Author Archives: Dr Lachlan Soper

Differentiating Allergies, the Flu, and COVID-19

It can be difficult to tell the difference between COVID-19, the flu, and seasonal allergies. They have many similarities when it comes to symptoms, and that just further complicates the process.

Common symptoms shared between the three include a sore or itchy throat, runny nose, and sneezing. This can make it harder to differentiate if those are the only symptoms, though the appearance of new symptoms can help to narrow it down.

Common Symptoms for Both COVID-19 and the Flu (influenza)

To make matters more complex, COVID-19 and the flu share many more symptoms than they do with allergies. Symptoms include fever, body aches, fatigue, shortness of breath, runny nose, cough, sore throat, headaches, and sometimes vomiting, and diarrhea.

Both illnesses spread in similar ways and can be contagious even when a person is asymptomatic. In many cases, the onset of symptoms tends to be rapid, within four to ten days from exposure.

Seasonal Allergy Symptoms

Common symptoms for seasonal allergies include sneezing, runny noses, watery or itchy eyes (sometimes pink or red), itchy sinuses, itchy throat, ear congestion, and postnasal drip (with consequent clearing of your throat). Less common symptoms include headaches, shortness of breath, wheezing, and coughing.

When comparing the less common symptoms side by side with the flu and COVID-19, it’s easy to see how confusion may arise. One of the quickest ways to spot an allergy is to identify its pattern. Is it coming back at the same time every year? Do the symptoms recur in similar places (eg: a child’s bedroom with a lot of soft toys)? If so, the allergies are likely to be the cause.

Telling the Difference

Several key symptoms help to distinguish COVID-19 from the flu or allergies. Patients with COVID-19 have been known to report a loss of taste and smell. This is unlikely for either the flu or allergies.

The symptoms for COVID-19 may linger longer than those of the flu. This is especially true for patients with preexisting conditions. Additionally, occasionally younger patients have reported the appearance of a rash on their toes, something that the flu is not known for.

When suffering from various symptoms and trying to understand which condition is the cause, it’s time to take a closer look. Seasonal allergies can make a person feel tired and run down, but the symptoms are unlikely to spike or get worse. Both COVID-19 and the flu will cause a rapid onset of symptoms, though COVID-19’s symptoms are more iconic and may last longer.

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Tips for Staying Healthy in the Winter

With winter looming on the horizon, it’s essential to start preparing now. The colder weather and shorter days make it harder for everyone to stay healthy, even though it is now more critical than ever.

As always, there are specific tips and tricks that can be used to help reduce the risk of illness during this time of the year.

Get a Flu Shot

The flu, aka Influenza, is a highly contagious infection that affects tens of thousands each year. One of the best ways to help protect yourself from the flu during the winter months is to get this year’s flu vaccine. It will help reduce the chances of getting the flu and reduce the severity of symptoms, if nothing else.

Eat Well

Who doesn’t love hot chocolate and other warm treats when it is freezing outside? Still, it is essential to continue to eat healthy, even when the cravings are strong. Eating a balanced diet full of lots of fruit and vegetables helps to provide essential nutrients and vitamins.

Drink Plenty of Water

In the warmer months, it’s easier to remember to stay hydrated, but it is just as important, if not more so, to keep nice and hydrated during the winter months as well. Water plays a role in all our lives and is a significant factor in staying healthy. 

Cleanliness

One of the easiest ways to stop the spread of illness is by keeping our hands clean. Wash your hands, cover your mouth, and sanitize objects commonly interacted with during the day. All of these actions will help to keep everyone healthy and happy during the winter months.

Sleeping Well

Getting eight hours of sleep can help boost the body’s immune system, which in turn will help to fight off any potential infections. So it’s crucial to maintain healthy sleeping habits and avoid anything that may negatively impact sleep, such as caffeine after mid afternoon or before bedtime. Additionally, relaxation techniques are an effective way to wind down before bedtime. Some people find playing an audiobook or podcast can help them settle to sleep efficiently. 

Exercise

It’s essential to make time to exercise during the winter. Even just thirty minutes in a day can have a significant impact on our health – and on our immune systems. This is yet one more way to help keep our bodies healthy.

Plan a Doctor’s Visit

The winter months are a great time to go ahead and make that yearly appointment with your doctor. It’s essential to have regular health screenings, giving your doctor a chance to keep up with your life and check for early signs of any concerning conditions.

 

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

What Happens After Getting the Covid Vaccine?

It’s finally happening. Vaccines for Covid-19 are steadily becoming more available to the general public. Pending any future vaccine rollout hiccoughs, one day soon there will come a time when most of society is vaccinated, and it may feel like the world is just a little bit safer from this virus.

As people prepare to get vaccinated, there are a few natural questions that come up. What should they expect immediately following their vaccination, what will be safe for them, and what they should continue to avoid, just to name a few of the primary concerns.

Safety Measures

While it is tempting to consider oneself in the clear to go back to a normal routine, certain safety precautions should be kept in place. The Australian Government recommends that basic safety measures (testing, contact tracing, quarantine, and isolation) all remain in place.

To look into it a bit further, the CDC explains how and when people are considered fully vaccinated. People are considered fully vaccinated two weeks after their second dose. The only exception to this would be for patients who received a single-dose vaccine (not yet approved in Australia), in which case they are considered fully vaccinated two weeks after.

It’s also important to remember that “fully vaccinated” does not mean in the clear with regards to risk. Some people do not seroconvert to vaccines (produce a sufficient immune response), and new variants of COVID-19 may not be very well protected by the vaccine. In fact many epidemiologists believe that we may well need annual COVID-19 vaccines for variants which mutate each year (I guess we’ll see in time).

Potential Reactions

One of the biggest concerns to the public is the possibility of reactions to the vaccine itself. All vaccines (all medicines) can cause side effects. 

Common side effects from COVID-19 vaccines include: 

  • pain, redness, and swelling around the injection area, 
  • tiredness for a few days, 
  • headaches, 
  • muscle or joint pain, 
  • rever / chills
  • nausea

Expected and common side-effects are related to the immune system being activated by the injected antigen and from the action of injecting liquid into a muscle through a needle. Most side effects go by themselves and only last 1-2 days. An icepack wrapped in a teatowel can be used to manage pain. Paracetamol or ibuprofen are not routinely recommended to take post COVID-19 vaccination.

It’s important to note that while these side effects are considered common, there’s no guarantee that they will occur. Many have not experienced any negative side effects at all, after getting their vaccine. Conversely, some patients did report stronger variants of these listed side effects.

As with any vaccination or medication, reach out to your doctor or local hospital if more concerning or urgent side effects arise. More concerning symptoms can include shortness of breath, swelling in the legs, chest pain, abdominal pain, and a persistent headache not mostly relieved by paracetamol.

Remember the 2nd dose!

When you book (or have) your first vaccine dose, remember to book your second vaccine. The recommended minimum time from first to second dose is 3 weeks for the Pfizer vaccine and 4 weeks for the AstraZeneca vaccine (noting that the recommended interval between doses for Astra Zenica is 12 weeks). 

Your second vaccine must be carried out with the same COVID-19 brand as the first dose. 

Can you get COVID-19 from the vaccination?

No. None of the COVID-19 vaccines contains live coronaviruses. Therefore, the virus is unable to replicate and grow to cause an infection. For example, the Astra Zeneca vaccine delivers genetic code instructions to produce the SARS-CoV-2 spike protein only which is recognised by the immune system. There are no changes to the human DNA through this process. These are the same steps which occur when a virus invades normally, except that the spike proteins are reproduced instead of more viruses. 

However, it is possible for a person to catch COVID-19 just before or after a vaccination and therefore return a positive test due to an active infection acquired before the vaccine was effective.

Some side-effects from COVID-19 vaccination might be similar to symptoms of COVID-19. It is important to still get a COVID-19 test performed at your local testing centre if you have any of the respiratory COVID-19 symptoms including a runny nose, cough, sore throat, loss of smell or taste, even after you have been vaccinated. 

Travel and What Can You Do When Fully Vaccinated

The list of restrictions will vary depending on the state and country, so it is important to look up local laws before considering travel (and make sure your travel plans allow cancellations due to unforeseen circumstances).

Despite being vaccinated, the advice from the government is to take the same COVID-safe precautions that you have taken pre vaccination (such as wearing masks, physical distancing and frequent hand washing). This may change with time and increasing vaccination, but it’s really a case of watch this space and be patient. 

The University of Chicago was interviewed about what is safe to do after you’ve been vaccinated, and the link provides some interesting information. 

Domestic travel will depend on local outbreaks and what quarantine measures governments take with these outbreaks. It is still not clear when we can expect international borders to open.

Many experts do not expect international travel to and from Australia to open up to what it was before the pandemic began until 2024, so this is a season for developing patience.

You can still get COVID-19 after vaccination, so think of others in the public

Research to current date shows that  the vaccines prevent severe COVID-19 disease very well, but it may still be possible to be infected with, and to spread COVID-19 to other people.  Therefore, it is important to be tested if you have any COVID-19 symptoms, even after you have been vaccinated. 

Even when vaccinated, masks may again become recommended or mandatory if and when there are future outbreaks. This is to protect those that have not received a vaccination yet (either due to lack of availability or medical reasons). Addiotionally, Dr. William Schaffner from Vanderbilt University Medical Centre advises to follow these practices for another reason: social pressure. Without knowing the vaccination status of those around, it is easier to feel safe when seeing masks in place. 

When it comes to public health, it is better to err on the side of safety.

 

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

How to Prepare for a Telehealth Appointment

As many parts of the world continue to social distance and coming in contact with people becomes less and less routine, telecommunications have become the new normal. The healthcare industry has embraced telehealth and more patients are turning on their laptop and phone cameras to see their family doctor. 

While both patients and doctors get used to these new adjustments, it can sometimes be difficult to know how to prepare for these types of appointments. Here are some helpful tips for preparing for your next telehealth appointment:

List Your Symptoms

A great way to prepare for an appointment with your doctor via telecommunication is by writing down your symptoms beforehand. Especially if you are feeling sick, it’s essential to provide your doctor with as much information as possible. A virtual appointment is much different from one in person. A doctor cannot do the usual physical examination checks to evaluate your symptoms, so writing down how you are feeling in as much detail as possible can help them give you a better diagnosis. Details such as how long the symptoms have lasted, medications you’ve taken, and sharing pictures of any visible symptoms can be especially helpful. 

Find a Quiet Space

Before starting your video chat with your doctor, it’s important to find a comfortable and quiet area. This area should also have a strong internet connection. The last thing you want is for your doctor to mishear you or not be able to hear your doctor because the people around you are being too loud or your internet connection cuts out. 

Discussing medical information should also be a private conversation between you and your doctor. This way you are able to be as honest as possible and not worry about people overhearing. A quiet area that is free of distractions can help your appointment feel more like a real doctor visit. 

Ask What to Expect

When you make your telehealth appointment, be sure to ask your doctor or other staff what to expect. Ask them if the appointment will be conducted over the phone or by video chat, and whether you are to call the doctor at the appointed time or whether they will call you (more likely they’ll call you after they’ve finished with their previous patients). Also, be prepared, that the doctor may well need to examine you and then arrange blood tests or imaging. Many things can be done in medicine over the phone or video consult, but sometimes there is no substitute for a thorough physical examination. So, be prepared that although you’ve booked a telehealth appointment, you may need to come into the surgery.

 

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Pros and Cons of Virtual Doctor Visits

Even before the pandemic struck, virtual doctor visits were becoming more and more popular. Now with so many people confined to their homes and the doctor’s office not being as safe as it used to be, virtual visits and telehealth communication have become a necessity. However, virtual visits have their advantages and disadvantages. When it comes down to it, is it worth it in the end?

Pro: Cost-effective Care

Oftentimes, a virtual visit with your doctor is going to be less expensive than a traditional visit to their office. A patient can actually save money by removing the time spent sitting in the waiting room and commuting to the clinic. Virtual care appointments also decrease no-show and late appointment rates.

Pro: Convenient and Accessible

Many patients found virtual visits to be easier and much more convenient. Instead of taking time out of their day to drive down to the clinic and wait for the doctor, they can access care right from the comfort of their home or wherever they have an internet connection. Telehealth is also a great option for those living in rural areas and remote locations. They can gain access to doctors more easily while also having quicker and more convenient access to specialists. 

Pro: Better Patient Engagement

Patients are more likely to set and keep their appointments when made through telehealth solutions. Virtual visits also encourage patients to be more involved by making it easier to reach out with questions, voice concerns, share early warning signs, and schedule a follow-up appointment. With the patient-centered approaches that telehealth offers, there’s a major improvement to patient care.

Con: More Training and Tech Equipment

Moving care to a virtual platform requires more training in tech and requires equipment. This restructures the IT staff’s responsibilities, which costs both time and money. To ensure patients are getting the best care possible with virtual visits, training for doctors, nurses, and other medical staff is crucial. 

Con: Less In-Person Consultations

Technology has its limitations and cannot completely replace in-person consultations. However, the appeal and convenience of virtual visits will make in-person visits seem like even more of a hassle, even when it is necessary. Not all procedures, especially a checkup, can be performed digitally. 

At the end of the day, as good as tele-health is, nothing can replace an experienced doctors’ gut feel when a patient walks in their door, and there is no substitute for a thorough clinical examination. 

Telehealth is a worthwhile supplement to good patient care, but should never replace it, as things will get missed.

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Digital Health Trends

Innovative technology has changed our lives and improved our day-to-day. As industries embrace and adapt to new technologies, they’re finding ways to improve customer service, communication, and even employee satisfaction. The healthcare industry is truly embracing technology and seeing the advantages of digital trends. It is reshaping how patients interact with health professionals, data is shared more easily among providers, and it is changing treatment plan decisions as well as health outcomes.

Records in the Cloud

Thanks to tech advancements, over the years more and more medical records are moved into cloud storage. This type of cloud infrastructure is key to having easy access between disparate systems. Healthcare organisations using the cloud for storage understand that it is the best way to hold large amounts of medical data that accumulates every day. It’s also an easy way to share information, images, and records across different healthcare providers and organisations. If executed correctly, cloud storage can improve patient care, everyday workflow solutions for physicians, and ensure records remain private and secure. 

Resources such as My Health Record offer an online summary of a patient’s key health information. This information can be securely viewed online by the patient or medical professional and gives healthcare providers access to important health data such as allergies, medication, past and present medical conditions, blood tests, and more. 

Wearable Devices 

Tracking your health in real-time has been made possible thanks to innovative wearable devices. Many people are familiar with devices such as fitness trackers, smartwatches, and heart monitors that pair to personal devices. These wearables are now more often being paired with Internet of Medical Things (IoMT) platforms that can send data to their doctor. In the future, we can expect to see wearables playing a major role in healthcare and digital health. These devices can help patients in recovery or assist those with chronic issues. The data that is collected from wearables can help healthcare providers, medical professionals, and patients transform healthcare. 

Virtual Reality

What was once thought of as futuristic recreational technology is now a breakthrough in the healthcare industry. Wearing a Virtual Reality (VR) headset is an immersive experience and is now used by educational institutions to train future doctors. VR is also being used for surgeons to test techniques to prepare for intricate surgeries. What’s more, experienced physicians have used it as a way to practice new procedures and perfect ones they’ve done in the past. There could be even more VR advances in 2021.

 

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Why Australia’s Covid 19 Response Was Better Than Most

Countries all over the world fell into uncertain times when the coronavirus (Covid 19) began to quickly spread. World leaders had to quickly come up with a plan of action to keep their citizens safe and healthy. Some countries went into strict lockdown, while others’ responses were delayed. It’s no wonder now why there are some countries lifting restrictions and coming out of quarantine while other countries are still having daily death counts approaching the thousands.

Australia had one of the best Covid 19 responses throughout the entire world. Today, almost all of Australia is back to normal with quarantine restrictions lifted and no masks to be seen. There are many reasons why our country has done better than most:

Being an Island

One of the biggest factors that helped Australia go back to normal is being an island. Australia is closed off from the rest of the world with no neighbouring countries to worry about. Much like New Zealand, Vietnam, Brunei and some Caribbean islands, Australia is reporting fewer cases every week. Defeating a virus can definitely be a lot easier when your country is an island and the borders are closed to foreigners, but that isn’t the only factor that helped Australia.

Strict Quarantine

When it was clear the virus was very serious and people’s lives were in danger, Australia went into a very strict quarantine that kept many citizens at home for months, especially in Victoria. Unlike the United States and Europe, the borders were strictly closed to foreigners. Blocking out the rest of the world from entering and keeping Australians from leaving had a huge effect on controlling the spread of the virus. 

For Australian citizens, they had to stay at home unless absolutely necessary. For instance, in Melbourne, Australia’s second-largest city, most people were confined to their homes for 22 hours a day. The only time they were allowed to leave their homes was only for exercise, shopping, schooling, medical appointments, or funerals. These strict rules and regulations helped keep the virus under control and saved many lives. 

Rigorous Contact Tracing

Another strategy Australia has put in place while tackling the virus is its rigorous contact tracing. Australia has adopted a backwards contact-tracing approach to keep coronavirus cases low. Instead of forward contact tracing by finding all the people an infected person could have passed the virus on to and asking them to self-isolate, Australia’s backwards contact tracing aims to find who gave the virus to the person who tested positive, which can potentially pick up infections that might otherwise be missed.

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Choosing the Right Primary Care Doctor for You

Believe it or not, your primary care doctor, or general practitioner (GP), should be one of the most important relationships when it comes to your health and well-being. It’s imperative to take the time to do your research and find the right doctor for you. They should not be chosen on a whim because they can have a major impact on your health and wellness. Take the time to find someone who is qualified and, more importantly, someone you can trust. Here are some helpful tips for choosing the right primary care doctor for you:

Ask Friends and Family

While nowadays everything can be found on the internet, it’s also a good idea to ask around when looking for a primary care doctor. More often than not, your friends and family will have a doctor that they trust and like well enough to make a recommendation. However, it is also very important to keep in mind that although a doctor was perfect for your best friend or your parents, it doesn’t mean that he or she will be right for you. With that in mind, asking friends and family can help you get the search started. 

Think of Your GP like the hub of a wheel

In a bicycle wheel everything communicates back to the hub. Your GP is the hub. They need to know as much as possible to either deal with the problem you present with themselves, or to know the right people to send you to. If it is a musculoskeletal problem, their job may be to find you the most appropriate physiotherapist. They then refer you to that physio, and the physio then communicates back with your GP. Similarly if you are, for example, short of breath, it could be many things, but two systems that are common are the respiratory and cardiovascular systems. The GP’s job, if it is a complicated issue, is to find the most appropriate specialist in that area, who will then treat you and communicate with your GP. Your GP should always be at the centre of the loop, so that they can know as much as possible about your medical needs, and therefore facilitate the best treatment possible. They are both your treating physician, and your advocate within the health field.

Keep Location in Mind

Your GP is typically for everyday health needs, which is why it is essential that they are located somewhere convenient for you. By sticking with a doctor who is close by, you won’t need to travel far and wide when you’re not feeling good. What’s more, if your doctor’s office is conveniently located, it’ll be much easier to keep your appointments and be more capable of coming in last minute if there is an emergency.

Give the Doctor a Visit

Once you feel you’ve found the right doctor for you, schedule a visit. A face-to-face meeting will help you make certain that you’ve made the right choice. In the visit, make sure you feel comfortable in the office, with the doctor, and even the nurses. If you feel you’ve found a GP you trust, then they’re the right person to rely on and help manage your healthcare. Use the visit as an opportunity to discuss your past medical history, any current medications you take, or any chronic conditions you’re managing.

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Some Occasions It’s Worth Seeing Your Doctor

There are some patients who have no problem going to their doctor with anything they have a question about or when they aren’t feeling well. However, there are others who hardly ever go to their doctor, even if they are sick or in pain. Most of the time, this doesn’t mean they’re trying to be tough or think the doctor can’t help. On the contrary, many people aren’t sure when it’s serious enough to go to their doctor.

Prolonged Muscle Soreness

Often times, someone will experience sore muscles after trying a new exercise or any physical activity that the body isn’t used. Most of the time, it will last for a couple of days. However, if the soreness lasts for a week or longer, it could be time to get your doctor on the phone. In rare situations, prolonged muscle soreness from intense exercising could be associated with rhabdomyolysis, which can lead to permanent kidney damage if untreated.

Chronic Low-back Pain

The older you get, the more likely you are to get stiffness or aches on your neck, back, and shoulders. Usually, with a bit of stretching and over the counter medications such as paracetamol or ibuprofen it may dissipate. However, chronic pain in your lower back could be a red flag if there is also pain or tingling down your leg. This could mean you’ve slipped or herniated a disc, or a pinched nerve root. This type of injury calls for medical attention and you should phone your doctor immediately.

You’re Sick For a Month

Many things in medicine get better with the course of time. However, if your symptoms persist longer than you or your relatives would expect, or if something “mild” persists for up to a month, it’s worth getting checked out. If your symptoms are persisting, what you have may not be a “simple” transient issue, and it’s worth having your doctor check you out to help diagnose and treat you.

DISCLAIMER

All content provided on the www.lachlansoper.com.au website is general in nature and for informational purposes only.  It does not take into consideration an individual’s circumstances and it is not advice and should not be used as a substitute for advice from an appropriately qualified professional.

Opinions are my own. Links to external websites do not constitute an endorsement or recommendation.

No responsibility is accepted for any liability, loss or risk which is incurred as a consequence of the use of any of the material or links on this website, nor for any errors or omissions in the information.

All content on this website © Lachlan Soper (unless otherwise specified).

Two COVID-19 vaccine candidates the Australian government is ‘banking’ on.

The two possible vaccines the Australian government has signed an in principal agreement to purchase and manufacture in Australia are the: Oxford viral vector vaccine, and the Queensland Uni molecular clamp vaccine.

The below article is a very good 4 minute read about the two most likely vaccines Australia may get (if they suppress COVID-19) why one needs a booster, and how they engender immunity.

Read more in Medical Republic

Two Australian candidates for a COVID-19 vaccine

The “Oxford vaccine” is perhaps one of the most well known candidate for a successful COVID-19 vaccine. Although there may not be success, and if there is “success” it may still be many years until widespread application, there are two groups in Australia making great progress.

The University of Queensland has developed a “molecular clamp” model. Trials thus far in hamsters have shown a strong immune response. In South Australia the Finders University is working with a firm called Vaxine to produce a vaccination called Covax-19, which is looking to get to human trials soon.

For more information read RACGP

The Transition For Children From Paediatric Care

When it’s time to move from paediatrics to adult care, the transition can be difficult for some, particularly for those with significant disabilities who have needed ongoing paediatric care since they were infants. While it may sound as simple as moving from one doctor to another, many parents struggle with knowing the right time or wondering how different it will be for their child. Here’s what to expect when transitioning from paediatric to adult care:

The Right Time for the Transition

When it comes to deciding the right time to transition away from paediatric care, there is no one answer for this. Transitioning from paediatric to adult care usually occurs around the 18th birthday. However, in reality, it is a case-by-case basis. It all depends on the patient, their health history, and much more. When you’re thinking about taking your child out of paediatric care, it’s always best to consult their doctor first to decide when would be the right time. 

The Role of the Pediatrician 

Under their care, a paediatrician will help prepare your child for the transition to an adult physician. As the patient grows older, paediatricians will begin to see patients in private when they’re in their early teen years, depending on the level of disability. As adolescents begin to learn real-life responsibilities such as driving or getting their first job, they also need to learn how to advocate for themselves when it comes to their health. 

The Consent of Treatment

There is a principle called the “mature minor”, it is different from state to state and country to country. What that means is that some point, between the ages of 14 and 16, the doctor determines if the child has the maturity to understand and consent to the treatment they are having. If they are ‘mature’ enough to consent, then their consultation is confidential. As such, when a patient is at the age of consent, they no longer have to disclose anything medically related to their parents. This means that whatever is discussed between the patient and their doctor will stay between them. 

Even if a vaccine is available next year for COVID-19, it could take years to vaccinate the world.

That is a big “IF”. There are many issues with finding a vaccine for coronavirus. In very short some include:

  • There has never been a vaccine for a coronavirus (one of the main causes of the common cold),
  • It usually takes many years to develop a vaccine,
  • For a vaccine to be effective, a large portion of people need to “seroconvert”, that is develop immunity to the vaccine. Recent studies have show that only 60% of people who have acquired COVID-19 through the community develop protective antibodies, and
  • The vaccine needs to produce long term immunity. Some studies have shown that in those who develop antibodies to COVID-19 after infection, that immunity wanes by 23-fold within only a few months. This may require multiple booster vaccinations at 2-3 month intervals.

With the above concerns aside, there are other issues too, like:

  • There are about 8 billion people on earth. At best, if all world vaccination production is switched to producing a viable vaccine, the world vaccination manufacturing capacity is estimated at 6.4 billion p.a. If, those vaccines require 2 or 3 doses, then that is a few years of vaccine production at maximum capacity to vaccinate the whole world.
  • Then there is the challenge with vaccine distribution. Vaccines need to be kept strictly between 2 and 8 degrees C. It is estimated that 50% of world vaccines fail the “cold chain” and so if there is 50% wastage, then world production would need to further double. How do we get the vaccine between 2-8deg C to remote areas of Asia, Africa and South America, just to mention some remote locations?
  • Will vaccine distribution be equitable worldwide? If wealthy countries buy up the supplies of the vaccine, and poorer countries which are in hot spots cannot get supply and not for a long time, then the virus may continue to rage on around the world for longer too.

Getting a good vaccine, with minimal side effects, that produces long-lasting, high levels of seroconversion to the whole world will be herculean effort.

Read more in Medical Republic

Only 60% of patients develop protective antibodies to COVID-19

A study performed in MedUni Vienna showed that just over half of patients develop protective antibodies after they are infected with COVID-19. And, it appears that these antibodies potentially make it easier to virus to infect cells.

This combined with previous studies showing that immunity wanes significantly after 3 months raise significant concerns about the effectiveness of any COVID-19 vaccine and long term human immunity to it.

Read more in MDLinx

The Difficulties with Getting a COVID-19 Vax

Throughout every country, the dangers of the worldwide pandemic, coronavirus, still linger. Although some populations have begun to get back to the way it used to be slowly, many are still worried about the likely second wave of coronavirus, also known as COVID-19. Looking at countries in the Southern Hemisphere that up until late June appeared to have had COVID-19 well under control (like Australia), there has been a large surge in cases in July as the typical winter respiratory infection season arrives. In January 2021, when many are fed-up with social distancing, there may well be a huge rise in cases in the Northern Hemisphere respiratory infection season. Many are hoping for a vaccine to help stop the spread of the dangerous virus. However, there are difficulties with getting a COVID-19 vax.

Developing a brand new vaccine is a significant medical and scientific discovery. It can take decades to finally find a successful vax, even with the urgency of the situation. Remember drug companies are motivated by profits – if a drug is likely to be profitable, they’ll pour more money into trying to develop it. Coronaviruses are one of the main causes of the common cold (as well as rhinoviruses, RSV and parainfluenza). Almost all of us get at least one cold every winter. So there would be a huge incentive to developing a successful vaccine to a disease we all get every year. There has never been a successful vaccine to a coronavirus. Why will it be different with COVID-19? Hopefully, it will be different, but we have to be realists. 

Also, studies have shown that those people who acquire COVID-19 have a rapid drop off in their natural immunity – 23-fold in only a few months! The immune system generally builds a more robust response to “naturally” acquired infections, than to vaccines. So if a vaccine is developed, people may need to be re-vaccinated at least every 3 months. 

Once the corona vax is created, many people may be fearful about getting vaccinated. Even with the vaccine tested and numerous trials are done, it’s difficult for people to trust a new vaccine entirely. These are reasonable concerns. It is wise not to be an ‘early adopter’ of new medications, often side-effects become more well known once the medication has been in broad community use after the initial trial phases. 

Facing the Reality of a Vaccine

While a COVID-19 vax could help billions of people around the world, it’s essential to be realistic. Probably within the first few weeks of distributing a vaccine, there will be countless stories about side effects, medical syndromes, and scary reactions. Even for someone who is pro-vaccine, this could be scary to hear. It’s important to be realistic that many people are going to be scared to take the vaccine, not based on science, but on the horror stories spread around. Many people are probably going to want to wait before getting vaccinated, which is entirely understandable. 

This means if a vax if found and ready to be given to the public, it won’t stop the pandemic in its tracks. It will definitely take time. 

Social distancing, and other measures to combat the COVID-19 pandemic have already saved hundreds of deaths from influenza this year

There have been 36 deaths from influenza in Australia this year – only 1 since the start of April! Over the same April to July period last year, 550 people died.

This suggests hundreds of lives may have been saved by measures taken to halt the COVID-19 pandemic – including social distancing and a very high uptake of the influenza vaccine.

Read more in Medical Republic

Is your facemask fogging up your glasses? Here are some tips to stop them fogging up

  1. wash your glasses with soap and water,  then dry them with a microfibre cloth. Soap reduces surface tension, preventing fog from sticking to the lenses.
  2. apply a thin layer of shaving cream to the inside of your glasses, then gently wipe it off.
  3. use a commercial de-misting spray.
  4. Improving the fit around the curve of the nose and cheeks is the best approach – mould the nose bridge at the top of your surgical mask to your face to reduce the gap that allows warm moist air up to the glasses.
  5. Apply some tape (eg: Micropore that’s designed for skin) to the top edge of the mask to close the gap.
  6. slightly moistening a tissue, folding it and placing it under the top edge of the mask.

Asking Your Doctor the Tough Questions

When it comes to health and medicine, the best person to talk to is your doctor. However, sometimes the tough or even embarrassing questions are not easy to ask. While a lot of people understand that their doctor is there to help them, many still have a tough time working up the courage to speak up about health questions or concerns because it can feel too embarrassing. Take a look at these tips for asking your doctor the tough questions:

 

Prioritise Concerns

Often times, doctors only have about 15-20 minutes to talk with their patients. When you have a line of questions for your doctor, have them prepared ahead of time by writing a list. By preparing, it can help you get used to the idea of asking and make it easier to ask. It’s also a good idea to ask your tough questions at the start of your appointment. This way, your doctor has more time to give you a quality answer and explanation. 

 

Use Your Own Words

Chances are, you tried researching the tough question online already before working up the courage to ask your doctor. While this can sometimes be helpful, it’s important to tell your doctor how you’re feeling or why the concern has been raised in your own words. Using your own words is better than spewing medical terms you read on the internet. You can even write down your symptoms or experiences beforehand to make sure you tell your doctor everything they need to know. 

 

They’ve Probably Heard it Before

Your doctor has spent many years studying the medical field and has probably seen many patients before you. Whatever ever tough or embarrassing question you want to ask, they have probably heard it before. Never be too scared to ask because you’re afraid they’ll judge or think it’s strange. 

 

It’s Their Profession

When it comes down to it, a doctor’s job is to answer any medical question that their patient has. As their patient, you have a professional relationship that allows you to be completely open about your medical concerns and they are there to help you. Being too embarrassed to ask the tough questions can put a damper on your health and do more harm than good. Be sure to always be open and honest with your doctor. 

Resilience – 3 characteristics to help through life’s traumas

Trials, trauma and tough roads, we all will face them in life. Some more often and some in more tragic ways than others. Relationship breakdown, death of loved ones, job loss, financial difficulty, medical illnesses and other life events can all throw us into despair. 
How do we deal with such tragedies and grief? 
Resilience researcher and fellow traveller in the world of emotional trauma, Lucy Hone, believes that developing emotional resilience is one of the best ways to both healthily grieve and live our lives concurrently. She believes that resilient people have 3 key characteristics. She says:

1. “Resilient people get that s#*t happens. They know that suffering is part of life. This doesn’t mean they actually welcome it in…. Just that when the tough times come, they seem to know that suffering is part of every human existence.”

2. “Resilient people are really good at choosing carefully where they select their attention. They have a habit of realistically appraising situations, and typically, managing to focus on the things that they can change, and somehow accept the things that they can’t. This is a vital, learnable skill for resilience. Make an intentional, deliberate, ongoing effort to tune into what’s good in your world.”

This characteristic is fundamental to a famous prayer known as “The Serenity Prayer” which prays to God: “God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference.”

3. ‘Resilient people ask themselves, “Is what I’m doing helping or harming me?“‘

https://www.ted.com/talks/lucy_hone_3_secrets_of_resilient_people?utm_source=recommendation&utm_medium=email&utm_campaign=explore&utm_term=newest-talks-4

When you go through life’s traumas, as we all will, find a great counselor or psychologist to get you through, and some good mentors too – some close friends who are not merely “yes” people to help shape and gently guide you on your journey. And on that journey learn to accept that suffering is part of life, focus on what you can change and accept the things you cannot change, and stop doing the things which reactivate your distress.

God-willing these strategies can help you survive, take the next steps, move on and transform in your life.

Dr Lachlan Soper

Influenza cases down by 99% in Australia compared with May 2019

Influenza cases down 99% (no that’s not a typo) compared with May last year.
208 laboratory confirmed influenza cases compared with 30-567 in May last year – and the rate of testing for anyone with upper respiratory tract symptoms is markedly up.
It goes to show the impact that good hand hygiene, cough etiquette, social distancing and avoiding others when sick has.

Read full article on: RACGP

Dr Lachlan Soper

The COVID-19 pandemic has resulted in a large decrease in GP visits. Will those with chronic diseases suffer?

Data from the Medicare Benefits Schedule, analysed by the Heart Foundation, reveals a 10% drop in GP visits for the management of chronic disease in March 2020, equating to 96,000 fewer visits compared to March last year.
Will there be a spike in chronic disease after COVID19 is ‘behind’ us?

Dr Lachlan Soper

Influenza vaccine shortage

Wondered why your GP doesn’t have the flu vaccine in stock?
Around 6.6 million flu vaccinations have been recorded in the Australian Immunisation Register in 2020, compared to 3.4 million at the same time in 2019.
Australia, for now, has run out of influenza vaccine supplies.

Dr Lachlan Soper

Could Australia be COVID-19 free by August?

If you open this link https://www.covid19data.com.au/ and then scroll down to the 3rd graph, hover over the yellow line you’ll see that since Australia hit roughly 600 active cases we’ve gone down by approximately 10 cases a day. With 530 “active cases”, on the assumption that health authorities have tracked down and are following every single COVID-19 case in the nation, and the count dropping by 10 cases a day, there is the possibility that Australia could be COVID-19 free from August. Possibly. Then it would be a matter of extremely strict quarantine, and checking all those people who work with anyone who comes into the country (airline staff, customs, quarantine hotels). We would still be physically isolated from the rest of the world, but there could be some semblance of “life as normal”. Noting that industries that rely on international travel like tourism and education will remain severely affected.

Dr Lachlan Soper

Update to Asthma guidelines coming

For those with asthma in the family it is worth noting that clinical guidelines will be updated in coming months. They will emphasise the importance of using puffers with corticosteroids used in combination with relievers, as opposed to only using relievers.

It will be recommended that short-acting-beta-agonists (SABAs), or better known as blue puffers like Ventolin, cease to be used as quick relief in the treatment of mild asthma. Instead, all adults and adolescents be initiated on the combination therapy of budesonide-formoterol (brand name Symbicort – a red puffer).

Recent studies, and backed by the Global Initiative for Asthma (GINA) have shown that using this combination therapy both if used daily or as needed to relieve symptoms reduces the risk of severe exacerbations by between 1/2 and 2/3 compared with SABA-only (blue puffer) treatment. This because the SABAs only open up the airways, they do not deal with the underlying pathology – the inflammation.

Read full article on: medicalrepublic.com.au

Dr Lachlan Soper

The Roadmap to easing Coronavirus restrictions

Australian Chief Medical Officer Professor Murphy said evidence is growing that the majority of COVID-19 transmission occurs indoors and also said “There’s an absolute risk about gathering size”.

Each state in Australia will implement these stages at different times and slightly differently, but here are the broad brush-strokes:

Stage 1: Allowing five visitors in private homes and 10 visitors in businesses and public places. Restaurants, cafes, retail, libraries, community centres, playgrounds and exercise boot camps will be allowed to open and resume. Travel within states for non-essential reasons will also be allowed.

Stage 2: will allow gatherings of up to 20 people, as well as the opening of gyms, beauty shops, cinemas, galleries, amusement parks, caravan parks and camping grounds.

Stage 3: will let people gather in groups of up to 100, and see the opening of nightclubs, food courts and saunas. There may be the possibility of travel to New Zealand.

These changes will be reviewed every three weeks by national cabinet to assess the impacts and when to move to stages 2 and 3.

Dr Lachlan Soper

Wisdom from Jewish Psychiatrist Viktor Frankl – Success, Happiness and Pleasure

I’ve had the privilege of going through Viktor Frankl’s book, “Man’s Search for Meaning” lately.
Here’s one quote, worth reading twice, on success and happiness:
“Don’t aim at success. The more you aim at it and make it a target, the more you’re going to miss it. For success, like happiness, cannot be pursued, it must ensue. And it only does so as the unintended side effect of ones personal dedication to a cause greater than oneself, or as the byproduct of one’s surrender to a person other than oneself. Happiness must happen, and the same holds for success, you have to let it happen by not caring about it…. In the long run… success will follow you precisely because you had forgotten to think about it”
“Pleasure is, and must remain a side-effect or by-product, and is destroyed and spoiled to the degree to which it is made a goal in itself. Hence the failure of hedonism”.

Dr Lachlan Soper

Six Essential Criteria the WHO says Need to be Met Before Lifting Restrictions

WHO Director-General Dr Tedros Adhanom Ghebreyesus has reminded the world of six essential criteria that WHO argues need to be met before lifting restrictions:
1. countries must have strong surveillance, declining cases, and controlled transmission;
2. the health system must have the capacity to detect, isolate, test and treat every COVID-19 case and contacts;
3. outbreak risks must be minimised in special settings such as health facilities and aged care;
4. essential venues such as schools must have preventive measures in place.
5. the risks of importing the virus must be managed;
6. communities must be fully educated, engaged and empowered to adjust to “the new norm”.
“The risk of returning to lockdown remains very real if countries do not manage the transition extremely carefully and in a phased approach,”

Dr Lachlan Soper

Tracking COVID-19 hotspots through raw sewage

Researchers from the University of Queensland and CSIRO have successfully been able to identify genetic traces of COVID-19 in raw sewage.

‘The hope is eventually we will be able to not just detect the geographic regions where COVID-19 is present, but the approximate number of people infected, without testing every individual in a location’ – CSIRO Chief Executive Dr Larry Marshall

Read full article on: mja.com.au

Dr Lachlan Soper

Another unanticipated consequence of the COVID-19 lockdown – with a silver lining

Major metropolitan hospitals are reporting a 25-40% drop in road trauma, assaults and sports injuries. Even more pleasing, with pubs closed alcohol-linked violence and injury have plummeted!

Infectious disease presentations have also fallen sharply, with dropping rates of influenza, rotaviruses, and other infections meaning fewer hospital attendances.

A question arises regarding the reduction in presentations for strokes, heart attacks, and chronic obstructive pulmonary disease exacerbations. Has there been a real reduction in the incidence of these things because people were at home (and there were not inflammatory or infective triggers for these)? Or is it a problem, where people didn’t attend hospital when they should have?

The latter theory may be backed up by surveys showing that general practices are overall down 30% in revenue (despite telehealth). Also by data showing that 30% and 40% of private and community pathology testing was currently not being done due to people not visiting their medical practitioner and not having their pathology samples collected.

Will there be a surge of serious medical issues once the lockdown eases, as patients who may have put off treatment return to the healthcare system? Time will tell.

Read more in: mja.com.au

Dr Lachlan Soper

Unanticipated consequences of COVID-19 lockdowns: people getting seriously injured with home handywork

CareFlight has noticed a “dramatic” upswing in people falling from roofs. As people are restricted to home, they lose their jobs or they cannot get help, more of them are attempting unsafe home renovation work. Work safely!

“As more people are undertaking home projects that put them at risk, CareFlight urges individuals to take appropriate precautions when performing maintenance around the house.”

Dr Lachlan Soper

How does our nation get through COVID-19? Options: Eliminate or adapt.

How do we balance the prolonged damage to the economy, society and medicine (in other medical issues not being treated) by choosing to ease restrictions vs the potential consequences of further spikes in COVID-19 cases and deaths?

Do we keep the strict “lockdown” until all active cases diminish to zero, and then wait a further 14 days until there have been no new cases – eliminating the virus?

Or do we ease things a little, knowing that COVID-19 will not be controlled and more people will die from it?

The Group of Eight, an affiliation of leading Australian research universities, this week published a report inviting the Australian Government to choose between two contrasting but related strategies: ‘elimination’ of COVID-19, and a ‘controlled adaptation strategy’.

Under the elimination scenario, Australia would continue its nationwide please stay-home order for two further weeks after daily cases reach zero. That means lockdown would last until likely June, given the current trajectory of cases. BUT after that, many social distancing measures could be lifted quite quickly, due to minimal risk of societal spread of disease.

However, in the ‘controlled adaptation’ strategy, the Government would still use extensive “test-and-trace” protocols (to test broadly and trace comprehensively anyone who has come into contact with someone with COVID-19) to keep the number of new cases as low as possible. The positive with this strategy is that lockdown restrictions would be lifted sooner, not fully, but gradually, with continued social distancing measures – in parks, work, schools and shopping areas. These measures lasting for perhaps years.

The advantage of elimination is that people can go back to close proximity sooner (eg: gyms and sitting down in cafes).

The advantage of controlled adaptation is that it may allow less strict travel restrictions later this year or next year. Something which is important for the parts of our economy which rely on people flying in from overseas – in particular the education industry.

Read full article on: theconversation.com

Dr Lachlan Soper

All cause mortality will better evaluate the impact of COVID-19 on deaths

All cause mortality will pick up deaths caused:

  • directly by the virus (eg: respiratory failure),
  • because another disease worsened by the impact of the virus (eg: COVID-19 predisposed to a heart attack), and
  • due to non-presentation or treatment of a disease due to the COVID-19 lockdowns and changes to outpatient and inpatient medical systems

Official statistics are significantly underestimating the true death toll across the world. To calculate excess deaths, the Financial Times compared deaths from all causes in the weeks of a location’s outbreak in March and April 2020 to the average for the same period between 2015 and 2019. The total of 122,000 amounts to a 50 per cent rise in overall mortality relative to the historical average for the locations studied.

The ABC reports that for the UK alone the number of ‘excess deaths’ – deaths above a usual year – have more than doubled in recent weeks, with 22,351 in the week ending 17 April. A normal year would have 10,000 deaths.

https://www.abc.net.au/news/2020-04-30/coronavirus-deaths-likely-higher-due-to-excess-deaths/12200850

While some of these deaths may be due to other causes than COVID-19, the fact the death rate is so much higher than a normal year indicates the pandemic is playing a major role.

The surge in all-cause mortality suggests either an underreporting of COVID-19 deaths, or increases in other causes of mortality because people are avoiding healthcare.

Read more on: Financial Times.

Dr Lachlan Soper

Why do different countries have vastly different death rates from COVID-19?

According to today’s data from John Hopkins University https://coronavirus.jhu.edu/map.html , the United Kingdom has a Case Fatality Rate (CFR) of 15.5%, this means that for every 6 & 1/2 people diagnosed with COVID-19 in the UK, one will die. However, the CFR for Australia is 1.33%. Both of these countries share a similar heritage, wealth and good medical systems. So why the huge difference?

University of Queensland virologist Ian Mackay said that testing is likely to be the key:  ‘My crude presumption has been that in jurisdictions where rates of death are above 1%, there has been too little testing to capture the denominator,’

The Oxford University Centre for Evidence Based Medicine (CEBM) postulates the following reasons that the CFR varies so greatly country by country:

  • The number of cases detected by testing will vary considerably by country
  • Selection bias can mean those with severe disease are preferentially tested
  • There may be delays between symptoms onset and deaths, which can lead to underestimation of the CFR
  • There may be factors that account for increased death rates such as coinfection with another disease, more inadequate healthcare and patient demographics
  • There may be increased rates of smoking in some countries or comorbidities (such as cardiovascular disease) amongst the fatalities
  • Countries with populations that are older get worse hit by COVID-19 (eg: Italy with the 2nd oldest population in the world)
  • Differences in how deaths are attributed to coronavirus – dying with the disease (association) is not the same as dying from the disease (causation)

Another point to note is that COVID-19 may not be as fatal as the “Case Fatality Rate” implies. CFR rates are subject to selection bias as more severe cases are tested – generally those in the hospital settings or those with more severe symptoms. The number of currently infected asymptomatic people is uncertain: estimates put it at least a half are asymptomatic; the proportion not coming forward for testing is also highly doubtful (i.e. you are symptomatic, but you do not present for testing). Therefore we can assume the IFR (infection fatality rate) is significantly lower than the CFR.

Read full article on: cebm.net

Dr Lachlan Soper

Infectious Diseases Epidemiologists advise that it is too early to open up society

Dr Kathryn Snow and Professor James McCaw, infectious diseases epidemiologists at the University of Melbourne advise that it is too early to lift social restrictions at large risk of a large secondary wave of infections.

“Any epidemic is a random, unpredictable process like a bushfire….At the moment we have spot fires, but they have a habit of surprising you.”

“There’s no surveillance system in the world that picks up every single case. We will still need other risk mitigation in place, and for this virus that means social distancing until we have a vaccine.”

Read full article on: medicalrepublic.com.au

Dr Lachlan Soper

What happens when countries open up too early after a Pandemic. A look at the 1918 Spanish Flu

During the 1918 Spanish flu pandemic, “social distancing” was also employed. Like is happening in our time businesses were suffering from the lack of revenue, and so there was pressure to ‘re-open’ society.

The below article looks at Denver, a city which loosened social distancing rules too early. They ‘opened up’ before cases were effectively eliminated or there was sufficient heard immunity and had a second wave of infections that killed even more.

“Premature declarations of victory guarantee defeat. Buckling to protests increased the number of dead.”

It shows that towns, cities, states, countries that socially distanced for longer and consistently did better in terms of the number of infections and deaths.

Read full article on: cnn.com

Dr Lachlan Soper

Testing for COVID-19 available for all people with respiratory symptoms in NSW

New South Wales is increasing testing for COVID-19 by expanding the testing criteria to include all individuals – particularly healthcare, aged care or other high-risk workers – with symptoms of acute respiratory illness including fever, cough, shortness of breath tiredness or sore throat.
This is due to NSW doubling its laboratory testing capacity from 4000 tests per day to 8000 per day.
Even people with mild symptoms are being encouraged to come forward for testing to help identify as many COVID-19 cases in the community as possible.

Dr Lachlan Soper

Ingredients to great conversation. Be prepared to be amazed – Celeste Headlee

In this talk by Celeste Headlee, she outlines the ingredients of a great conversation: Honesty, brevity, clarity and a healthy amount of listening. And most importantly, “be prepared to be amazed.”

Most of us need to be challenged to apply our minds to what we hear, before we engage our mouths to add our opinion.

10 Rules for better conversations:

  1. Don’t multitask. Be present. Be in that moment. Don’t be half in the conversation
  2. Enter every conversation assuming you have something to learn. Everybody is an expert in something
  3. Use open ended questions. Who, what, where, when, why or how? What was that like? How did that feel? It gives a more interesting response.
  4. Go with the flow. If thoughts come into your mind, let them go.
  5. If you don’t know, say that you don’t know.
  6. Don’t equate your experience with theirs. Their loss of a family member, job loss vs your family loss or job loss. Their and your experiences are different.
  7. Try not to repeat yourself. It’s condescending and boring.
  8. Stay out of the weeds. People don’t care about the years, names, dates… They care about you, what you are like, what you have in common.
  9. Listen. Keep your mouth shut as often as you possibly can. Keep your mind open. Always be prepared to be amazed.
  10. Be brief.

 

“Conversational competence might be the single most overlooked skill we fail to teach.

Kids spend hours each day engaging with ideas and each other through screens. But rarely do they have the opportunity to hone their interpersonal communication skills. Is there any 21st Century skill more important than being able to sustain competent confident conversation. Paul Barnwell, High School Teacher

Listen on: ted.com

Dr Lachlan Soper

How near could Australia be to opening the economy and society post our COVID-19 pandemic?

With the number of “active cases” in Australia at 1473 (see 2nd graph in link below) , & the number of new cases in the nation hovering between 8 and 23 daily for the last 6 days (see 3rd graph), could Australia wait for those 1473 to recover and 14 days of no new cases to resume our society & economy with closed international borders?
 

Read full article on: covid19data.com.au

Dr Lachlan Soper

“Controlled Contagion” for getting through COVID-19

Prof Ian Fraser (who developed the cervical cancer vaccine) and others such as Dr Guy Campbell have proposed that IF a vaccine for COVID-19 is developed it is likely 12-18 months away. Therefore we need to think about “controlled contagion” whereby younger (less vulnerable) people are gradually allowed back into society.

The reason for this is the questions that have been rightly asked by many about the negative effects of the social isolation policies (or lockdown as colloquially phrased), including:

  • Deterioration in mental health – increasing anxiety, depression, domestic violence and suicide.
  • Missed cancers in people not presenting to their usual doctor or hospitals as they usually would.
  • Deterioration of chronic diseases such as diabetes and cardiovascular disease
  • Delayed surgery
  • Not to mention the broad and likely long-lasting economic and employment effects of the social isolation policies to combat the COVID-19 pandemic.

The idea with “Controlled Contagion” is to slowly develop a community “heard immunity” in a sustainable way. This could be done by bit by bit allowing those at lowest risk of severe disease and death from COVID-19 back into society. Noting that statistics from Imperial College London, UK, show only 0.06% of those younger than 40 who are diagnosed with COVID-19 require intensive care. The risk of mortality in those under 40 years is less than 0.03%, and so is less than the current consequences of influenza.

However, 23% of those infected with COVID-19 who are over 60 year old will require hospital admission, of which 47% will require ICU. As a result, those over 60 will account for 90% of ICU demand, even though they make up only about 20% of the population.

Nobel Prize winner Professor Peter Doherty is strongly convinced re-infection is unlikely, and “even if it was … your prior infection would give you very rapid immunity and you would recover very quickly.”

By allowing all healthy individuals under the age of 60 to return to work under the present restrictions of social distancing, the virus would be allowed to spread in a sustainable and more controlled manner.

We could start with those under 40, and then under 50, and then under 60, while maintaining self-isolation for those over 60-years of age.

This is a proposal worth reasoned consideration – to minimise the medical, economic and societal consequences of the COVID-19 pandemic (in their totality over the next number of years as all of the consequences play out).

Dr Lachlan Soper