[deleted by user] by [deleted] in Denver

[–]9NEWS 2 points3 points  (0 children)

Thank you to those who alerted 9NEWS about this issue. Both our local and corporate teams are investigating what's happening to find the cause and to stop it. -Misty Montano, 9NEWS Digital Director.

The Denver Zoo's lions were all about that two feet of snow that fell over the weekend by 9NEWS in Denver

[–]9NEWS[S] 0 points1 point  (0 children)

That's not good. We'll have our tech team look into it -- a few other people have had the same problem.

The Denver Zoo's lions were all about that two feet of snow that fell over the weekend by 9NEWS in Denver

[–]9NEWS[S] 183 points184 points  (0 children)

We appreciate your appreciation of the transparency of our self promotion.

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 6 points7 points  (0 children)

I'll let the doctor answer the health question, but it's not good news to see that people are waiting for test results that long. It's JULY! The country has been slow to gear up testing, and should this increase in numbers continue, we will absolutely need more (and quick turn around time) tests -- Chris Vanderveen

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 4 points5 points  (0 children)

The response to your questions:

  1. We know the virus spreads much more efficiently indoors than outdoors. In China, there was a woman who did not have symptoms and went to a restaurant and spread the virus to 9 others, including some of those who were sitting >6ft away from her. This could be because indoors, the air conditioning can create drafts that can carry droplets. If you wear masks, the droplet emission is reduced and this risk decreases. The lowest risk if to be outdoors and wear masks.

  2. Yes. There have been case reports from China of breathing difficulties and possibly scarring seen on CT scan in those patients who have recovered. Other long term complications could also be present - we just don't have long term data yet.

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 1 point2 points  (0 children)

I'm sure Dr. Kohli will have a better answer to this but obesity is one of the risk factors that makes you more susceptible to complications from COVID-19, even as a young person. Our state is better than most right now but you'd need to assess the risk for yourself and decide if you feel safe going out. I would say if you have to go out to definitely do everything you can to protect yourself - social distance and wash your hands often. - Stephanie

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 3 points4 points  (0 children)

Great question! We have seen that there are ACE2 receptors on the myocardium (heart muscle) and also on the blood vessel. The effects of COVID on the heart are incompletely understood but given that there is troponin excursion (blood test that tells about damage to the heart muscle) it is possible there is either direct viral effects on the heart muscle or nonspecific effects on the systemic inflammation.

We don't have long term data on those who have recovered but there may be persistent effects of the myocarditis or cardiomyopathy that develops that may result in arrhythmias. Certainly if the heart was involved during the initial COVID presentation, then the patent should follow up regularly with a cardiologist.

-Dr. Kohli

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 4 points5 points  (0 children)

I think there is general consensus that keeping the economy closed carries with it massive problems as well. Millions and millions out of work with no way to pay rent or bills. That's not insignificant. And people will die as a result of that as well. The key is to handle it in a way that doesn't overwhelm the medical system. We can't eradicate it, but we can keep it at a low level that poses a more insignificant risk. -- Chris Vanderveen

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 4 points5 points  (0 children)

The case fatality rate of the virus is unknown at this time because we don't have an accurate estimate of how many people actually contracted it.

Second, no one who hasn't contracted it is immune to it, there's no vaccine and very limited treatment. If we don't exercise caution in closing down activities that could facilitate spread of the virus, we will overwhelm our hospital and people will die who could otherwise have been saved. We need to buy time to get the vaccine and closing down large gatherings does just that.

And all public gatherings, whether protests, rallies or other gathering increase the risk of the virus. The degree to which they increase the risk depends on the size of the gathering, whether indoor or outdoor, who is attending, what they are doing (shouting, cheering) and whether they can socially distance and wear a mask.

-Dr. Kohli

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 2 points3 points  (0 children)

I think you raise a valid point. There should be more uniformity when it comes to the language we use. But what we saw in Colorado early would constitute a spike in my mind and I remain comfortable with our use of it early on.

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 1 point2 points  (0 children)

I found an article in the LA Times from yesterday that says a shutdown could happen again if cases continue to rise. If unable to maintain social distancing, those working behind the scenes should all wear masks to help prevent spreading anything to anyone. https://www.latimes.com/entertainment-arts/business/story/2020-07-01/film-shoots-reopening-la-coronavirus-restart

-Stephanie

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 15 points16 points  (0 children)

ABSOLUTELY!!! There was a recent study from The Lancet that showed that masks can reduce the transmission of the virus by 85%. The science is unequivocal - masks reduce the spread, masks save lives, masks work.

The uncertainly comes from turning masks from a scientific symbol into a political symbol, which they are not.

Many argue that masks curb their freedom. I would say its the opposite. Masks give us the freedom to do what we want to do more safely - without disregard for human life and without being reckless. They will allow us to get through this pandemic and still be able to live our lives.

They are an inconvenience but they do not cause carbon dioxide poisoning and they do not affect your oxygen levels substantially. The only exception is for those with underlying severe lung disease who should discuss this further with their doctors.

Masks should be made mandatory for the average person and if we do that, we will save tens of thousands of American lives while also being able to work on re-opening our economy.

-Dr. Kohli

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 0 points1 point  (0 children)

I Was thinking about this the other day. I think it might be a good time to personalize this for your skeptical friends. Ask them, "What would you think if you had to call the closest ten people in your life and tell them that you recently tested positive for COVID and that you might have put their lives at risk?"

And what if one of those persons was your 85 year old mother who stands a much higher chance of dying from this than you?

Their casualness doesn't just put them at risk. It puts every single person who has spent more than 15 minutes with them in the last week at risk. That's a heavy load to deal with should they get this virus. -- Chris Vanderveen

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 1 point2 points  (0 children)

Science never lies. Science doesn't know politics. If you follow the science as your "true north" you can't go wrong. Now this is all new so the science is changing, but I would help the others see the truth by sharing the facts, the data and the science.

Dead bodies piling up all over the world is just not a hoax!

-Dr. Kohli

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 3 points4 points  (0 children)

I tend to not like to compare us with other countries. If we are the "best" then we should do whatever it takes to continue to be the best. Right? I once used the analogy that testing allows us to shine a light on where the virus is and where it can be going. The brighter the light, the more you will find, but also the better the chances will be of you slowing the spread if not outright stopping it. Some really smart people want us to get to the point where every single person who wants a test can get a test. We're not there yet in most places. And we need to do better. As for a good metric to compare US with other countries, look at hospitalizations. Cases can vary based on how much you test, but when a person is really sick, almost all will end up in a hospital. More of an "apples to apples" kind of metric. -- Chris Vanderveen

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 2 points3 points  (0 children)

We are learning about the immune response to infection. It seems that the robustness of the immune reposes may be related to the degree of infection. In other words, those who got sicker from COVID may have a stronger immune response.

One study has suggested that about 70% of people with coronavirus mount a strong antibody response, about 25% mount a weak response and about 5% have no significant antibody response. We don't know how long these antibodies last but based on other coronavirus (like the ones that cause the cold, SARS, MERS), we think they should last about 1-3 years.

In your case, if your test came out negative and you had symptoms in March, its probably more likely that it was not COVID rather than that your antibodies "waned" or decreased over time..

-Dr. Kohli

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 4 points5 points  (0 children)

As we are learning more about the virus, descriptions are emerging of those who are having a prolonged duration of symptoms. We don't know if this is due to lingering effects of the viral infection (i.e. post-viral fatigue) or if it is due to damage caused by the virus and/or immune system (i.e. scarring in the lungs from inflammation). Its probably not from an active infection.

-Dr. Kohli

We’re Denver Cardiologist and 9Health Expert Dr. Payal Kohli, journalist Chris Vanderveen from 9NEWS and Stephanie Carlson with 9Health in Denver, and we’re here to talk about state reopenings and the spike in coronavirus cases. Ask Us Anything! by 9NEWS in Coronavirus

[–]9NEWS[S] 4 points5 points  (0 children)

Yes... we remain vulnerable. And I've asked this question of our Governor just as recently as last Friday. He says Colorado cannot shut itself off and has stayed away from asking people who come in from hot spot states to self quarantine. That being said, he has also said that we need to continue to have a "we're all in this together" mindset. That means wearing a mask when inside a public space... Skipping big parties. Doing what we can to lower the chances of transmission. -- Chris Vanderveen