Page 7 - Adelante Magazine November 2021

BY: DANIEL PEARCE, D.O., FACOI, AAHIVMS ASK THE
DOCTOR

STRONG OVERLAP BETWEEN COVID AND HIV INFECTIONS

STRONG OVERLAP BETWEEN COVID AND BAT TO HUMAN RABIES IN ILLINOIS If you are on alendronate, a pill for osteo-
HIV INFECTIONS This is the first case of rabies by bat in many, porosis, then you may be preventing diabetes.
There is a study that looked at which counties in many years. An 80 year old man woke up with More research is needed but the preliminary
the US have high Covid rates and layering that a bat on his neck. They treated him ASAP but data from Danish study shows this may be true.
map on top of a map of high HIV rates. The hot he died of rabies. In Southern California if you
zones are very similar. E.g. there is much are in a room with a bat, you are suspected of FLU SHOT NECESSARY?
overlap in the southern US but much less in having rabies and treatment may be recom- Last year had a very low flu season, very few
California. The high counties for HIV in mended since their bites are so tiny and many died rather than the average of 30,000. This is
California are San Diego, San Francisco, Los times painless. not to mention being off work or being hospi-
Angeles, Riverside and Imperial County. talized. Experts think that the scare of Covid
Why is there is overlap? The authors mention WRIST MONITOR DETECTS INFECTIONS caused more isolation, masking, hand washing,
associations from the social determinants of A group studied the heart rate, skin temper- less travel, and more flu shots given than usual.
health (as we have discussed here before) such ature, electrical skin conduction, and patterns But with people listening to anti-mask
as income inequality, binge drinking of alcohol, of body movement via a wrist monitor on messages, frustration with isolation, and people
high levels of sexually transmitted infections subjects before and then after giving them the not caring, this flu season may be worse. In
(the marker being Chlamydia and Gonorrhea flu virus. I’m sure they were paid for this! After addition, those who didn’t get the vaccination
infections), poverty, Non-Anglo race, trans- analyzing the data they could tell who was last year may be susceptible to the strains from
portation barriers and health care access infected. I predict that Apple® and Android® last year in the future and may not be protected
problems. Those on dialysis or who have had watches will get this improvement so that you from bird flu which might hit in the future. So it
a kidney transplant are at higher risk for severe know when you are about to become ill and can is recommended you get your flu shot this year
Covid. isolate yourself from infecting others. too. I got mine.
SCHIZOPHRENIA AND SCHIZOAFFECTIVE INTERMITTENT FASTING TO CONTROL C DIF IS EVERYWHERE?
PATIENTS HIGHER COVID DEATHS WEIGHT? C Dif can cause diarrhea that is difficult to treat
This has been puzzling to psychiatrists and they There was a review paper summarizing what and spreads among people who are hospi-
investigated whether the medications were we know through research studies on eating talized. In the US there were more than 200,000
contributing to the 3 times higher mortality, but during certain hours and not eating the rest of cases in hospitals. Where is it in the community
found it was not so. the time. The studies were small to medium and and how does it spread? A researcher and her
were not rigorous. The authors recommend team cultured the shoes of nearly 12,000
NEW COVID PILL more research but for now they think it is wise people and found that it was about everywhere:
Merck announced that their new pill cuts hospi- to consider these points: different people, countries, buildings, and
talizations down by ½ and had no Covid fatal- • Because high melatonin levels (late clinics.
ities compared with placebo. The pill is taken at night or early morning) can inhibit proper Keep those questions coming and be safe!
twice a day and the estimated cost of $700 for response to food, choose a time to eat that
the 5 day treatment. starts at least an hour after waking and stops at dpearce@western.edu
least 3 hours before bedtime. If you sleep 8
HOME HIV TESTING MORE ACCEPTABLE hours, that leaves 12 hours for the time- Daniel Pearce, D.O., FACOI, AAHIVMS
Clinical Associate Professor of Medicine, Loma
DURING COVID restricted eating window. Linda University School of Medicine Adjunct
Or is it just the word is out that you can buy a • Try to eat within the same time Professor of Internal Medicine and HIV, Touro
test online and have ordered it and done it at window each day. University California College of Osteopathic
Medicine and Midwestern University Arizona
home? Some are willing to pay as low as $18 • Some research suggests eating College of Osteopathic Medicine HIV, Hepatitis
for it to avoid lines and clinics. Those who got earlier in the eating phase is better than eating B,C, Transgender, Suboxone Specialist, Borrego
the test were more likely to go for STI testing later. Health (Riverside, San Bernardino, San Jacinto)
and consider PrEP. Member, Coachella Valley Clinical Research
Initiative
OSTEOPOROSIS DRUG PREVENTS
DIABETES? REFERENCES: Medscape®
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