September 3, 2023, Happy Labor Day Weekend!

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Here's Everything to Know About Labor Day in 2023

'It's a patriotic holiday that honors hard working Americans!'


Labor Day is a holiday most Americans can get behind! Yeah, it sadly means that summer is coming to a close, but it's also a day that holds so much meaning.


For one, it's just another excuse to enjoy all the fun things to do on Labor Day such as eat our favorite grilled foods, host pool parties, and put those fun summer Instagram captions to good use. Count us in! And while it's certainly a day worth celebrating for all those reasons, there's a bit more history behind the meaning of Labor Day, too.


So, here's everything you need to know about the summer holiday, including when is Labor Day in 2023?


Read more here. . . .

Our office will be closed Monday, September 4, 2023, for the

Labor Day Holiday.



We are always available for your healthcare needs.

If you have an emergency, please call 911, go to the nearest emergency room, or contact our office through our answering service, 480.614.5800.

 

We wish you a very Happy, safe & Healthy Labor Day Weekend!


Your Weekly COVID-19 Updates

Paradise Valley Medical Clinic,

Douglas M. Lakin, M.D.

Kaitlin A. Kraemer, M.S., PA-C

9977 N 90th Street, Suite 180, Scottsdale, AZ 85258

480.614.5800 (phone), 480.614.6322 (Fax)

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ATTN PATIENTS:

Dr. Lakin is using FaceTime ,
WhatsApp and Zoom to connect with you
for a 'Telehealth' visit. You can connect using your iPad, iPhone, Android phone, a laptop, or a PC with a camera.

Please watch these videos so you can be prepared and know how to connect with Dr. Lakin for a 'Telehealth' visit.

CLICK ON THE PICTURES

FROM THE DOC

September 3, 2023

 

COVID LEVELS ARE LOW AND RISING MODESTLY NATIONALLY.  WE ARE NOT SEEING A SIGNIFICANT SURGE OF CONCERN AT THIS TIME. THERE IS NOTHING CURRENTLY THAT COMPARES TO THE PREVIOUS SURGES. IT IS POSSIBLE THIS WILL CHANGE.  WE WILL CONTINUE TO MONITOR THE SITUATION AND INFORM YOU IF MORE VIGILANCE IS NEEDED.

  

XBB1 IS THE COMMON SUB-TYPE AND BA.2.86, IS A RISING VARIANT, BUT IT’S SIGNIFICANCE IS MODEST AT THIS TIME.   THE TALK OF INCREASE IS REAL, BUT NUMBERS REMAIN LOW COMPARED TO PREVIOUS PEAKS.  WORRY FACTOR IS LOW BUT WE ARE MONITORING AND WILL ADVISE.

 

WE CONTINUE TO SEE COVID PRIMARILY IN TRAVELERS AND IN PEOPLE WHO HAVE NOT HAVE COVID YET WHO ARE EXPOSED TO RECENT TRAVELERS. CONSIDER BOOSTING 2 WEEKS OR MORE PRIOR TO TRAVEL…. AND MASKING DURING TRAVEL WILL KEEP YOUR TRIP COVID-FREE.


 

TIMING OF VACCINATIONS THIS FALL AND WINTER: 

 

  •      FLU SHOT
  •     COVID SHOT
  •     RSV SHOT

 

DO NOT GET ALL SHOTS AT THE SAME TIME.

IF YOU WISH, YOU CAN GET FLU AND COVID AT THE SAME TIME. THAT IS PROVEN SAFE AND EFFECTIVE.

 

IF YOU ARE GETTING MULTIPLE SHOTS, PLEASE GIVE 2 WEEKS BETWEEN SHOTS



FLU SHOT:  

WHO SHOULD GET IT: RECOMMEND IT FOR EVERYONE OVER 65 AND FOR ANYONE OF ANY AGE WHO DOES NOT WANT TO GET THE FLU.

 

TIMING: ANYTIME FROM MID-SEPTEMBER ONWARD IS BEST.  FLU SEASON WAS EARLY LAST YEAR, BUT TYPICALLY BEGINS IN EARNEST AROUND THANKSGIVING IN ARIZONA. IT TAKES 2-3 WEEKS FOR THE FLU SHOT TO BE FULLY EFFECTIVE.

 


COVID SHOT:

UPCOMING AND CURRENT COVID SHOT VERSION:  

 

THE NEW COVID VACCINE FOR XBB1, THE DOMINANT VARIANT, IS NOT OUT YET.  

IT WILL BE AVAILABLE, WE ARE TOLD, IN OCTOBER. 

IN THE MEANTIME, THE BIVALENT COVID VACCINE IS AVAILABLE.

  

WHO SHOULD GET IT:  

IF YOU HAVE NOT HAD COVID YET AND ARE OVER 65, I RECOMMEND YOU STAY CURRENT WITH THE LATEST VERSION OF THE VACCINE. GET THE LATEST VACCINE WHEN AVAILABLE.

 

IF YOU HAVE HAD COVID, YOU HAVE ADDITIONAL PROTECTION AGAINST FUTURE INFECTION, BUT IS NOT A GUARANTEE. 

 

I WOULD MAKE SURE YOU HAVE HAD A COVID SHOT DURING THE 2023 CALENDAR YEAR FOR THOSE OVER 65 WHO HAVE ADDITIONAL RISK DUE TO HEALTH ISSUES SUCH AS:  ACTIVELY TREATED HEART FAILURE, LUNG DISEASE, OR DIABETES.

 

WHEN TO GET THE COVID VACCINE: 

I RECOMMEND WAITING UNTIL THE NEW VERSION IS AVAILABLE.  

 

(EXCEPTIONS ARE THOSE WHO HAVE NOT HAD COVID INFECTION YET AND WHO WERE NOT VACCINATED ANYTIME THIS YEAR…..AND THOSE WHO ARE TRAVELING EXTENSIVELY. YOU CAN GET THE CURRENT VERSION.

  

RSV VACCINE: 

THIS IS A NEW VACCINE THAT IS AVAILABLE FOR THE FIRST TIME THIS YEAR.

 

THERE ARE TWO VERSIONS, BOTH SIMILAR, AND THERE IS NO SPECIFIC REASON TO CHOOSE ONE OVER THE OTHER (ONE IS GSK..MAKERS OF SHINGRIX, THE OTHER IF PFIZER…MAKERS OF THE COVID VACCINE)

  

GETTING THE VACCINE THIS YEAR IS ELECTIVE.  I AM NOT BROADLY RECOMMENDING IT.  SEE BELOW FOR ADDITIONAL DETAILS.

 

I DO NOT RECOMMEND IT FOR EVERYONE DURING THIS FIRST CALENDAR YEAR OF AVAILABILITY.

I DO THINK PEOPLE AT HIGHER RISK SHOULD CONSIDER GETTING THE RSV VACCINE THIS YEAR IF THEY ARE INCLINED…BUT DON’T FEEL OBLIGATED.   

  

FOR THOSE OVER 65 WHO HAVE ADDITIONAL RISK FOR SERIOUS ILLNESS AS A RESULT OF HEALTH ISSUES SUCH AS:  ACTIVELY TREATED HEART FAILURE, CANCER, LUNG DISEASE, OR DIABETES.

 

WHEN TO GET RSV VACCINE:  

GET IT ANYTIME…STARTING NOW…

THROUGH THE FEBRUARY.

 

WEST NILE SEASON IS STILL HERE.   USE PROTECTION. IF WE HEAR OF NEW CASES…WILL REPORT TO YOU. NOT CURRENTLY HIGH LEVEL IN TOWN, BUT NOW IS THE TIME.  BY THE TIME WE SEE THE INCREASE WE WILL BE RUNNING BEHIND…. SO BEGIN NOW.

PLEASE USE MOSQUITO REPELLENT DAILY UNTIL THE END OF SEPTEMBER, OR AT LEAST WHEN IN HIGH EXPOSURE SITUATIONS.

 

ARIZONA IS THE PRIME USA LOCATION FOR WEST NILE DUE TO HIGH WEST NILE VIRUS LEVELS IN RAPTOR BIRDS WHO ARE IMMUNE TO WEST NILE ILLNESS, BUT NOT IMMUNE TO CARRYING THE VIRUS.

 

 THIS CAN RESULT IN ARIZONA MOSQUITOS WITH PARTICULARLY HIGH VIRUS LEVELS WHEN THEY BITE.




**Read Dr. Lakin's Full September 3rd Comments here

TOP PODCAST DONE WEEKLY

BY DR. MICHAEL OSTERHOLM

(UNIVERSITY OF MINNESOTA)  

 

He is a world-renowned epidemiologist who was credited with first elucidating TOXIC SHOCK SYNDROME in the 1980’s.

He provides comprehensive and understandable/actionable ideas related to COVID.

 

Dr. Osterholm Update: COVID-19

August 24, 2023



https://www.cidrap.umn.edu/childhood-vaccines/episode-138-more-confusing-times


(Same as last week's. . . New Podcast next week!)



'More Confusing Times'

In this episode, Dr. Osterholm and Chris Dall discuss the state of the pandemic in the U.S. and around the world, the latest research on long COVID, and the recently approved RSV vaccine for infants.


According to Dr. Osterholm……


  • GET YOUR 5th BOOSTER (7th SHOT) IF YOU HAVE NOT HAD COVID OR IT’S BEEN LONGER THAN 4 MONTHS SINCE YOU HAD COVID YOURSELF
  • A GOOD MASK, N95 OF KN95, DOES HELP REDUCE TRANSMISSION…. USE IT AT HIGH-RISK LOCATIONS
  • GOOD VENTILATION IN ROOMS/HOME/BUSINESSES IS A GREAT WAY TO PREVENT TRANSMISSION
  • VACCINE, VACCINE, VACCINE…THIS IS OUR PROTECTION.  ALL VACCINES ARE EFFECTIVE AND WITH TIME WE ARE SEEING THAT THE J&J VACCINE IS PICKING UP STEAM AND GIVES SOLID LONG-TERM PROTECTION.
  • BOOST, BOOST, BOOST…THIS WILL BE NECESSARY TO PREVENT RECURRING SURGE AND TO RAISE ANTIBODY LEVELS IN THOSE ALREADY SET WITH THE PRIMARY COVID VACCINE SERIES.
  • ANTIGEN TESTING IS USEFUL, BUT OF LIMITED VALUE. DON’T DEPEND ON IT…BUT USE IT.


Know that unvaccinated remain a source of potential infection.  Avoiding unvaccinated persons will reduce your risk of COVID.

After you received your COVID vaccinations, please let us know!

We would like to document this information into your chart.



BUT FIRST.......

PLEASE COMPLETE THE INFORMATION ON THE CARD BEFORE YOU SEND IT TO US!

What we need:

  1. Your name
  2. Date vaccination received
  3. Brand name
  4. Lot number if available
  5. Which dose you have received


**Email your COVID vaccine completed info HERE

Mask Policy in Our Office

At our office, we are continuing to follow CDC guidelines and will strive for ways to keep our patients and staff safe.



We recommend that all unvaccinated and vaccinated patients and visitors entering our office cover their nose and mouth at all times.


To prevent further spread of the Delta & Omicron variants, the US Centers for Disease Control and Prevention updated its mask guidance on March 21, 2022, to recommend that fully vaccinated people wear masks when in areas with “substantial” and “high” transmission of Covid-19.


We have a limited supply of paper masks and will make these available to patients while they last, however, we encourage you to bring your own facial covering.


Dr. Fauci Responds To Study That Says Masks Didn't Work. . . .

Former National Institute of Allergy and Infectious Disease Director Dr. Anthony Fauci discusses mask use with CNN's Michael Smerconish as Covid-19 cases rise in 2023.

COVID Hospitalizations Are Rising... Here Are The Latest CDC Guidelines For Testing And Isolation

Covid hospitalizations and deaths are each up around 21% in the U.S. since last week, though they remain historically low compared to the same time of year in past summers.


The uptick coincides with the rise of the EG.5 variant, which some health experts nicknamed “Eris” on social media. EG.5 now represents more than 20% of Covid cases in the U.S.


Scientists are also paying attention to a new variant, BA.2.86, that carries a large number of mutations — meaning it looks significantly different from the original version of Omicron and the previously dominant strain targeted by the upcoming Covid booster shots this fall. Only nine cases have been detected in the U.S. thus far.


Guidelines from the Centers for Disease Control and Prevention about masking, testing and isolation have changed slightly since last summer. Here's what the agency recommends.



Read more here. . . .

Dr. Lakin's Info For COVID-19 Kit &
Recommended Treatments

SUMMARY OF A COVID KIT & CHECK LIST:

 

This is what you should have at home to prepare for possible COVID, to monitor yourself if you were to get infected:

 

DIGITAL ORAL THERMOMETER: MANY BRANDS ARE FINE…HERE IS ONE EXAMPLE:

https://www.amazon.com/Digital-Thermometer-Reading-Waterproof-Indicator/dp/B087T3S4TR/ref=sr_1_6?dchild=1&keywords=THERMOMETER&qid=1597159324&sr=8-6

 

PULSE OXIMETER:  TO CHECK OXYGEN LEVELS. MANY BRANDS ARE FINE...HERE IS ONE EXAMPLE:

https://www.amazon.com/Innovo-Fingertip-Oximeter-Plethysmograph-Perfusion/dp/B07YVGZPRZ/ref=sr_1_20?dchild=1&keywords=PULSE+OXI&qid=1597159388&sr=8-20

 

OTHER ITEMS FROM THE HOME MEDICAL KIT:

 

·       TYLENOL, ADVIL, OR ALEVE

·       Sudafed 30mg tablets

·       Chlorpheniramine 4mg tablets

·       Robitussin DM syrup

·       Imodium AD




**CLICK HERE TO READ COMPLETE INFORMATION


'Working Girl'

Nominated for 6 Academy Awards; director Mike Nichols' witty, romantic look

at life in the corporate jungle stars Melanie Griffith as Tess McGill, an ambitious secretary with a unique approach for climbing the ladder to success.


When her classy, but villainous boss (Sigourneey Weaver) Breaks a leg skiing, Tess simply takes over her office, her apartment, even her wardrobe.


She then creates a deal with a handsome investment banker (Harrison Ford) that will either take her straight to the top - or finish her off for good.




Stay Safe!