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Chicago Arthritis and Regenerative Medicine update 20200415



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Chicago Arthritis and Regenerative Medicine update 20200415

Update on the happenings from Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine.
-Covid19/Corona Virus updates
-Testing challenges
-Good news!

Hello, this is Siddharth Tambar from Chicago arthritis and regenerative medicine. In this video this is meant to give you an update as to what’s going on here at Chicago arthritis and regenerative medicine on April 15th, 2020. In the middle of the covid-19 outbreak. There are some interesting challenges and also some positive things. I’ll start with the challenges and then get to the positive things.

So interestingly, I do have several patients that it’s come to my attention have turned out to be covid-19 positive. These are patients where we’ve done telemed evaluations because they have some chronic issues that were assisting with in either their autoimmune spectrum or chronic musculoskeletal issues. And it’s interesting. There is variety in terms of who is who has been affected but in general these are people that are typically a little bit higher risk either based on age or other medical issues. And what’s interesting is thankfully all these people have they seem to have done well, meaning they’ve recovered. Only one person was actually hospitalized and required formal medical treatment and has done well. In all cases they’re now all sort of quarantined, their families quarantined, and they seem to be recovering.

We’ve a couple of cases where people have really good stories from the last maybe six to eight weeks that sounds like based on their travel history that maybe at one point in the last month, maybe they were infected with covid-19. Hard to prove that this point of course, but some suspicion that these people could have had that. Another really challenging thing that I’m hearing is still about the testing. I think that’s improved but I’ve heard cases where people who very clearly were at some risk, not necessarily high high risk people based on age or other comorbidities. But as an example someone who works at a hospital and had fevers, cough, dry cough, as well as had lost his sense of smell, some classic things that have been described about covid-19. And he tried to get checked out at the hospital that he works at and they really wouldn’t test him. And he ended up actually getting testing on his own and tested positive. Paying out of pocket for that and tested positive. And thankfully he did that because he’s now self-quarantined, his whole family is self-quarantined. They’re doing all the right things. These are good citizens and good people of our society that have done that but they’ve had to find solutions that had to go above and beyond what our system could even help them out with which is which is disappointing at like that bigger picture level, but at that local micro-level to know that people still take that that seriously not only their own health, but their responsibility to others was heartening to me. And I’ve seen that in a couple of cases and so I’m actually happy to see that.

It brings me to the to another challenge, which is we’re getting to the point where either to some degree society is trying to get back to business as usual in two weeks, toward early May or that may get pushed off until mid-may. I think for those of us that can think about this rationally and sensibly life going back to normal is still going to be delayed for some time. We’ll have some version of normal, but it’s not going to be full on what we were two to three months ago. I think we have to be honest with that. And one idea is can we start to check some degree of antibody testing to determine who’s been exposed previously to covid-19, who has more of an acute exposure, and who hasn’t been exposed so that we can start to risk stratify people when it comes back to going to work. Take into consideration not only some of their other medical comorbidities, medications that they’re on, but their actual exposure history to covid-19. Because as time goes on we may realize that a lot more people have been exposed and are now possibly immune or lower risk- maybe is the way to think about it. Some of the challenges that I’m hearing and and I am someone and our clinic and our outfit is trying to actually get antibody testing kits, but some of the things that we’re hearing some of the challenges include what is the validity of some of these kits when it comes to testing. And how have they been tested and how they been verified. And the challenge is that in an attempt to get more kits out there, some of these may have very limited testing, some of these may have been tested in a very small number of patients. Some of these may have been tested not over months, maybe not even over weeks, maybe over days and so that that is that’s a little bit of a challenge. And as a individual physician the way that I try to think about this is if the evidence is muddy and the situation is little bit hazy, first and foremost is there good evidence that we can rely on. And are there low-risk, efficacious options for my patients to help us make good smart decisions. And sometimes there’s a little bit of conflict in those two things, meaning is there great evidence and what is a smart low-risk good option. And it can be a challenge but trying to make some good smart medical decisions is always the right way to go and I don’t know if we have the full answers right now in terms of what antibody tests are best and most appropriate to use but my hope is that over the next couple weeks we start getting more clarity on that so that we can start making smart decisions as to how people can get back into some degree of their normal life. And from a medical standpoint for our patients who have chronic issues that still need to be treated, how do we manage some of those treatment decisions, whether it’s medications, procedures, other types of treatments- How do we manage that in a low-risk smart way for not only that individual but for society as a whole.

So those are some of the challenges, here’s some good things, I think. We’re still able to connect with patients. I think the telemedicine route as a tactic has been working really well. I think people are taking to it. I think people appreciate the ability to communicate directly with their physician and get some guidance and trusted opinions. I’ve had some pretty good conversations not only with my existing patients who already know and trust me, but also newer patients that need guidance for some of their issues that have been developing or have been chronic. And I think that is fantastic because we can take the technology that’s available and we can still help people out in ways that are ethical, professional, and still beneficial and value-driven.

Lastly, I think resilience and strength and joy and happiness and gratitude are still important at this time. It is April 15th, and we had 2 inches of snow this morning in Chicago. And for those that don’t know this that can happen in this sort of climate. And in the morning my daughter and I had the chance to go outside and try to enjoy the snow. And what’s interesting is there wasn’t a lot of snow. We can small snowman. There wasn’t a lot of snow so that we couldn’t actually go sledding, but we were able to have a little bit of a snowball flight. That’s a way to try to enjoy what we do have. Certain things are not going to be ideal, but we can still find joy and happiness in life. And I think it’s important to still try to find those kind of opportunities because that’s what makes living worthwhile and that’s what makes struggle worthwhile. You can still find happiness. So be strong, be resilient. I hope everyone is doing well. Have a good day and live well, bye bye.

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***About this video***
In this video Siddharth Tambar MD from Chicago Arthritis and Regenerative Medicine discusses Covid19, testing issues, telemedicine, and good news.

Water, Flow State, and Wellness

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Water, Flow States, and Wellness

I find water and being in water to be a very deeply meaningful state. In fact, I find that actually being in water I feel like I’m in a deeper flow state. There is a meditative quality to it, almost a meditation in motion process.

When it comes to wellness it is so important to find daily multiple times when you can enter into that kind of flow state. That can be physical activity that you really groove into, formally doing meditation, finding time to being in gratitude during the day, or other types of activities. Some other activities for me include hugging my daughter and telling her a blessing every single morning.

Those essential moments throughout the day that allow us to be in a flow state are key in terms of total mind and body health and wellness. The more of those opportunities that you can find, adds to the quality of your life.

More from Chicago Arthritis and Regenerative Medicine:

Blog: www.ChicagoArthritis.com/blog
Podcast: www.RegenerativeMedicineReport.com
Our Social Media Channels: www.ChicagoArthritis.com/Info

Rest and Renewal

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Rest and renewal are such key aspects in recovering from an active and dynamic lifestyle. This time of year reflection and rest are automatically built into most of our schedules. But what are you doing on a daily or regular basis throughout the year? It’s essential to think about this in a formal way just like you think about anything else if you want to maintain high level performance long-term.

More from Chicago Arthritis and Regenerative Medicine:
Blog: www.ChicagoArthritis.com/blog
Podcast: www.RegenerativeMedicineReport.com
Our Social Media Channels: www.ChicagoArthritis.com/Info

Weekends, Chauffeuring, and Self Care

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I love the brief moments with my daughter as I take her to all her weekend morning activities. But sometime it can feel like I am a part time chaufer. Make sure to spend a bit of time in the morning to take care of yourself with a workout and a good meal before taking on the day.

For a lot of you, and certainly for me, Saturday and Sunday mornings are generally spent transporting my daughter to her activities, and basically waiting around for a couple of hours for her to finish. It’s a privilege that I get to spend time with her and it’s good for her as well.

But in order to leverage weekends so that it’s still positive, productive and fun, it’s always important to try and get a workout first thing in the morning. Get a good meal in first thing in the morning as well. And basically set yourself up for the rest of the day and the rest of the weekend. That way, even if you’re spending a lot of time just hanging out in your car or a cafe waiting for your kid to be done with whatever activities they are in, at least you set yourself up for a good start for that day.

More from Chicago Arthritis and Regenerative Medicine:
Blog: www.ChicagoArthritis.com/blog
Podcast: www.RegenerativeMedicineReport.com
Our Social Media Channels: www.ChicagoArthritis.com/Info

Getting Better One Patient at a Time

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Getting Better One Patient at a Time
There’s so much to learn from patient care everyday. This encounter reminded me how much better we can be doing every single day.
Something interesting happened today which made me think about things a little differently. I was ultrasounding a patient’s hand and wrist, a new patient referred to me for various pains. One of the variables that is listed on the ultrasound machine is male or female. I have two ultrasound machines in the office, one that’s fairly new and another one that’s a few years older. An interesting thing that I noticed was that the only two designations that they have under genders are male and female, which you would traditionally expect. In this patient’s case he is transgender male. It’s interesting. I wouldn’t necessarily expect my ultrasound machine to have every single possible self identified gender designation, but it made me think about the field of medicine.
The practice of medicine is a very practical, humane science. You deal with people and their very real issues every single day. And yet we are always trying to catch up to what are the current social norms and issues of the day.
Frequently in our modern society, which is changing a lot faster than it has in centuries, we’re trying to play catch up a lot more than maybe we should be. This is one small example, but an example of where we can do better with patients. Maybe part of it is just recognizing it and saying, yeah maybe we could be better about this. But there’s a lot of those kind of occasions where I do sit back and think that this system could be better, more humane, and more respectful to people in general and certainly people with all of their differences and personalized needs.
As we go on as a society, the more that we can respect and recognize those kinds of differences, the better off we are serving people. And certainly the more personalized we can be when it comes to care, I think the better we are serving our individual patients as well.
More from Chicago Arthritis and Regenerative Medicine:
Blog: www.ChicagoArthritis.com/blog
Podcast: www.RegenerativeMedicineReport.com
Our Social Media Channels: www.ChicagoArthritis.com/Info