Also, projections published recently by University of Washington on peak demand days for hospital beds by state IF good social distancing and hand washing are maintained through April.  Please take a look, and share. This model takes into account that NPIs/social distancing continues.  Some states, like Washington are predicted to be well resourced, perhaps short a few hundred ventilators.  New Jersey and New York are in for a rough patch. You use the pull down menu to select the state you are interested in (defaults to the entire country) https://covid19.healthdata.org/projections Likely folks have seen this already, but a good resource for the elderly and immunocompromised, those with comorbidities who are having groceries delivered. https://www.youtube.com/watch?v=sjDuwc9KBps#action=share

I will be offering TeleMedicine in April as soon as my state license to do so is approved.  We will be using the HIPAA compliant doxy.me platform.  Please schedule with Bret as usual (907) 586-3655

https://www.newyorker.com/news/q-and-a/how-pandemics-change-history?itm_content=footer-recirc Check out this excellent interview with Yale history of medicine professor Dr. Frank Snowden about pandemics, which have stopped and started wars, shifted political power balance, exposed inequalities and inadequacies to protect citizens, as well as bringing out the best in us: enormous bravery and sacrifice for the good of all. ”Spanish” flu and many other varieties of corona viruses, cholera, smallpox, tuberculosis, the bubonic plague all left an indelible mark on human society.  A children’s ditty from the era of the plague will be familiar to many: Ring around a rosy: The round reddish rashes or “buboes” were a mark of being infected by Yersinia pestis, a non-spore bacteria carried by rat fleas. The Black Plague, aka Bubonic Plague, started in China and was transported by trade ships to the port of Messina, striking Europe in the mid 1300s, and killing nearly half of those populations. Pocket full of posy: People of the time would carry with them various herbs and flowers to try to ward off the disease.  Medicinal herbs were the predominant remedies globally until about...

I will be offering TeleMedicine in April as soon as my state license to do so is approved.  We will be using the HIPAA compliant doxy.me platform If exposed, how long am I contagious? https://www.sciencenews.org/article/coronavirus-most-contagious-before-during-first-week-symptoms 1. Even seriously ill people are likely no longer contagious after 10 days of symptoms – even if they are still really sick.  C-19 RNA still can be swabbed, but not the whole virus. Less ill people are likely no longer contagious much sooner. 2. C-19 colonizes at 1000 times more virus particles than SARS, producing thousands or millions of viruses in the nose and throat. We can also glean useful information from this article to figure out a creative solution for prevention or reducing spread of the virus. Suppose we could kill the virus in the nose and throat before it became established? We could try, right? Consider making an antiviral nose and throat spray using some of the herbs we are familiar with that are shown to have anti-corona virus activity: astragalus, licorice, elderberry, eupatorium. Mixing one or some of the tinctures with...

  In response to NYTimes columnist David Leonhardt published March 10, 2020 about 7 steps to minimize risk of spreading corona virus (COVID-10), who asked “Did I miss anything?” March 11, 2020 Hi Mr Leonhardt Thanks for asking. I have been a primary care doc for nearly 30 years (in Juneau Alaska).  Did you know that our endogenous anti-viral is FEVER? https://royalsocietypublishing.org/doi/10.1098/rspb.2013.2570?fbclid=IwAR2fUpjtOWW2nbeegsqK535uLj0ywwdtzq0EgonfRfPWTghmfKij8gFldVc& Also https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2951171/?fbclid=IwAR2WTSgftKKaqiz685EtWNoua_OC2kcQ-GK80IabyD7ovTLpyZ8M9_C1vIc#__sec14title Humans capable of mounting an appropriate immune response develop a fever when exposed to viral infections.  Viruses are tiny, as you know, and do their dirty work inside cells.  As opposed to bacteria, which are much larger and infect the space outside our cells, typically producing snot and phlegm and the like (mucus mixed with spent white blood cells).  The fact that the virus may abate with warmer weather has gotten some airplay but the deeper message is not getting across: viruses dislike heat.  Most viruses cannot survive in temperatures above say 103 degrees F.  I have instructed all my patients, besides assiduous prolonged hand washing and keeping fingers away from the “danger triangle” of eyes, nose...

Honestly, don’t panic.  That won’t help.  It will weaken your defenses.  The trickiest part right now, is that evidence recently emerged that the classic risk factors (contact with someone who was near the Wuhan province epicenter) may not explain the cases of infection.  The good news: the disease is MOSTLY mild.  MOST folks will not get particularly sick.  Few die.  The bad news: silent transmission is feasible, which means someone who is not showing any signs of respiratory distress or febrile illness MAY be a carrier, and contagious. So, in the interconnected world of trains, planes, automobiles and shipping lanes — not to speak of new international trade policies rendering us less-cooperative — we have to take basic precautions, especially during  travel.  Wash your hands frequently with warm running water and soap as often as possible after being within 10 feet of a sneezing someone whose COVID-19 status you don’t know for sure.  Think about the kids’ jingle “Happy Birthday to you, etc” and the time it would take to sing it all the way through, normal speed, twice.  That’s...

Ready for a spring cleanse?  Here comes the the 2020 virtual version; a collaboration with Dr. Emily Kane and YOU.  This month-long, self-care commitment will set you up for the graceful aging that you know is within reach.  Join with wellness enthusiasts and optimal health seekers to reboot.  The group format will help us stay committed.  The individual session with me will help to personalize your process.  My aim is to offer durable advice to help you regain and/or maintain optimal WELLNESS.  Dates: April 14 through May 12 via ZOOM.  This will be fun! Format: 5 interactive lectures with Dr. Kane, on Tuesdays from 3-4 PM starting April 14 through May 12.   Location: via ZOOM on your computer! Curriculum: Classes will focus on finding your best diet, improving sleep quality, sticking with moving your body daily, skin brushing, home hydrotherapy, and much more. You will learn to apply simple self-health tips with a special focus on clearing or preventing viral infections.  Hint: viruses dislike heat — so you need to sweat! Cost: $200: $65 for 5 lectures, $20 for urine pH...

check out Salt and Soil in Juneau: https://www.saltandsoilmarketplace.com/ Our bodies are literally a walking, talking rainforest. The “ecology” of our trillion or so human cells, and the ten-fold greater number of bacteria (and 100-fold greater number of viruses) that co-exist within us all is deeply informed by our local surroundings – our geography.  The soil in SE Alaska was built up over thousands of years.  It is perfectly adapted to this environment.  When we eat food that was grown in local soil we too become better adapted to our local environment.