01/22/2021
Recent Sunset 🌅 Pics taken during low tide beach 🏖 walks! #sunsetphotography #lagunabeach #sunset #🌅 #outdoors #january2021 #beautifulsky #shotoniphone
Laguna Beach Vibe
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- Laguna Beach Vibe
Laguna Beach's only locally-owned and woman-owned, free, entertainment pub, featuring happy hour & event listings, restaurant reports, and more about Laguna Beach.
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Laguna Beach Vibe is a free monthly publication that's available in over 130 locations throughout Laguna Beach, California. We provide a comprehensive daily entertainment and events calendar for all that Laguna Beach has to offer. Everything from "Quick Bites," "Happy Hours” and regularly featured spotlights on local artists, restaurants, events and businesses are included in each issue.
Mission: We chose the name "Laguna Beach Vibe" because we truly find and report on the pulse, flow and energy of the city.
Operating as usual
01/20/2021
Front Page
We would e remiss if we didn't share this and since you are already looking for used glasses and hats... if you discover some pairs of shoes you no longer need in your closet donate them here!
THANK YOU to Laguna residents and beyond!
Laguna Beach community news and information. Police Beat, Laguna Dining, Arts, City Hall and more.
01/20/2021
Front Page
Got a surplus of baseball or trucker style hats lying around? Perhaps some sunglasses you never wear or extra pairs of reading glasses you've accumulated? Your donations will be flown to Cogoria, Kenya to be given to villagers who desperately need these items to protect against the elements. How cool is it to know your extra hats and glasses are helping impoverished people in Africa! The link to this article in Stu News details the mission and includes the drop off location at Coldwell Banker in South Laguna.
Laguna Beach community news and information. Police Beat, Laguna Dining, Arts, City Hall and more.
01/18/2021
Contact – MacGillivray Freeman
For the past 27 weeks, the multi-media creative minds at MacGillivray-Freeman Films have curated a weekly E-blast, uplifting and informative, and dedicated to its name, Inspire Friday. Inspire Friday is an entertaining mix of short films, video clips, links to articles, and recommendations for books and podcasts. An inspirational quote and always a cool throwback photo from company archives round out the perfect Inspire Friday. Watch all 27 episodes of the archived newsletters: https://macgillivrayfreeman.com/news/
OR subscribe here for the 28th and beyond: https://macgillivrayfreeman.com/contact/
MacGillivray Freeman Films
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To discuss development of a new production or involvement in one of our current projects, please contact Shaun MacGillivray.
01/16/2021
Record turn out for yoga in the park with Laura and music by Robbie Steffen! 10 am Saturdays. Donation based. COVID safe 😀. #yogainthepark #lagunabeach #breatheinbreatheout #outdoors #yogainspiration #yogalove
01/08/2021
In December we witnessed Sports Artist Dave Hobrecht at work on his tribute to Tommy Lasorda. Dave was planning to visit him at his LA home early in Feb. with the finished piece. Sadly, Mr. Lasorda passed away last night at age 93. The work captures the indomitable spirit he had for the 71 seasons he served with the Dodgers. The work is on display at Hobrecht Studio Gallery at 550 South Coast Hwy. Inquiries: 714.326.6410 @tommylasorda2 @davehobrecht @dhobrecht #sportsart #sportsartist #lagunabeach #dodgersbaseball #dodgers #dodgerblue #managerlife #art #blackandwhiteart
01/08/2021
Picnic | Laguna Beach Vibe
KEEP CALM AND PICNIC ON!
So many great restaurants for "picnic take-out" in Laguna, not to mention the artful public benches all over town you can sit at. Plan your weekend picnics with the help of this article and thank you for supporting our local restaurants! #supportlocalrestaurants #supportlocal #takeout #picnic #picnicinthepark #lagunabeach #publicart
There are few things so pleasant as a picnic eaten in perfect comfort – W. Somerset Maugham
01/08/2021
Art Walk at The Grace Galleries! 😷 🖼 & music by Liquid Crystal! Till 9pm! 🥳@thegracegalleries_lb
12/27/2020
Don't miss our Holiday Specials!
Enjoy the holiday entertainment from our friends at No Square Theatre! From now until Jan. 1st. Happy Holidays!
Merry Christmas from our NST family to yours! This holiday season, enjoy the gift of laughter with your loved ones with our LAGUNATICS 2020 and YOU'RE A MEAN ONE, COURTNEY FINCH Holiday specials! Both are live on our site and Youtube channel until January 1st!
12/25/2020
Look who ‘s getting a move on!! 🎅🏼 Merry Christmas Eve! 💫☮️🎄#santaclaus #christmaseve #delivery #sleigh #sleighride #reindeer #christmasdecorations #lagunabeach
12/24/2020
Which local restaurant is your favorite for seafood delicacies? 🐡😋🦞🎏🍴@thewharfoc @montagelaguna @thedrakelaguna @sapphirelagunabeach @lblumberyard @brusselsbistro @deckonlaguna @driftwoodkitchn @broadwaybyamarsantana @southofnickslagunabeach @tacolocolb @coyotegrill_lagunabeach @surfandsandlaguna @dizzsasis @dizzsasis1 @lacasahotellb @splasheslagunabeach @oliversosteria @theranchlb @salernobychefpirozzi #seafood #favoriteseafood #lagunabeachfavorites #lagunabeachvibe #contest #vote #seafoodrestaurant
12/24/2020
There is a variety of Pizza 🍕 in Laguna. Which place is your favorite? @nealaguna @zpizzalagunabeach @zpizza @pizzabarlaguna @ginaspizzaandpastaria @lagunabeachbeercompany @alessalagunabeach @alessabychefpirozzi @slicepizzaandbeer @bjsrestaurants #favorites #favorite #lagunabeachfavorites #contest #vote #lagunabeachvibe #pizza #favoritepizzaplace
12/24/2020
So many great spots for Mexican Food in Laguna!! Which one is your favorite? Let your tastebuds do the voting at VoteLaguna.com @carmelitaskdm @asadatacosbeer @lasirenagrill_south @lasirenagrill @winglamwahoos @papastacos @avilas.laguna.beach @oak_laguna_beach @southofnickslagunabeach @tacolocolb @lasbrisaslagunabeach @wildtaco__ @rastatacolagunabeach @adolfoslagunabeach @coyotegrill_lagunabeach #favorite #favorites #lagunabeachfavorites #mexicanfood #flavorsofmexico #tacos #contest #vote #lagunabeachvibe
12/24/2020
From Table Rock in the south to Crescent Bay in the North and all beaches in between! Which beach 🏖 is your favorite? Let us know at VoteLaguna.com. #lagunabeachfavorites #lagunabeach #beach #favoritebeach #vote #favorite #favorites #beachvibes #beachlife
12/23/2020
Has someone helped you achieve your fitness goals in 2020? Vote for your favorite personal trainer at VoteLaguna.com @thewellfitness @fernandarochafitness @healthhaven07 @badass_cora_ @codegreenfitness @sunsetsup_mama #lagunabeach #lagunabeachfavorites #personaltrainer #personaltrainers #favorite #vote #healthylifestyle
12/23/2020
Let’s give a shout out to our local doctors! 🗳 Vote for your favorite at VoteLaguna.com 😀 @anitawang_md @lagunabeachaesthetics @lagunabeachcommunityclinic #doctor #favoritedoctor #health #lagunabeachvibe #lagunabeachfavorites
12/22/2020
Which local surf shop is your favorite? Vote daily at VoteLaguna.com. Main Category SHOPPING, Sub Category SURF SHOP.
@hobiesurfshop
@surfnsport82
@casurfnpaddle
@thaliasurf
#lagunasurfandsport
#hobiesurfboards
#hobiesurfshop
#thaliasurf
#surf #lagunabeachfavorites #lagunabeach #vote #contest #surfshop
12/22/2020
Which is your favorite Action Sport? Vote at VoteLaguna.com Main Category STAY & PLAY, Sub Category ACTION SPORTS & RENTALS. @goffsurfschool @lagunacyclery @lavidalaguna @californiasurfexperience @laguna_beachbums @sunsetsup
#mountainbike #surf #lagunabeach #paddleboarding #standuppaddle #cycling #lagunabeachfavorites
12/22/2020
So many juicy 🍔 🍔 ‘🍔 to choose from the list of nominees!! Which one has been your go-to in 2020? go to VoteLaguna.com and cast your vote to show your support for the restaurant that makes it! #lagunabeachfavorites #burger #burgerlover #favoriteburger #contest #favorites #vote @marolagunabeach @penguinmaltshop @oak_laguna_beach @zinccafeandmarket @brusselsbistro @nickslagunabeach @reunionkitchen @harleylagunabeach @surfandsandlaguna @orangeinncafe @thewharfoc @coyotegrill_lagunabeach @hennesseys_lagunabeach @lblumberyard @montagelaguna
12/22/2020
Which is your favorite local Bar with Live Music?
Choose from the list of nominees at VoteLaguna.com Click Entertainment, then Bar w/ Live Music.
Your vote matters and it only takes a second.
No registration - just click, click and you're done:) #lagunabeachfavorites #livemusic #favorites #contest #lagunabeach #lagunabeachvibe #vote
12/21/2020
Give our local shops a gift this holiday. Vote them as your favorite, it helps others learn about how great they are too!
www.VoteLaguna.com #lagunabeachfavorites #shoplocal #supportlocalbusiness #lagunabeach #favorites #contest #lagunabeachvibe
12/20/2020
All of the nominees are in!!
With the live music world hit hard, it's never been more important to show your support!
Vote for your favorite local Musical Act - and end the year on a high note.
www.VoteLaguna.com Click Entertainment, then Musical Act.
Support local musicians and share this to your timeline!
#lagunabeachfavorites #vote #lagunabeach #favorites #musician #band #favoritemusician #favoriteband #lagunabeachvibe
12/20/2020
- Sawdust
SAWDUST ART FESTIVAL VIRTUAL BENEFIT AIRS TODAY!!
Sunday, December 20th at 6:30pm.
HOME FOR THE HOLIDAYS, a Virtual Benefit features artists’ stories and demonstrations, a jolly appearance from Santa, and special performances by the Salty Suites, David Rosales Trio, and Victoria McGinnis & Mark Turnbull.
Enjoy a little bit of Sawdust magic 💫🧚🪄 from the comfort of your own home 🏠! Sawdust Art Festival
The benefit will stream on their website at:
https://sawdustartfestival.org/home-for-the-holidays/
Ways to Donate There are several ways to donate! Call, scan the QR code, text or click to donate for Credit Card, Venmo and PayPal options. Call (949) 494-3030 Text…
12/20/2020
Vote for your Favorite Laguna Artist and Gallery from the list of impressive nominees at VoteLaguna.com. #lagunabeachfavorites #artist #artgallery #favorite #contest #lagunabeach #vote #lagunanow
12/19/2020
Lumberyard Market Featuring ECO-Friendly products! Today 12/19 till 4pm and 12/20 10-4pm. #shoplocal #shopping #supportlocal #supportlocalbusiness #holidaygifts #holidayseason #lagunabeach #market @rootslagunabeach
12/19/2020
Shop for ECO-Friendly brands at the Lumberyard Shops! 384 Forest Ave. Sat. and Sun. 10am-4pm! #supportsmallbusinesses #lagunabeach #shoplocal #lumberyardmall #holidayshopping #supportlocalbusiness
12/19/2020
Vote for your Favorite Laguna Artist and Gallery from the list of impressive nominees at VoteLaguna.com. #lagunabeachfavorites #artist #artgallery #favorite #contest #lagunabeach #vote #lagunanow
12/19/2020
Vote for your favorite Take-Out food restaurant in Laguna Beach! Which one gets your vote for the quickest, cleanest, safest, and tastiest of all? Cast your vote daily at VoteLaguna.com #lagunabeachfavorites #favorites #contest #lagunabeach #vote #takeoutfood
12/18/2020
It's time for you to vote for your Favorites! It's fast and easy, you don't have to register, just help your Favorites feel the appreciation!
www.VoteLaguna.com Select a category, and pick your Favorite.
Also, please share this post to your friends and family to celebrate the good vibes.
12/18/2020
More Holiday/Winter Spirit around Laguna! #holidayseason #visuals #palette #snowman⛄ #reindeer #outdoors #santaclaus #4square #believe
12/17/2020
Christmas Spirit ‘round town! #christmasspirit🎄 #lagunabeach #inflatables #santa #snowman⛄ #reindeer
12/16/2020
On the 6th night of Chanukah we honor the six directions in nature (north, south, east, west, up, down) and the six visible colors in the rainbow🌈 . Six is the balance of beauty of the physical world. Happy Chanukah! @lagunabeachgov @chabad_lagunabeach #menorahs #lagunabeach #chanukah2020 #lagunabeachvibes
12/15/2020
🎄🧑🏽🎄Christmas🎊🎄Spirit 🎎🎄around town! 🎊 🎅🏼 #christmas #holidayseason #lagunabeach #publicart #decorations #2020
12/14/2020
First ever Chanukah Car Parade about to get going! #chanukah2020 #carparade #chabad #lagunabeach #festivaloflights #celebrate @chabadoflaguna
12/13/2020
LBPC Jingle Along the Way - Google My Maps
Choices for Tonight's Holiday Lights! 🎄🤩🕎🚗🎄🚕🕎🚙🎄
Chabad of Laguna Beach is orchestrating their first ever Laguna Beach CAR MENORAH PARADE this evening (Sunday, Dec. 13th) beginning at 5 pm! Circle the streets of Laguna Beach with Menorah topped cars, Chanukah flags, and joyous music! Covid safe Chanukah experience like never before! Procession will be leaving Chabad at 5 pm (outfit your car at 4:40 pm) and returning at 5:45 pm for GALA GIANT MENORAH LIGHTING and individually packaged latkes! Glow in the dark Menorah swag for all kids! Joyous celebration in the safety of your own cars! Please RSVP today to help us plan accordingly: [email protected]!
Also this evening you can "Jingle Along the Way" with this cohesive map of homes (attached) that have gone to great lengths to make the neighborhood sparkle with lights and joy!
KX FM is excited to be a part of "Jingle Along the Way," a safe holiday festivity offered by Laguna Beach this year.
The event will benefit local charities and is in conjunction with the 28th annual "Sparks of Love" Toy Drive organized by the Laguna Beach Fire Department.
Please bring an unwrapped gift and a canned, non-perishable food item to the Boys & Girls Club after your holiday adventure. These items will be collected by the LBFD to support the Youth Shelter and Toy Drive.
Tommy J will be spinning holiday tunes from 5:30pm-7:30pm for you to enjoy as you make your way through the holiday safari.
Listen to the holiday cheer on 104.7 FM or at kxfmradio.org.
HAPPY HOLIDAYS TO ALL!
Pile the fam in the car with matching holiday jammies and Tune into KX FM 104.7 while you drive through town enjoying the fun neighborhood stops (Candy Cane Lane, Caroling Carolers, Santa and his Mailbox, Fire truck, Police Car Lights, and Family Photo Op!) Don't forget to bring canned foods and toy...
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Happy Halloween 👻🎃 @mozambiqueoc Andrew Bloom Band till 9:30pm! @halloween2020__
Back in a half hour! (12:30) Jason Feddy and Todd Wolf live on the Main Deck @sawdustartfestival #🎃
Brother Yusef! Hallelujah For Saturday at Sawdust Weekend Outdoor Marketplace! @sawdustartfestival @brotheryusef33 #fallvibes #lagunabeach
Park Tunes with Rebel Robbie at Bluebird Park till dusk! #park-tunes #lagunabeach @rebelrobbiemusic
Pretty in pink! Anesha Rose 🌹🤩@sawdustartfestival Until 5pm today! sawdustartfestival.org
Fall has officially arrived on the Promenade!! 🎃🍁🍂🎃🍂🍁🤎🎃🍁🍂🎃🤎 @lagunabeachgov #fall #promenade #forestavepromenade
Stephanie Wright on The Promenade. Presented by the City of Laguna Beach -Cultural Arts 🎭 @lagunabeachgov #lagunabeach #forestavepromenade
Laguna Beach Live! presents Eclectic Fridays on The Promenade 5pm -7:00. Molly Bergman, 18 and fabulous! #futurestar @lagunabeachlive @mollybbergman
If you like this original song please help Robbie record his solo debut by donating whatever you can at: https://www.gofundme.com/f/debut-album-recording-in-grammy-winning-studio?utm_medium=copy_link&utm_source=customer&utm_campaign=p_lico+share-sheet
Which patio is your favorite? #favorite #outdoorpatiodining #diningalfresco
Our very own “Laguna Tenor” Rick Weber last evening on The Promenade. Hire Rick for your next virtual bash! LagunaTenor.com #tenor #operatictenor #lagunabeach #lagunabeachvibe Laguna Tenor
Let’s Weekend!!!😄🤙🏼
Keepin' it mellow! Saturday night on The Promenade.
Keepin' it mellow! Saturday night on The Promenade 😴😀 @City of Laguna Beach - Government #livemusic #lagunabeach #summer2020
Dinner and Jazz al fresco going on every Friday and Saturday 6-8:30pm at Zinc Cafe. @zinccafeandmarket #lagunabeach #patiomusic #livejazz Featuring the Jorg Dubin Jazz Trio.
Public Art 🖼 at City Hall! Temporary Installation by Isaac Cordal —titled “Waiting for Climate Change” Which one do you identify with? @isaaccordal @lagunabeachgov #publicart #temporary #lagunabeach #miniatures
Mozambique: Sunday Reggae Vibes!
Thank you Owner, Ivan Spiers, for bringing back the music on Sunday! The style is a little more mellow than pre-pandemic Sundays in the Shebeen Lounge and dancing is not permitted BUT you can groove in your seat! Every table was occupied, fun had by all! Reservations are not accepted outside, it's first come first seated. See you next Sunday 6pm-9pm. (FYI: Fri. and Sat. music by Andrew Bloom, 6pm-9pm) Mozambique #livemusic #lagunabeach
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Laguna Beach Vibe is Laguna’s locally-owned arts and entertainment publisher & media services provider. By delivering unique media services to business owners interested in reaching locals and visitors alike, we help businesses rise above the noise. Our mission is to inspire people to take full advantage of the variety of arts, entertainment and hospitality options in Laguna Beach.
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For those interested, I have included the link for our latest Covid blog post below!
https://www.caduceusmedicalgroup.com/cmo-covid-blog-orange-county-latest-numbers-from-the-caduceus-covid-treatment-team
Good morning to my Laguna Beach peeps! Thought you might dig my new Main Beach Lifeguard Tower ornaments. I also have HB Pier's Tower 0 and Pacific City oil rig ornaments. Available at my Etsy store. Stay safe out there and be kind to each other. Peace.
https://www.etsy.com/shop/DaveCReynoldsSurfArt
Happy Friday! For those interested parties I have included a link to our latest Covid blog. Enjoy your weekend!
https://www.caduceusmedicalgroup.com/orange-county-exclusive-caduceus-interview-with-cov
Local Laguna violinist putting on an event
Happy Thursday to all! Latest Covid blog just published and you can check out here if you want to read!
https://www.caduceusmedicalgroup.com/top-five-covid-faqs-just-the-facts-for-orange-county/
Good morning to all! I have included a link you can copy and paste if you are interested in reading our latest Covid blog and announcement that we are now adding Covid rapid antigen testing curbside to our other testing options. Any questions you can email me at [email protected].
https://www.caduceusmedicalgroup.com/now-offering-covid-rapid-antigen-testing
TGIF! I have included a link to our latest Covid blog post for those that are interested in reading.
https://www.caduceusmedicalgroup.com/covid-19-coronavirus-september-updates-the-hard-facts-on-our-progress-in-orange-county/
Happy Friday to all! If you are interested in reading and/or sharing I have included a link to our latest Covid blog. Enjoy your weekend!
We rented a convertible for this weekend to hang out in and around Laguna beach. It’s the last weekend before our little girl starts back to school so we want to leave our home - finally, drive around and beach watch and people watch.
*WHERE IN LAGUNA BEACH CAN WE FIND SUPER CLEAN **PUBLIC** BATHROOMS THAT ARE NOT PACKED WITH PEOPLE?
We hope we can hop out to at least see the views up close BUT we cannot leave our car if crowds of people are around.
We will NOT enter any restaurants no matter how well they think they are following CDC guidelines.
But with an 11 year old kid, we absolutely do need to know in advance, where to find public bathrooms that are clean but not people packed. So beach bathrooms are a NO WAY.
Some people may call us paranoid. Hubs and I are healthy and in our early 50’s but we both have an immunity deficiency and I have a blood disorder. There are people who may catch the virus and get moderately ill. Our docs think we could die. 😲
So we’ve followed our docs’ advice over the last 5 months, have sacrificed freedom, summer vacations, eating out, even shopping for groceries and so much more. We did all that to avoid getting Covid-19.
Please let me know. Thanks!
TGIF and our latest Covid blog below; at the very end there is a link to copy and paste of you wish to share. Enjoy your weekend and be safe!
I’m not looking to fight with you
Frighten you or tighten you
Drag you down
Chain you down
Or bring you down
All I really want to do
Is discuss Covid with you
Ok, so we took some liberty with Mr. Dylan’s poetry. It’s time to look at the path we have traveled the last five months.
We began Covid testing March 11, and enrolled Covid patients in our program immediately. We published our observations a couple months ago, and a lot has changed since then. Let’s revisit what we have learned.
We have tested over 7,500 patients for Covid- both the swab for the virus and the blood for the antibodies. We have diagnosed or been referred roughly 750 cases as of this writing. That corresponds well to the national average of a 10% positive rate with broad scale testing.
Our false positives have been under 1%--as advertised by the literature.
False negatives? Around 5-9%- again, as expected.
So any speculation by pundits on social and mainstream media stating the tests are inaccurate is hooey. At least in our admittedly limited practice the tests are reliable.
What is noteworthy is in May we had just passed the 100 mark of cases. So the other 650 cases have been found in the last three months. This is partially explained by our ability to procure sufficient tests to allow testing five days a week at multiple sites, as well as a corporate program that brings us company employees to test. Admittedly we have been aggressive in encouraging our patients to test, and obtained more innovative tests that allow earlier detection of antibodies. The new moderate complexity antibody tests we offer have been very impressive indeed.
Nonetheless, the number of new cases exploded. In June our new cases per week doubled. July? Quadrupled! Why?
Yes, we reopened perhaps too soon, and definitely not smart. Beach weekends, protests, church services, BBQ’s, and parties all contributed their part to the deluge in cases.
At one get together in a beach town, ONE unmasked person with not-yet-diagnosed Covid, caused the infections in EIGHT other party goers. Remember, we said the 14 day incubation period combined with being very contagious was a perfect storm? Well, there ya have it.
Of the 750 cases, about 100 never showed symptoms.
400 have recovered totally.
250 are under active care.
Only nine needed hospitalization--yes a 1.2% rate. This compares to a 4.6% rate nationally.
And yes, still no deaths (insert sign of the cross being made).
More stats that may be of interest---
85% of those that swab positive formed IgM antibodies--again just as the biologists would predict based on other viral diseases.
Even better, after eight weeks, 95% form IgG--the antibody that theoretically confers immunity. This is in line with SARS 1 in 2005, another Coronavirus mutation.
More evidence that the doom-and-gloom of the non-experts is baloney. These numbers are exactly what the immunology textbooks would have predicted.
We have seen the virus change though, at first, fatigue, fever, and cough were the three most common symptoms. Now fatigue is still #1, but headache and diarrhea have replaced cough and fever. That's right, in April 80% of new cases had a fever. Now it’s just over 50%. So much for the temperature-at-the-door test huh?
At first, we were treating primarily a respiratory illness. Now we need to look for--and we have seen- blood clots, cardiac and muscle inflammation, strokes, kidney failure, and major depression.
Covid appears in some patients to cause a cascading inflammatory response that can affect literally every major organ system.
The lungs still require the most attention. We still give the double Z’s (Zpak and Zinc) but have recently seen a better response to Augmentin and Doxycycline to the Zpak.
We still push aggressive pulmonary hygiene...we obsess over keeping the lungs free of mucus to avoid a life threatening pneumonia...perhaps a factor in our low hospitalization rate.
I'm sure we would get emails if I failed to mention Plaquenil. We used it successfully until Lancet and New England Journal published articles showing no effect. Within weeks of publishing these two previously respected journals were forced to retract those studies for faulty data. The political backlash regarding using Plaquenil was unlike anything I have seen in over 40 years of practice. I’ll simply leave it at Plaquenil being in our tool box and our decision to use it is between our patients and our doctors, on a case by case basis.
We have found a couple of new treatments more effective than Plaquenil.
One is Decadron, the steroid. The studies are using it on in-patients to prevent intubation. But we found using it early in patients with obvious inflammation turns the corner quickly. Decadron helps to reduce inflammation and calms down an overactive immune system.
The other is Symbicort--a steroid inhaler (Budesonide) with a dilator (formoterol), used with almost any respiratory symptom. There is no doubt to us that Decadron with or without Symbicort is a game changer.
There IS one "magic bullet" for Covid cases that are very sick...convalescent plasma. Yes, they take the plasma from patients who have shown IgG, and infuse it into the sicker patients. So far, a 100% IMMEDIATE SUCCESS. Well, in fairness, we have had it used in six of the nine hospitalizations, and it worked every time. Yes, more evidence that IgG DOES bind to the Covid antigen and will prevent a second case.
Even more evidence: How many cases of a positive swab that converted to an IgG antibody have we seen? Around 150. How many of these have contracted Covid for a second time? That’s right...Zip. Zero.
The problem lies in how long the IgG will hang around. We had one patient lose it in a month. In another case it only lasted two months. Using SARS 1, Chinese, and European data, it should last four-six months in most people. So to get herd immunity, we will need an effective vaccine. We cannot count on our natural IgG to protect us for years as it does against measles.
Other observations:
Smokers, vapers, diabetics, and obese patients are a much higher risk of a severe case and hospitalizations. The patients we encouraged to purchase a pulse oximeter as well as an incentive spirometer had a much easier time managing their Covid.
Since June, Covid in our practice is a disease of the YOUNG. Our average age is 36 for a new diagnosis. How many cases are diagnosed in seniors over 65 in our population? Would you believe less than 10%? Good, because it’s lower---UNDER 5%!
We respectfully and strongly disagree with the CDC and our own Health Department that the quarantine may end after a week of no fever or symptoms, with no re-swab necessary. There is simply no evidence that a positive swab with no symptoms is not contagious. I have a challenge for the CDC/Health Department--take off your mask and let one of my Covid cases that swabbed positive but have no symptoms for a week cough in your face. Case closed.
We have seen a change in behavior by the Covid patients as the summer dragged on. Now, only 15% of our cases agree to be re-swabbed. That may relate to the young age of these patients, the seniors tend to be more compliant.
Only 25% of newly diagnosed agree to quarantine---that’s not a typo. Many may agree to stay at home for a week, but do not avoid household contacts; many even go to work. I’m not making this up. They travel, go out to eat, go grocery shopping. They use how sick they feel to guide them. But they are very contagious until they swab negative.
If we want to look at why our August numbers are still high, we need to look no further than the poor compliance on re-swabbing and quarantining.
Overall, we have learned a lot about treating Covid since March. Meds have changed, symptoms have changed, and patient compliance has changed. Early bedrest, use of steroids-oral and inhaled, and aggressive surveillance via telehealth all play a part in keeping our patients out of the hospital and ventilators. And we are encouraged by the immediate improvement of all patients receiving convalescent plasma.
Conclusions?
1. Test Test Test. Know if you’re contagious. Know if you’re immune. If you're contagious, QUARANTINE. If you’re not immune, wear your mask, stay at home, social distance and hunker down. It may save your life.
2. If you are positive, QUARANTINE and RE-SWAB! Do not risk infecting others by spreading your Covid particles.
3. If you have IgM or are recovering from Covid, have your antibody checked every 4-6 weeks until your IgG is positive. Then you may want to still check your antibody every 4-6 week to see how long it will last.
4. If you must come into contact with people (job) or elderly (visiting grandparents) we advise a monthly swab. Yours truly has a swab every 10 days, to reassure my patients, and come to think of it, to reassure ME.
5. To help those who need convalescent plasma, contact the local blood bank directly if you are IgG positive. You may save someone's life.
To paraphrase Mr. Dylan:
I do want to straight face you
Chase you, track you, and trace you
Disgrace you and confine you
All I really want to do
Is have you die of something OTHER than Covid
After many years pass through
Sorry Bob. I guess it’s time for my boot heels to be wanderin'…
Gregg DeNicola MD
Chief Medical Officer
Caduceus Medical Group
To make an appointment for a video visit from your phone for Covid-19 diagnostic swab and/or antibody or any other urgent or non-urgent medical needs including your annual physical, please email our appointments team at [email protected].
If you own a business and are interested in more information about our on-site corporate Covid-19 testing program for your employees, please email us at [email protected].
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