ہو ، ہاتھ دھوتے ہوئے… میرا مطلب ہے ، صابن اور پانی سے ہاتھ دھونے کا ایک ایسا طریقہ ہے جو ہم اپنے ہاتھوں کو موثر طریقے سے صاف رکھیں اگر ہم اسے صحیح طریقے سے کررہے ہیں ، لیکن ہم بہت سارے کاموں سے باہر ہیں ہم نیچے شکار کر رہے ہیں۔ کچھ اسکول بند ہوچکے ہیں ، لہذا آپ کے بچے زیادہ سے زیادہ گھر میں ہوں گے اور شاید عوامی مقامات پر باہر نہیں ہوں گے اور اس طرح صابن اور پانی سے اپنے ہاتھ دھونے کے لئے آپ کے پاس باتھ روم موجود ہے ، لیکن کئی بار ہمارے پاس ایسا نہیں ہوتا ہے۔ اور اس طرح ، آپ جانتے ہو ، ہاتھ سے صاف رکھنے والے اگلے سب سے اچھے کام ہیں ، لیکن جب مطالعات نے اس بات پر غور کیا ہے کہ حقیقت میں کورونیو وائرس کو کون سے ہلاک یا غیر فعال کرسکتا ہے ، سطحوں پر انسانی کورونیوائرس کو ، جو انھیں سب سے زیادہ موثر پایا ہے ، کچھ چیزیں ، لیکن ان میں سے ایک جو چیزیں سب سے زیادہ کارگر ثابت ہوئیں وہ ایک شراب حل ہے جس میں کم از کم 60٪ الکحل ہوتا ہے۔ انہوں نے یہ بھی پایا ہے کہ 0.5٪ ہائیڈروجن پیرو آکسائیڈ یا ایک نقطہ 0.1٪ بلیچ حل موثر ثابت ہوسکتا ہے ، لیکن ہم ایسا نہیں کریں گے… ہائیڈروجن پیرو آکسائیڈ اور بلیچ سطحوں پر ٹھیک ہوسکتے ہیں ، لیکن ایسا نہیں ہے جو ہم اپنے ہاتھوں کو صاف کریں گے۔ کے ساتھ لہذا ، اسی جگہ پر آپ آن لائن سفارشات دیکھیں گے ، کم سے کم 60٪ الکحل پر مبنی ہاتھ سے صاف کرنے والا۔ اب ، اگر آپ اسٹور پر گئے ہیں یا آپ ایمیزون پر چلے گئے ہیں تو ، میرا مطلب ہے ، یہاں تک کہ کوئی پوریل نہیں مل سکتا جب تک کہ… ٹھیک ہے ، یہ سچ نہیں ہے۔ ہوسکتا ہے ، لیکن یہ ایک چھوٹی سی بوتل کے لئے $ 100 ہوسکتی ہے ، ٹھیک ہے؟ اور اس طرح ، آپ جانتے ہیں ، بہت سارے طریقے ہیں جن سے ہم اپنے ہاتھوں کو صاف کرنے والے بن سکتے ہیں اور میں جانتا ہوں کہ آپ نے اس کے بارے میں بھی لکھا ہے ، لیکن ہم یہ یقینی بنانا چاہتے ہیں کہ یہ کم از کم 60 فیصد شراب ہے۔ اس کے ساتھ ، آپ جانتے ہو ، میں نے کل ہی لفظی طور پر ایک بلاگ پوسٹ لگا دی تھی کہ ہم اس کو کیسے کرتے ہیں ، کیوں کہ اس میں کچھ ریاضی ، کچھ حساب کتاب ہوتا ہے ، اور آپ کو آئسوپروپیل ملنے والی شراب کی مختلف فیصد ہوسکتی ہے۔ لہذا ، اگر آپ کے پاس 99٪ رگڑ شراب ہے ، تو آپ بنیادی طور پر ایک حصے میں مسببر ویرا جیل کے لئے دو حصوں کی شراب پینے والے ہیں۔ اگر آپ کو ایلو ویرا جیل سے الرجی ہے اور مجھے ابھی ایک ماں ملی ہے ، آپ جانتے ہو ، تبصرہ کریں کہ وہ صرف ایلو ویرا جیل نہیں ڈھونڈ سکتی ہے ، آپ گلیسرین استعمال کرسکتے ہیں۔ یہ ایک اچھا متبادل ہے۔ عام طور پر آپ کو 70٪ شراب یا آئسوپروپائل الکحل دیکھنے کو ملے گا۔ لہذا ، اس کے ساتھ ، آپ کو ایلو ویرا جیل کو 60٪ حل بنانے کے لئے زیادہ الکحل استعمال کرنے کی ضرورت ہے۔ لہذا ، نو حصوں میں شراب سے ایک حصہ مسببر ویرا جیل. اور اس طرح میرے پاس الکحل الکحل کے ساتھ تین مختلف اختیارات ہیں اس پر منحصر ہے کہ آپ کے پاس کتنی فیصد ہے چاہے آپ کے پاس ایک مضمون میں 99، ، 91 or یا 70 have ہے جو میں نے کل ہی لفظی طور پر پیش کیا تھا اور ، آپ جانتے ہو ، والدین واقعی اس عملی خرابی کی تعریف کر رہے ہیں ، ٹھیک ہے؟ کیونکہ اگر ہم خود ہی ہاتھوں کو سینیٹائزر بنانے کی کوششوں سے گزر رہے ہیں تو ہم چاہتے ہیں کہ یہ کارآمد ہو۔

کیٹی: اس سے بہت زیادہ معنی آتا ہے۔ اور مجھے پسند ہے کہ آپ… ٹھیک ہیں۔ میرے پاس ایک پوسٹ ہے۔ میں جانتا ہوں کہ تم بھی کرو۔ میں ہاتھ سے صاف کرنے والے اور ان چیزوں کے بارے میں دونوں سے لنک کروں گا جن کا آپ نے ابھی ذکر کیا ہے۔ اور مجھے پسند ہے کہ آپ نے وٹامن ڈی کا بھی تذکرہ کیا کیونکہ یہ وہ چیز ہے جو میں ہر سال اس وقت کے بارے میں ہمیشہ جانتا ہوں کیونکہ میں جانتا ہوں کہ میں نے ڈیٹا پڑھا ہے کہ زیادہ سے زیادہ وٹامن ڈی کی سطح ہونے سے سانس کے بہت سارے معاملات اور شدت کا خطرہ کم ہوسکتا ہے۔ بیماریوں کی بہت سی قسمیں۔ لہذا ، یہاں تک کہ اگر ہم کورونا وائرس کے بارے میں فکر مند نہیں ہیں ، یہ ابھی بھی سردی اور فلو کا موسم ہے ، ابھی بھی بہت کچھ باقی ہے۔ اور میں جانتا ہوں کہ آپ اس سے مجھ سے بہتر بات کر سکتے ہیں ، لیکن چونکہ یہ ایک چکنائی میں گھلنشیل وٹامن ہے لہذا یہ وہی ہے جس پر آپ کو ضرورت سے زیادہ مقدار میں خوراک لینے کی ضرورت نہیں ہے۔ لہذا ، میں جانتا ہوں کہ میں نے سال کے اس بار اپنے پورے کنبے کی جانچ کی ہے اور اس بات کو یقینی بنانا ہے کہ ہماری سطحیں حدود میں ہیں ، لیکن مجھے ایسا لگتا ہے کہ یہ ایک ثبوت کی حمایت والی چیز ہے جس کے بارے میں مجھے لگتا ہے کہ سال کے اس وقت سے آگاہ ہونا اور اس کو لینا ضروری ہے۔ کیا آپ کو وٹامن ڈی کے محاذ پر کوئی اضافی مشورہ ہے؟

ڈاکٹر گانا: بالکل۔ لہذا ، ایک چیز جو میں صرف اس بات کو یقینی بنانا چاہتا ہوں کہ لوگوں کو معلوم ہو وہ یہ ہے کہ ابھی تک ہمیں کوئی اندازہ نہیں ہے کہ کوویڈ 19 کے خلاف موثر سلوک کیا ہوگا ، چاہے وہ دوا ساز ہو یا قدرتی۔ ہم صرف نہیں جانتے ہیں۔ میرا مطلب ہے ، یہ بالکل نیا وائرس ہے۔ اور اسی طرح میں چاہتا ہوں کہ لوگ ، احتیاط برتیں اور اپنی عقل سے استفادہ کریں ، جب آپ پڑھتے ہو تو ، آپ جانتے ہو ، آن لائن بہت سی پوسٹس جو دعویٰ کرسکتی ہیں کہ کچھ قدرتی غذائی اجزاء کوویڈ ۔19 کا علاج اور علاج کر سکتے ہیں۔ اب ، یہ کہا جارہا ہے ، ہم جانتے ہیں کہ بہت سی ایسی چیزیں ہیں جو نئے کورونویرس کو پہلی جگہ پانے اور ہمارے علامات کو نمایاں طور پر کم کرنے کے ہمارے امکانات کو نظریاتی طور پر مدد کرسکتی ہیں۔ اور ہمارے پاس اس کے لئے ثبوت موجود ہیں ، جو آپ جانتے ہیں ، میرے لئے ، ماہر اطفال کے ماہر کی حیثیت سے ، میں واقعتا sure یہ یقینی بنانا چاہتا ہوں کہ میں ایسی چیزوں کی سفارش کر رہا ہوں جن کے پاس اچھ evidenceے اچھ ofے ثبوت موجود ہیں اور یہ بھی نقصان نہیں ہونے والے ہیں۔ لہذا ، وٹامن ڈی ، جیسا کہ آپ نے کہا ہے ، میرا مطلب ہے ، یہ ان سپلیمنٹس میں سے ایک ہے جس کے بارے میں میں اپنے گھر والوں کو اور اپنے آپ کو موسم سرما میں صحت مند رکھنے کے حوالے سے سب سے زیادہ مذہبی ہوں کیونکہ اس کے علاوہ بھی بہت سارے جراثیم گردش کررہے ہیں۔ یہ. اور آپ فلوریڈا میں ہیں ، لیکن یہاں تک کہ فلوریڈا میں بھی جہاں سورج چمک رہا ہے اور بچے باہر بہت زیادہ ہیں ، بہت سے ، بہت سے بچے ، در حقیقت ، وسیع اکثریت ابھی بھی وٹامن ڈی کی کمی یا کمی ہے۔ اگر آپ کے پاس یہ آپشن موجود ہے کیونکہ ، آپ جانتے ہو ، جیسا کہ کیٹی نے بتایا ہے ، وٹامن ڈی چربی میں گھلنشیل ہے ، یہ آپ کے چربی کے خلیوں میں محفوظ ہوجاتا ہے۔ یہ ممکنہ طور پر “زہریلے درجے” تک جاسکتا ہے ، اگرچہ ، آپ جانتے ہو ، میں نے کبھی نہیں دیکھا ہے کہ ان بچوں میں بھی جو زیادہ مقدار میں خوراک لے رہے ہیں۔

لیکن کیوں وٹامن ڈی؟ ٹھیک ہے ، جب ہم COVID-19 کو دیکھتے ہیں ، اور میں نے ذکر کیا تھا کہ ان پیچیدگیوں میں سے ایک جن کے بارے میں ہم فکر کرتے ہیں ، اگرچہ یہ عام نہیں ہے ، لیکن ، آپ جانتے ہیں کہ ، مہلک ہوسکتی ہے۔ اور ہم جانتے ہیں کہ اگر آپ کو کوئی انفیکشن ہوجاتا ہے تو وٹامن ڈی در حقیقت آپ میں سیپسس پیدا ہونے کے امکانات کو کم کرنے میں مدد کرسکتا ہے۔ اسے “پرو بقاء کا مالیکیول” کہا جاتا ہے اور یہ دراصل ہمارے جسم کو کیتلیسیڈین نامی پروٹین تیار کرنے میں مدد کرتا ہے جس میں حیرت انگیز اینٹی وائرل اور اینٹی بیکٹیریل خصوصیات ہیں۔ لہذا ، واقعی زیادہ سے زیادہ صحت مند سطح پر ہمارے وٹامن ڈی کی سطح کو برقرار رکھنا ہمارے مدافعتی نظام کو مضبوط رکھنے کے لئے واقعی اہم ہے۔ صحیح کھانوں اور صحیح سپلیمنٹس کے ساتھ ہمارے مدافعتی نظام کو مستحکم رکھنا مجھے یقین ہے کہ ہمیں صحت مند رکھنے اور اپنی کورونائیرس بیماریوں کو ہر ممکن حد تک ہلکے رکھنے کی کلید ثابت ہوں گے۔ لہذا ، آپ جانتے ہو ، عام طور پر ، ایک بار جب ہماری سطح “زیادہ سے زیادہ” ہوجائے تو ، وٹامن ڈی 3 کی تکمیل کی وٹامن ڈی کونسل کی سفارش کردہ بحالی کی خوراک جسم کے وزن میں 25 پاؤنڈ تک 1،000 آئی یو ہوتی ہے ، آپ جانتے ہو ، 100 پاؤنڈ اور پھر وہ واقعتا they ، آپ جانتے ہیں ، کیا آپ… اسے روزانہ 5000 IUs تک محدود رکھنے کی سفارش کرتے ہیں جب تک کہ آپ اپنے معالج سے اس کی نگرانی نہ کرسکیں۔ تو ، میرا مطلب ہے ، میرے بچے روزانہ 3000 اور 4،000 IUs وٹامن ڈی 3 حاصل کر رہے ہیں ، آپ کو معلوم ہے۔ ان کی عمر 8 اور 10 سال ہے اور یہ ان کے وزن کے مطابق مناسب خوراک ہے۔ اور میں جانتا ہوں کہ ان کی اچھ levelsی سطح ہے کیونکہ میں نے ان کی جانچ پڑتال کی ہے۔ I take 5,000 a day, but if I’m starting to feel a little under the weather, I’ll take a little bit more.

So, there’s vitamin D and then I’d also mentioned vitamin C. Now, vitamin C. What they found in studies is that IV vitamin C when given in the intensive care unit to patients with sepsis, you know, full organ failure, multi-system organ failure, can significantly absolutely reduce the death rate compared to those patients who didn’t receive vitamin C. So, you know, I’m not gonna say that vitamin C will cure you of coronavirus if you do contract it, but certainly as a powerful antioxidant, it is a very important part I think of prevention and if we start to feel sick, you know, really, you know, helping support our immune systems to fight and ward off any infections. Really when we’re sick with any infection, our body creates inflammation, of course, and produces a lot of free radicals. It’s these free radicals that make us feel sick. When we have more free radicals we feel more sick. So, that’s why, you know, when we see people with a range of symptoms, it is, I do believe, those people who have a higher level of antioxidant reserve that don’t feel as sick and don’t get as sick and, you know, don’t get as many complications because those free radicals once they’ve done their job, you know, we want them around to fight the infection, but once they’ve done their job, we want to bring those free radicals down, get rid of them and mop them up with antioxidants. And antioxidants are gonna be, you know, vitamin C, vitamin A, vitamin E, think all the colorful fruits and vegetables, which is why we have to go back to the foundations of how do we keep our immune system healthy and really looking at food as medicine, getting rid of the sugar because sugar absolutely suppresses our immune system’s ability to fight off infections. So, this is not the time to be… If your children are, you know, anxious or fearful, we don’t want to give them sweets or, you know, treats that then help them maybe feel better temporarily because a lot of us may think about doing that. Oh, I know, you know, reach for the ice cream when we’re nervous. But we don’t wanna do that right now. We wanna really, you know, help our kids with their anxieties in another way, not using food and really using the power of food to keep our immune system strong.

Katie: A 100% in agreement with you on that. And to echo what you said, I think it’s important to realize this is a virus, so it’s not something that we have, like you said, even conventional treatments or cures for, but with any illness, we always have the option to support our immune system, to support our overall health, to get good sleep, to spend time outside, to take vitamin C. The things we do know have a benefit just for overall health and for supporting the immune system, and that’s something positive we can focus on versus falling into the fear side which is also bad for your immune system to begin with.

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I know one question that comes up around this and I’ve been getting online as well, is to do with explaining what a cytokine storm is and ways that we can help our body to, again, have a strong immune system and to be able to handle if that was an issue, because I know that’s something that apparently from what I understand, at least, a lot of these mortalities are related to sepsis, not to the actual virus itself. And the cytokine storm comes into play here, but I know… Can you explain this a little bit better?

Dr. Song: Absolutely. So, you’re right on in that, you know, typically let’s say with, you know, even with influenza, but also with the coronavirus with SARS or the current coronavirus, it’s our own body’s reaction, our own immune system’s reaction that, you know, makes us symptomatic. And oftentimes, the actual infection, right, the coronavirus may be completely eradicated. It’s not there anymore. But the inflammatory cytokines that your immune system have produced, then creates this cascade of effects that then can create what a lot of people are now talking about this “cytokine storm.” Now, this is not a new concept. In fact, even last year, every time influenza season comes around, there’s questions about the cytokine storm, then the next question is, “Well, should I use elderberry because can’t elderberry cause a cytokine storm?” And there’s so much information out there and I’ve seen both sides say absolutely, no elderberries. If you’re… During the flu season and if you’re sick, elderberry is completely fine. And I think it’s somewhere in the middle. Remember with sepsis, the cytokine storm, it really… If we can have enough antioxidants on board to mop up those free radicals and those inflammatory cytokines, that’s gonna be the most protective thing. So, when we look at elderberry, in particular… And this post that I actually did on elderberry, I called it “Elderberry and the Cytokine Storm. Do you need to worry?” I mean, it’s still, years later, one of my most popular posts and I’m being asked about it.

So, I do want to write a post with more evidence, but what I want people to understand and parents to understand is that elderberry does have immunostimulatory effects, but in beneficial ways, right? So, yes, it can actually create increased levels of inflammatory cytokines. And we wanna really understand that inflammation is not a bad thing, right? Just like when you get a cut and maybe there’s a little pus and a little redness and then it heals, that’s inflammation, right? When you get an illness and your body mounts a fever, that’s inflammation. But those are beneficial because they’re helping us fight whatever is going on. So, that’s inflammatory cytokines. And then we have anti-inflammatory cytokines that are also produced by elderberry. So, when we have inflammation that’s normal and healthy, we also need, you know, anti-inflammatory cytokines to come and say, “Well, you’ve done your job. Let’s regulate the immune system and go back down to baseline.” Go back down to our usual state of good health and hopefully we are in a usual state of good health. Now, that’s where I think it can be sort of a double-edged sword. I think that elderberry can be beneficial. But I also think you can have too much of a good thing. So, I am not recommending that people take elderberry on a daily basis right now, but I am, you know, still using elderberry for my own patients when they come in with flu-like symptoms because I know how beneficial it can be to help fight that infection initially and then reduce the inflammatory response as they’re healing. So, you know, that is where, you know, we wanna just understand that, you know, inflammatory cytokines is not a bad thing. Cytokine storm, yes, a bad thing, but elderberry is not necessarily the evil that some are making it out to be.

Katie: Good to know. ہاں Thank you for clearing that up. And I know people still have a lot of concerns, especially in the last 24 hours even there have been travel bans that are announced. What’s your take both as a doctor and as a parent on if we should be avoiding travel at this point? And if people are going to travel, do things like, for instance, wearing a face mask, will that actually help because I’ve seen conflicting reports on if that’s even effective?

Dr. Song: Yeah. That’s such a good question. I mean, that is the million-dollar question, right, because as we head to… I mean, some kids have spring break next week. In my school, you know, our kids have spring break in the middle of April. So, we’re now in this next month of, you know, a lot of travel plans. And a lot of these travel plans will include flying. Now, the U.S. just announced that there is a travel ban to and from Europe. So, you know, for folks who have had…. you know, made travel plans to go to Europe over spring break, that decision has been made for them. But domestic travel, families who have planned to go to Disneyland next week or families… My sister in Colorado, had plans to fly with her, her husband and her two, you know, almost-three-year-old twin girls to Florida to see my mom and my stepdad, you know, both of whom are in their ’70s. And my mother, you know, just in November was diagnosed with esophageal cancer and went through her chemo and had surgery and she’s recovering. So, what do we do there? ٹھیک ہے؟ And so we wanna think, who are we gonna visit? What are our risks for contracting coronavirus? How do we minimize those risks? And so, you know, I will say if you are traveling to see potentially vulnerable people like maybe your elderly parents, your grandparents in this case, I would reconsider right now because we are sort of on the cusp. We’re sort of in this… I don’t want to call it a honeymoon period because we are seeing people getting sick and, of course, people dying in the States. But we’re in this window where the projections are that in the next couple of weeks we are going to see many, many more numbers, you know, rapid doubling. So, we’re not there yet. So, on the one hand, perhaps this is a good time to travel. On the other hand, we don’t want to be one of those vectors for increasing the spread. So, if you do decide to travel, there are things that you can do to minimize your exposures.

Now, with masks, you know, the surgical masks that you see that have all the gaps on the side, those are not gonna do anything to prevent you from getting coronavirus infections. Those, however, will prevent others from getting infections from you if you are sneezing or coughing. So, you know, if you do or your child does have any upper respiratory symptoms, I would not fly because you are then exposing all the other people on the plane. But if you are healthy and you do choose to fly which I do know many families who are, wearing what’s called an N95 mask that filters out, you know, at least 95% of the particulate matter may be effective. My husband, actually, he’s going to Las Vegas for a hockey tournament. He’s leaving today. We had a discussion, decided, you know, he would go but, you know, he will likely be wearing a mask on the plane just to prevent himself from getting any unwanted exposures. The mask does have to be really well fitted. There cannot be gaps. And unfortunately, there are no N95 masks that are gonna fit a child’s face well enough to protect against coronavirus or even influenza virus infection. So, if you’re traveling with kids, that’s really probably not going to be an effective option. The other concern too just from a public health standpoint is we really do need to… I mean, there’s been a run on masks. You’re not gonna be able to find N95 masks if you don’t have them already. I happen to have them because of the fires here, the tragic fires in California. So, we’ve had them, you know, for the past couple of years, actually, the past three years when we’ve had these, you know, horrible forest fires in Northern California and the air quality has been so, you know, devastatingly horrible. But, you know, we do wanna be mindful of the fact that, you know, we are at risk for running out of protective gear and supplies for, you know, really the medical professionals, the doctors and the nurses who are in the ERs and the ICUs who will be caring for sick patients.

So, what would I do if I did choose to fly? Just make sure, remember the surfaces, right? All the surfaces that your kids could touch. I do wipe them down now. I used to think, “Oh, I’m not gonna wipe down. That’s okay. I’m not gonna be worried about that.” But you know the screen in front of you, the handle, your armrest, the seat button that reclines the chair, the window shade, the seat belt buckle. I wipe down all of that. And again, in this case, right now, I would use hand wipes that have at least 60% alcohol in them. When you’re wiping down surfaces like that you could use a bleach wipe as well. And then, of course, when you’re flying, just make sure that you’ve gotten enough sleep the night before, that you are not up packing at all hours of the night because sleep deprivation does suppress our immune system’s ability to fight off infections. Make sure that you’re not, you know, snacking at the airport on, you know, muffins or chocolate or, you know, candy or a lot of the things that we often… I know your audience doesn’t, but that many parents do “treat” their kids with because they’re being so good on a plane. Staying hydrated, all those good things to really keep our immune system strong. As of now, I’m not necessarily recommending that people don’t travel, but that will likely change in the coming week. So, I think we just have to pay attention to what’s going on and be as safe as possible. My sister was on the fence about flying. She was supposed to fly in two days as we speak and did decide last night not to go not because of her concern with her children getting sick, because, as I mentioned, children are relatively spared, they seem to have mild to no symptoms, but really out of concern for possibly bringing anything to my parents who are elderly and my mom especially who has an increased risk because of her recent chemotherapy and surgery.

Katie: It makes sense. And I love that you are bringing such a calm and level-headed perspective to this and giving people practical tips that they can do to keep their families safe but also to reduce the fear and calm the panic which I think is even potentially more of a pandemic at this time than the actual virus itself. I know you’ve also written some great articles on remedies if you or your child do get sick and just things you can do, again, to support the body through that. And you also have a course. I will make sure that I link to both of those in the show notes at wellnessmama.fm. And of course, they are also on your blog at healthykidshappykids.com. And I also know that you are an active practicing doctor who needs to see patients in eight minutes. I wanna respect your time. But any just parting advice or words of wisdom to parents who are just worried about navigating this with their families?

Dr. Song: Absolutely. Like you said, stress may be more of a pandemic than anything else. And I just want to emphasize that stress, how we’re feeling, our own anxieties, which then can fuel our children’s anxieties, that may actually be one of the most inflammatory things, the most immunosuppressing factors that we are encountering. Now, I want to really help parents to be, you know, what I’ve told my patients, just let’s be rationally prepared, let’s be rationally cautious, but not panicked. We really want to try to focus every day on self-care for ourselves so that we can then be present and calm and help our kids navigate this time. I just yesterday recorded an interview with one of my favorite child psychologists. I would say favorite child psychologist except my sister is one, so I can’t say favorite. But Dawn Huebner, H-U-E-B-N-E-R. She is incredible. She is a child psychologist that teaches kids cognitive-behavioral techniques through her self-help books just for kids or the what to do series, “What To Do When You Worry Too Much,” “What To Do When Your Temper Flares,” “What To Do When Your Brain Gets Stuck.” She’s got a whole series, but her latest book, you know, “Something Bad Happened.” That’s the title of it, “Something Bad Happened.” That came out last fall. And she wasn’t writing it specifically for coronavirus, obviously, because we didn’t know about coronavirus then. But it’s really how to help our kids navigate really bad news, tragic events. And we are already seeing tragic events in the news. I’m hoping that people don’t have their radio on just all the time or the TV on or casually flipping through their news feeds while their children are watching over their shoulders because it’s too much for brains even, you know, middle school and high school brains to really, you know, comprehend fully without our help. So, we recorded an interview on how to talk with kids about coronavirus that I’ll be posting up, you know, very, very soon. And by the time you post the podcast, I will get that link to you because I want parents to know that they do have tools to help themselves keep calm and help their kids keep calm and I think that’s gonna be one of the most powerful ways that we as families and as communities can get through the coronavirus pandemic together.

Katie: I love it. And I will make sure that all of those links are in the show notes. You guys check it out. It will be the podcast at wellnessmama.fm is where you can find it. And I will also, Dr. Song, link to your social media, especially your Instagram, you’ve been posting some resources there and some update so people can follow along with you. And we’ll ride this thing out together like you said and I think parents are the frontline of defense. And I’m so grateful that you are sharing all this practical, common-sense information without the fear and I think that’s gonna really help a lot of families. So, thank you so much.

Dr. Song: Thanks for doing this, Katie. It’s so important to get the word out. And you can do that, you know, so well. And really I appreciate your time today.

So grateful to Dr. Song for sharing all of that information and for very balanced approach on this. I wanted to follow up with a few things into some practical measures that I’m personally taking based on a lot of questions I’ve gotten from you guys. And to start, I also just really want to reiterate what Dr. Song said in the interview, which is that while it makes absolute sense to take a rational preparedness approach to this. We also do need to stay calm and maintain some sort of balance as well.

I know that things like this can seem extremely scary, but especially as parents, we have the ability to help maintain the calm and to pass on a calm attitude to our children and also to take the proper preventative steps without overreacting or being overly afraid. And I’m not at all trying to diminish the potential of what this can be or to minimize the fact that people have died from this and people will continue to die from this. But I just want to reiterate like we talked about with Dr. Song that fear and stress do not help the immune system and nothing is to be gained from that. And so to whatever degree possible, I think, like she said, just once again, to reiterate, we need to be rationally prepared to be ready for what may and looks likely will happen at this point, but at the same time to maintain calm and composure and community and support each other in local areas in whatever ways that we can.

So that’s my first step to this. My own personal approach right now is stay calm, take a deep breath, don’t stress out. That said, to reiterate a lot of the stuff she said, I’m just going through my personal checklist of things that I am implementing in my home with my kids. Extra stuff I’m taking right now just to, as we talked about, boost the immune system, increase the body’s own defenses. Like she reiterated again and again, there is no right now known cure for this, not in conventional medicine, not in alternative medicine, but there are some things that may be helpful in just supporting the body in either hopefully avoiding getting sick or in shortening the duration if we do get sick.

All of the experts agree that hand-washing is extremely important and she talks about…she you talked about this when I spoke with her a few minutes ago and you will see this advice in any official document in CDC papers, everything coming out. Experts agree that hand-washing the right way is one of the best steps that we can take to stop the spread of this or at least to lengthen the curve, which will give our health care system the best shot at handling the potential up flux of people who are going to need to visit the hospital.

So I will put links in the show notes to everything I talk about in this part of the podcast. But I have stocked up on big staples like liquid Castile soap, which I use to make big batches of homemade foaming hand soap and which can also be used on its own as a hand soap. And I’ve been adding in a few drops of different types of antibacterial essential oils and antiviral essential oils into the hand soap. So current for me is germ destroyer or germ fighter from Plant Therapy. I’ll put those links in a discount code in the show notes if they are still even available and not sold out online.

And to echo her advice, this requires proper hand-washing. She quoted the statistics of how big of a difference this can make if we were all washing our hands the right way. But that is important to. It needs to be at least 30 seconds, ideally up to a minute with warm water and soap and that needs to happen, especially anytime we visited public places or touched surfaces where the virus can live. I’m also normally not a huge fan of hand sanitizer, but it’s something I am making and keeping on hand right now. If you have been to any stores, you know that it’s pretty much sold out online and in essentially all stores. So I have been making big batches of my homemade hand sanitizer recipe to use whenever we’re out of the house or if we’ve been in public areas where we can’t wash hands as easily or there’s more potential for the virus to spread.

There’s multiple recipes in that post. So a word of advice. She explained that for, to meet CDC standards, hand sanitizer needs to be at least 60% alcohol. And if you know what percentage your alcohol is, this is a simple math equation. Most rubbing alcohol is 70% or above and some of them are as high as 99%. So you need to make sure whatever alcohol that you use, not just the percentage of that alcohol mixture, but the percentage of actual alcohol is above 60% if you’re trying to meet the CDC standards. And then I dilute that with either aloe vera, which is also largely sold out online or glycerin. And then add essential oils just for an extra layer of defense there and also for scent.

Something else I always do this time of year and I’m just also making sure we do right now is nasal irrigation, especially if we are traveling or have been in public places. This is something, like I said, it’s not specific to coronavirus or Covid-19. This is something that I do during cold and flu season anyway because there are lots of things going around besides just these. But I use several different types. There’s one from Genexa, a Genex saline, both an adult version and then infant and children’s versions as well. And then I also had used other different methods of nasal irrigation at home, similar to a neti pot, but with premixed saline and all of those will be linked in the show as well.

In our home because even though there are viruses going around, my house is still the place where all the neighborhood kids hang out. And I always wanted it to be that. I’m not discouraged that even with all of these things going around, but I am taking a few extra precautionary steps. So I have pretty much been diffusing different essential oils on repeat 24/7. Right now I’m using Germ Destroyer KidSafe Essential Oil and Germ Fighter from Plant Therapy, also Immune Aid and Defender. And I have their oils like respirate and immune boom on hand in case any of us do get sick, but I am just a fusing those pretty much all the time in our home.

I’m also running air filters, which I normally have in the home as well. But I’ve ordered a few more. So I have AirDoctor Air Filters, which you guys might have heard of for me before and also Air Oasis and they have discounts for both of those, which will be in the show notes at wellnessmama.fm. There’s some evidence that certain types of air filters can filter particulate sizes small enough to get viruses in the air. So since there isn’t an airborne nature to this, it’s just a cautionary step that I am.

And then personally and with my kids, there’s a few additional supplements that I’ve added into our routine or increased our dosage on. I just stocked up on Genexa remedies. So again, there’s no treatment or cure for this that we know of, but there are things that might help shorten the duration or at least improved symptoms if anybody does get sick. So you can find links in the show notes to all the Genexa remedies, but they have saline ones that I already mentioned and they also have Cold Crush and Flu Fix, both designed to help with comfort and duration during those types of events.

So those were the show notes as well as Dr. Song mentioned. Two other big ones that seem to come into play with any type of respiratory illness are vitamin D and vitamin C. And I’ve linked to my post on both of these in the show notes. I do think it’s important to test for vitamin D levels, especially this time of year when we aren’t in the sun as much.

And so that’s something I do for our whole family and that we supplement with regularly. We use drops of vitamin D, high dose vitamin D in the mouth, in the doses based on body weight and testing to keep those in range as well. And I’ll put some of my other tips and suggestions in the show notes as well. But I just wanted to give a look at what I’m personally doing and what I’m not doing. We’re not wearing face massk. We’re not a right now quarantining or staying inside. We are limiting any unnecessary travel or big gatherings of a lot of people.

But just to reiterate what she said, I am not afraid at all from an illness perspective for our family because none of us are in high risk populations. But that said, anytime we are dealing with a relatively rapidly spreading now pandemic, I do think it’s important for us all to just be aware and rationally prepared again to use that word so that we aren’t passing this on without even being symptomatic and we aren’t putting people that we love at risk. But that needs to be balanced with keeping calm and not letting the fear and the overwhelm take over. And using this as an opportunity to spend more time together in community and small groups and family and to talk to our kids about important things we would want to teach them anyway. Like what happens in types of events like this, like preventative measures that we can take, like what our immune system is and how it works and how we can support our body and how the body works as an organism, as a whole and not just an individual parts.

And so I think there’s a lot of, many, like very many valuable lessons in this. I have no doubt that communities like this one, the amazing Wellness Mama community will only come together more and strengthen in times like this. And I’m just so grateful to all of you for being the leaders, this in your own families, communities and homes, and for caring, for listening, and for sharing. So thank you again for your time today. I hope that this was helpful to you and your family. I hope that you stay healthy and happy. And I hope that you will join me again on the next episode of the ”Wellness Mama” podcast.

If you’re enjoying these interviews, would you please take two minutes to leave a rating or review on iTunes for me? Doing this helps more people to find the podcast, which means even more moms and families could benefit from the information. I really appreciate your time, and thanks as always for listening.



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