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COVID-19 Q & A with Chuck Kilo, MD

March 20, 2020   |   By Mary Johnson

With so many questions arising regarding Coronavirus (COVID-19) we did a little Q&A with Internist, Chuck Kilo, MD to share with our GreenField Family.

 

Q: What do we mean by someone having a temperature?

A: A temperature of 100.4 degree Fahrenheit (38 degree Celsius) 

Q: Can you please define Self-isolation?

A: If someone has a suspected infection or exposure to a high-risk situation or individual they should isolate themselves for 14 days, trying to avoid other human contact. This can be done by not sharing bathrooms, towels, cooking spaces to best they can. Basically staying in the house isolated. 

Q: Can you please define Self-quarantine?

A: Someone who is not ill and has not had direct contact with COVID-19, but comes from a higher risk situation, like flying back from overseas/international travel. This is 14 day quarantine.

     Q2:Why 14 days?

     A2: That is the outer limit for what has been observed as the COVID-19 incubation period – meaning how long the virus might incubate inside someone before they become clinically ill.

Q: The news has mentioned concerns regarding ACEs and ARBs, can you explain?

A: Some reports are popping up that ACEs (Lisinopril, Enalopril, etc.) and ARBs (losartan, etc.) increase susceptibility to COVID-19. This is in early observational data at best and at this time we don’t recommend (nor do national authorities) that anyone either stop or change their anti-hypertensive at this time.

Q: What if someone is sick? By sick I mean, potentially consistent with the COVID symptoms (A temperature > 100.4, new cough, shortness of breath.)

A: In general, unless someone is so ill or progressively short of breath that they need to go to the ER, then home management is as follows:

  1. You self-isolate at least 7 days from when your symptoms first appeared or 3 days past when your symptoms have resolved. A total of 7 day minimum.

Q: We have heard the mention of "Shelter in place" a lot over the last few days especially with California just putting in this official order. Can you explain more about?


A: Essentially, sheltering in place means staying home. People should stay in their home unless they need to leave for “essential” activities like going to the doctor, grocery store, pharmacy, or bank.