There’s no shortage of opinions and advice coming from politicians and pundits who are only qualified to comment on the color tie they’re wearing and probably not much else. We reached out to a local medical doctor, Kerim Razack, with more than 20 years of experience in critical care medicine and pulmonary (lung-related) disease treatment to answer common questions Fort Worthians have concerning COVID-19, the rapidly spreading disease that has afflicted more than80,000 Americans to date. Dr. Razack is a partner with Texas Pulmonary & Critical Care Consultants at Texas Health Southwest.
Is this just a new strain of cold or flu?
No. This is a new strain of SARS [Severe Acute Respiratory Syndrome]. The family of coronaviruses is not new. The novel coronavirus [that we are seeing] is a virus that is similar to a virus that can cause the common cold.
What are the manifestations of COVID-19 in the lungs?
The most common symptoms arecoughing, fever, and shortness of breath. We are realizing that there are a lot of [gastrointestinal] symptoms now. Nausea, vomiting, diarrhea, abdominal pain, and loss of appetite have been reported in 30 to 50 percent of some cases.
Most people will get something that seems like the flu with cough, fever, and shortness of breath. It can go on to become extremely severe and cause acute respiratory distress syndrome. That’s when the capillaries in the lungs start to leak, and then you end up with fluids in air spaces. That is generally what people die from.
Why is sheltering in place important right now?
Two reasons. If you have it, you don’t want to be spreading it around. If you are asymptomatic and you show symptoms 14 days later, you were spreading it to everyone. However, there have been reports of some incubation periods as long as 25 days or longer. If you stay in place 14 days without symptoms, then it is unlikely that you have it. The other purpose is so you don’t get it from someone else.
What makes COVID-19 worrisome for medical professionals?
It has to do with the transmissibility of the virus. The misconception was that this was a bad flu. The thing with the flu is, you can see it coming. The flu transmissibility is about one-to-one. However, with COVID-19, what ends up happening is that you get it, you are contagious, and you spread it because you might not manifest symptoms for 14 days.
What has been the biggest misconception about this pandemic?
The misconception is that it’s no big deal. All the people who are bored right now don’t realize what is happening in hospitals. The hospitals are being inundated. Wearedoing our best to not get it ourselves. All the resources are being used up.
We’re starting to see the beginning of [the outbreak] in Fort Worth. [Without taking steps to slow the spread], hundreds of people may end up in respiratory failure and needing a ventilator. When we run out of ventilators, we will be deciding who lives and who dies. Meanwhile, everyone is sitting at home being bored and not seeing any of this. That’s the misconception. No one gets to witness what is happening in hospitals.
How has the pandemic affected your medical team?
We are stressed out. We know what’s coming. Some [staff] are getting pre-traumatic stress disorder, which includes anxiety and depression.
I’m taking care of a patient with COVID-19. You have to go in with a gown, double gloves, surgical hat, N-95 mask, and a face shield. We’re not quite using a hazmat suit. Every time you enter that room, you’re wondering if you put your suit on right. What it’s done, you’re wondering if you took it off right. “Did I touch something after I took this stuff off and touch my face?” You’re constantly worried that you did something wrong and that you are going to get sick.
How are patients being tested?
I treated one known positive patient. That’s not because we don’t have other positive patients. The testing is taking seven to 10 days to come back. In an ideal world, you would have a test that comes back in an hour. Anyone who has symptoms is being put in isolation, so we treat them in full garb. That’s why we’re burning through all the personal protective equipment.
What steps should someone take if someone begins to feel sick?
They need to self-quarantine. That means away from the rest of the family. They need to monitor their body temperature twice a day. The CDC [Centers for Disease Control and Prevention] defines a fever as 100 degrees and above. If you have a fever of 100 degrees or above, cough, or shortness of breath, you need to self-quarantine.
At what point should someone seek medical care?
When theyget in some sort of respiratory distress. If you can’t breathe, you need to seek medical attention. If it’s severe, you need to call an ambulance. If it’s mild, you can go to an emergency room or an urgent care center. You don’t want to go to the emergency room for everything because they are already overtasked. Urgent care centers are equipped to see these patients. They can see you and check your oxygen level. Most primary care offices are not equipped to handle a potential COVID case. It depends on the office, but most are not equipped with the proper protective gear.
What steps has your hospital taken to prepare for a possible surge of cases?
For the entire Texas Health Resource system, they are having COVID meetings every morning at the local level and system level [for the entire network]. At the local level, we are repurposing staff. There are no more elective procedures. Colonoscopies, radiographic procedures, ultrasounds — all canceled.
The staff has been repurposed to do other things. They are becoming COVID monitors in many cases. COVID monitors watch you put on the personal protective equipment. They watch you take it off and make sure that you leave the room and wash your hands.
We are trying to procure all the right equipment like ventilators and medications. We are trying to segregate patients into areas. One section is for COVID patients. Protocols are coming from the CDC then to administration and worker–bee level. Things are changing on a daily basis.
Have there been planning lapses at the national level?
After the H1N1 epidemic in 2009, there was a huge push for having a pandemic response team. All the hospitals came up with plans for this. Even the federal government had a pandemic response team. Everything fell to the wayside because that was 11 years ago. [President Donald Trump] dismantled the pandemic response team in 2018. His reasoning was that we could reassemble it on the fly. The problem is that COVID-19 moves so quickly, trying to reassemble that team (taking months or longer) has been unhelpful.
What are the most practical sanitation steps we can take?
This is relatively simple. Number one, wash your hands. Soap and water is the best thing you can do for this. Wash your hands for 20 seconds. If you touch anything that is suspect, wash your hands. The virus has an airborne component. If you are coughing, you want to cough into your arm and not your hand. Use hand sanitizer if you don’t have access to washing your hands. Finally, shelter in place. Don’t go out.
What’s Fort Worth’s best-case scenario?
The best-case scenario is something called “full Wuhan,” a complete lockdown until new cases get to zero. That’s the best-case scenario. We can’t do that nor are we willing to do that. In Italy, people are dying by the truckloads. New York City is in a bad state right now. DFW, hopefully, won’t be as bad as New York because the population density is lower here and we put shelter in place when we did. But it’s far from over.
Tthe fact is that the “pandemic Team” was part of the NSC. When Bolton assumed leadership of the NSC, Admiral Ziemer (sic) who was bureaucratic head of the “pandemic response team” retired. the staff was maintained in a separate division. Drs Fauci and Brix (who herself has a military background) currently head the President’s response. Fauci is the pre-eminent infectious disease specialist in the WORLD. These two highly regarded physicians/epidemiologists have lately (and very unfairly) come under fire by a very biased press just because they are coordinating an effort to help Americans in this crisis.
NOT TRUE – “President Donald Trump] dismantled the pandemic response team in 2018. His reasoning was that we could reassemble it on the fly. The problem is that COVID-19 moves so quickly, trying to reassemble that team (taking months or longer) has been unhelpful.”
See attached article https://www.westernjournal.com/insider-blasts-media-lie-trump-cut-wh-pandemic-office-know-exists-ran/
Diane. The doctor’s statement about the 2018 pandemic team is true and will be left as published. Thank you.
Edward J Brown, you failed to read the article linked for you, didn’t you? Your statement is lame, and the Dr’s statement is NOT true. READ the article linked for you.
BS The president has an excellent pandemic team of acclaimed scientists. the private sector is extremely helpful in its response . Of the 25,000 + tests performed on the approximately 2000 Texan found to have the disease, 22,000 tests are performed by the private sector labs.
“The hospitals are being inundated.” – How many people have been hospitalized? Tarrant County will not release the numbers. Dallas County shows that 68% of those who test positive for COVID-19 were never hospitalized. With only 124 active cases total in Tarrant County, that doesn’t sound like an inundation.
“We’re starting to see the beginning of [the outbreak] in Fort Worth.” – If this is the beginning of the apocalypse, it’s an extremely slow start. Here’s the number of new cases for the last ten days:
March 19 – 10
March 20 -10
March 21 – 0
March 22 – 18
March 23 – 10
March 24 – 14
March 25 – 19
March 26 -10
March 27 – 14
March 28 – 14
That’s an average of 12 new cases per day. As this rate the entire county will be infected in a little over 250 years.
We have no clue how many cases are actually in Tarrant County. We have very little testing and the numbers are under reported in the provisional bucket by TCPH.
Are you quite sure that this “Corona” virus hasn’t been in the works for months? Years? I also feel that those in a leadership position had full knowledge of this “outbreak”.. With a pandemic of this nature companies will soon be lining their pockets because miraculously they have a “cure”. MEANWHILE, our country, the USA, is in sheer panic and chaos and someone gets to be the hero. THIS has been very well orchestrated, I must say….or….has it?? If I haven’t figured it out I’ve at least scratched the surface. The companies should tell the truth about what 5G is doing to us. How long are we expected to live in a radioactive, highly contagious gamma-ray infested microwave without showing signs? We are being poisoned with our own oxygen, t.v.s, computers, cell phones and everything “signal driven”. This is mass quantity population control before us all but we worry not about what “clearly” is destroying us. We worry not about the introduction of the bitcoin and the elimination of paper currency. This, to me, is a prelude to “the mark of the beast”. The government will know and control “EVERYTHING” and EVERYONE and the anti-christ will be revealed. This world isn’t prepared for “the truth” just as our “so-called” leaders haven’t any clue what kind of doors they have opened with their baby fetus drinking parties. Hillary Clinton will never sit and stay quiet and WOW is she resembling a serpent more and more daily. The mark of the beast is AND HAS been EVERYWHERE! It is present in our commercials, our cartoons and everything “SIGNAL-DRIVEN” that we must have and think we can’t live without. The Coronavirus is merely the beginning…there are several more plagues to introduce of which we have NO Control according to our bible. My concern is the coming back of our CHRIST to put a “hault” to this nonsense. There’s where our focus should be. I want to be ready when the Lord comes for me I think it is foolish to allow “man” this much power over this body of people. GOOD LUCK AND GOD BLESS US ALL…WE’RE CERTAINLY GOING TO NEED IT.
Reply to Sylvia, no one will get the “mark of the beast” until SUNDAY worship is enforced! The “blue laws” are already passed just NOT enforced.Read your Bibles people. Rev 14:6-12.Most prophecies have already happened.7th day Adventist church has literature to help you if you don’t understand.Saturday is Sabbath in all languages!!Not Sunday.Worship on Saturday is worshiping the True God who made all. This virus wouldn’t have happened if the people weren’t eating things they shouldn’t. (Lev11the whole chapter sais what is an abomination to you, food guidelines to not get diseases,wake up people! )Please pray for healing of all the innocent people infected or affected by the virus and thank God for His mercy!
Is it too much to ask that the Weekly advertise for a better class of trolls? 5G, seriously? The Revelation of John being trotted out yet again. Sylvia, I hate to disappoint you, but St. John of Patmos was writing about Rome, not COVID-19. And, still we have those among us who doubt the seriousness of this virus and excuse the Ignoramus-in-Chief for losing a month in preparation. While thousands died, what was the former reality TV star concerned about? His ratings. Inexcusable.