Here are some things I understand he is saying. These notes include word-for-word things he says, plus I have reworded things and I have given my representative summary of certain things he says. And I have put in a few comments.
He says he triages who get the ventilators and for how long; so he should have some perspective that others do not have.
Don't be scared.
I am not scared.
In New York > I work at the premier hospital of New York. We don't do the transplants that we can do. We do almost only COVID-19 care. We know more.
You can protect your family.
This is not just a social and economic thing.
This is a virus, in the family of the cold virus. But our human bodies do not know this virus, because it has come into someone's body for the first time. What is common is fever, cough, and sore throat, and the virus goes through the whole body, mainly effecting the lungs.
About eighty percent of people just don't feel good . . . maybe a little headache and mild cough.
The disease usually lasts about five to seven to fourteen days. Usually, people feel better by about day three-to-five, and recover by day seven.
How do you protect your family?
How do you get COVID-19? The main idea is sustained contact with someone who has sustained fever or aches, or you are with someone who is about to develop sickness > someone who in the next one-to-two days will develop symptoms of COVID-19.
The main way people get this is from your hands to your face > into your eyes, nose, or mouth.
About if it can be aerosolized into the air and exist in the air > you need over fifteen to thirty minutes in an unprotected environment with someone > for example in an enclosed room "without any type of mask".
So, it is spread mainly by actually physically touching someone who is infected, then touching your face. It is mainly spread by having sustained contact with someone who has COVID-19.
Know where your hands are. Know they are clean. He puts sanitizer on his hands, every time he touches a doorknob or elevator button.
One can go to a party and shake hands with someone who is contagious, then touch one's face.
The main reason, then, for wearing a mask is so the mask blocks you from touching your mouth and nose. It is not for guarding you from airborne virus, but it is protecting you from you!
So, wear a mask when you leave your house.
Clean your hands, don't touch your face.
You don't need a medical mask. Masks are not helping to protect people. N95 is not needed by the general public. I wear an N95 mask only while I am in a room with someone and I am doing something that will make them have aerosolization of the virus.
In the store, clean what you use, like the cart handle. And don't touch anyone.
Distance yourself, like the government is saying to do. In lines stay "a couple of feet back".
Always know where your hands are, and have Purell.
When you touch things not in the safety of your home, always wash your hands.
Wear a mask while you are out.
You do not need an N95 mask.
Just stay away from people. It seems he is saying three to six feet is enough.
You don't need to be scared of your neighbor.
But the real issue is if your hands are clean or if you are too close to someone.
Shrink your social circle. Don't go where you have a lot of contact with a lot of people.
Every extra person who comes to your place has been in contact with some number of other people, and could bring the virus to your group. So, set boundaries to protect your isolated group.
Throughout the world, the main transmission is from home and family spread of the virus . . . mainly from husband to wife, father to child, brother to daughter.
So . . . if you develop a fever and are otherwise fine, simply isolate yourself from the rest of your family. You do not want to have sustained contact with the sick person, because you can pick up stuff from surfaces and the person, and touch your face. If you can do this, have the person stay in another room and have their own bathroom.
At 21:15 He seems to be saying > if the person does have to come out and interact with the family, this is one time to put a mask on > on the person who is sick.
Before I come out of the bedroom, if I am the one who is sick, I need to wash my hands, put on a mask, maybe eat food at the table, put stuff in the sink and wash the table where I was sitting, then go back to my room < here I see one problem > he says to wear a mask, go to eat . . . how do you eat while wearing the mask?
Possibly, he means to say the sick person can go out, with the mask on, only if necessary. But the person can eat in his or her room, since you can't eat at the table while you keep your mask on. But yes wash anything the sick person touches while out of the isolation room.
Do not keep checking the person's temperature, because this can have you touching the thermometer from the person's mouth, then touching your face.
According to the CDC, if I am feeling better, I can put on a mask and go to work. So, this is when you can also feel confident about interacting with your family.
If by day seven you feel better, you can put on a mask and go to work. Come back out to your family's life but wash your hands and wear a mask.
If you feel like you have a mild cold, play it safe by acting like you have COVID-19. Then, if after a couple of days you recover, like with a regular cold, then you are Ok.
But > if you have vulnerable people, they need to be isolated, if they stay with you while someone is sick in your place. Have someone who is well attend to the medically vulnerable person.
The reason to come to the hospital is if you feel short of breath . . . not only for fever and not only because you keep having body aches, and not because you feel like you have COVID-19.
It's when I feel short of breath when I get up to go to the bathroom.
People short of breath can spend five or six or seven days in a hospital, then go home. 1-2-3% of people short of breath go into I.C.U. and go on a ventilator.
He thinks they have not proven that the mother's virus can pass to her unborn. But contact after birth can infect an infant. But it appears rare that kids are getting it, but it is likely they can help to pass it on to someone.
The main transmission is by droplets > from your hand to your mouth; or droplets get on a surface and then it goes to someone's face from the hand that has touched the surface.
In his hospital, they use surgical masks in a room for regular care activities. But they use the N95 mask only when they do an aerosolizing procedure of getting the patient to spit a lot, suction them, and disrupt them. Only when they are trying to get the patient to spit, then is when they need the N95 mask to protect against virus in the air.
