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Covid-19 (Former Coronavirus 2019-nCoV) Spreading in US

By Covid-19 Epidemic, Health Care Policy, Preventive Medicine, Primary Care 13 Comments

The coronavirus, now called Covid-19, that originated in China last fall, is spreading fairly rapidly and somewhat surreptitiously. It likely is now in the US Northwest. This infection can be serious and cause for self-protection, even though many cases are mild. I update the status and summarize what you can do to protect yourself and your family in this almost unprecedented viral disease outbreak.

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Shingrix Yet Again: Back-ordered

By Commentary, Health Care Policy, Preventive Medicine, Primary Care No Comments

Shingrix is highly effective against shingles infections, but has meaningful side effects in terms of sore arms and also fever and systemic symptoms that may result in missed work for 2 days or so. In addition, supply is problematic and back ordered. We are now unsure when to expect we will have adequate supply, possibly not till New Year’s.

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