Family Medical Providers, PLLC

This was almost 2 years ago....back when the company just started. I was looking for this speech this morning....I am lucky to work with so many good people.

I here this question all the time and the responses from the schools are all over the spectrum. The fact that there is NO consistency with the response should be the upsetting point. Truly, this disease is no different in Tennessee than it is in Texas, so our response to the children should be the same. And most importantly, these policies should be made by the doctors. Fear and ignorance should not be the driving factors with this disease or its surrounding policies.

This was almost 2 years ago....back when the company just started. I was looking for this speech this morning....I am lucky to work with so many good people.

CDC's Changed Testing Guidelines Could Lead To Less Testing, Experts Fear This might be a rant.......As so many politicians have said, the administration needs to listen to more of science and medicine and less politics. As a doctor, I am telling you, please let me figure out the testing. As there is a 30% asymptomatic population, but if the data has shown us anything , trying to figure out that population is like looking for a needle in a haystack. Indiscriminate testi...ng led by a poorly informed and scared populous has done nothing but clog the system up. As a result, Patients that are ill, with a variety of symptoms I can’t get results back. This change in policy will not result in less testing, but more directed testing with a higher pretest probability. If we are going to test asymptomatic people....it needs to be systematic. It needs to be with a purpose. It needs to have reason. Everyone needs to be tested before going to college dorms. Everyone needs to be tested before going to jail. Everyone needs to be tested on the first day of hospitalization. Physicians need to stay out of politics and politicians need to stay out of Medicine. See more

I here this question all the time and the responses from the schools are all over the spectrum. The fact that there is NO consistency with the response should be the upsetting point. Truly, this disease is no different in Tennessee than it is in Texas, so our response to the children should be the same. And most importantly, these policies should be made by the doctors. Fear and ignorance should not be the driving factors with this disease or its surrounding policies.

Not that anyone being diagnosed with covid makes me happy....but what this does do was give me a small dose of satisfaction that there was no working strategy. Recently, the EU announced a tentative ban on Americans traveling abroad due to our poor handling of the pandemic. Everyone felt as though we had reopened the country too soon. I think objectively, now we can all say that opening soon, opening late did nothing but delay the infection rates. Originally, this wide ...spread closure of whole countries was to delay infection rate (flatten the curve) and to mitigate catastrophe in the medical systems. We saw what uncontrolled spread in New York and Italy looked like. But, any opening, any semblance to normalcy would result in cross contamination. The job of the epidemiologist now is to control the spread, and maintain a reasonable pace. That should be the goal......a controllable pace of infection. Until there is a vaccine or a cure, control of the process is our best strategy. That and everyone having a deep understanding that this disease is here to stay. See more

We have been installing Remote Patient Monitoring systems for the last few months. It has been slow going and difficult to get traction, but it is happening. I’m glad this movement is hitting the mainstream. Even some of my partners were very skeptical, but seeing vital signs, patient reports and video messages has changed their minds. These systems are a disruptive technology to medicine that should make the large hospital systems shudder. I personally am trying to keep... patients away from on of the most dangerous places for them - the hospital itself. For years, I have been searching for the ability to detect issues and provide preventive care. Normally, that would mean useless discussions about health issues. The holy grail is the ability to manage a chronically ill patient at home and detect changes objectively. This is it. I would like to thank Anthony Kaul and Clouddx for all their assistance. See more

This hits close to home.....I just moved my oldest to college last weekend. Although, we have not heard a lot from the college on number of cases, I wish we had a much more open communication line. Unfortunately, most of these schools have a common thread. It is not from good policies and procedures that these cases are spiking, it is from students congregating. I feel some of that is normal behavior for young adults and the persuasive feeling of invulnerability, but much comes from the social isolation that they have gone through for the last 6 months. They have not had good social outlets since the spring of last year. And many have never seen the true lethality of the disease. This rebound effect is brutal and speed the infectious process. Maybe we should call this rebound the Fauci effect.

I’ve seen these ads in the back of magazines on airplanes and wondered if they would help my knees, hips, whatever. And dealing with the elderly I see how they slowly break down. We are all searching for the fountain of youth. It has come over the years in various forms with various claims...vitamin c, diets, hormones, blood transfusions, now stem cells. The take away from this is the old adage of if it’s too good to be true then it probably is.

We’ve had a lot of data or at least news stories that children are immune to this disease. That is not true. Understand, I fully believe children should be back in school with some version of protection. But as a parent, we have to be mindful that these children can contract this disease. Although the mortality rate is low for children, no one wants to see their child in the hospital for days on end. Suddenly a statistic does not matter when is your own child.

This is a scary thought, can you imagine in 20 years we have this huge uptick in Alzheimer’s and dementia patients because of COVID-19! Any sort of viral infection in the brain does have long lasting issues. And we still don’t know everything about this disease..

If you read this article, 7.7 days isn’t exactly what they say. In fact it’s all over the place. It goes from four days, to 10 days. They chose this middle ground to cover most people. But this tells me is that we still have very little knowledge of this disease. And the real question is are you infectious during this whole time or only during the last third of it. Asymptomatic viral shedding is what spreads this disease. Asymptomatic viral shedding is why we should be wearing mask. Asymptomatic viral shedding is why we need a vaccine. Also remember if it has a 1% mortality rate, and our country has 400 million people, that’s 4 million people dead.

Not that I think Bill Gates is an absolute expert,But he is correct in this case.We have known for a year now that all these tested were pushed through with very little vetting.This sensitivity and specificity of these test have not gone through the rigorous FDA approval as they normally would. Now we are seeing reports that up to 30% are giving us false positives and or false negative results. The FDA knows this too, that is why they are no longer recommending Negative test results before returning to work. Combine poor tests, with indiscriminate testing techniques, And now we have data That is pretty much useless. I would not believe at all the Statistics on Infection rates. Would watch the hospitalization rates, and the mortality.These are the only two statistics that are useful.

I usually hate these kind of articles. It’s kind of a, I already knew this, statement. But what I found interesting was the percentages of increasing severe disease. We talk about the mortality rate of COVID-19, but we never talk about the severe disease. If you’re going to die from this, we usually do it within the first week or two. The percentage of people with severe disease I think is much worse. Younger people are in the hospital for weeks on end. I read once, the lengt...h of stay in ICU was over eight days.. The worst thing about this disease from a societal viewpoint is its use of resources. This basically consumes the resources and does not allow them to care for other people. If you have someone on the vent for 7, 10, 20 days, that means it can’t be used for anyone else. This is the reason for the government shut down. It allowed us the ability to respond to this increasing need for resources. I hope moving forward that as a society we can learn from this. Truly, this was not the most virulent disease around. This could have been much, much worse. Hopefully, next time, we will be more prepared! See more