Coronavirius and the shoulder

There is no question that coronavirus infections are spreading rapidly world wide, including in the U.S. See this link. The U.S. is now experiencing multiple deaths from the virus known for its crownlike appearance.

This virus is spread through the coughs and sneezes of infected people, by touching an infected person's hands or face, and by touching things such as doorknobs that infected people have touched. Importantly, individuals carrying the virus may not have any symptoms. 

Therefore it is unrealistic to assume that any of us can avoid the risk of exposure.

We are recommending the following strategy for maximizing the safety of our patients and ourselves.

(1) Assume that everyone we meet is a carrier of the virus

(2) Asking all providers and patients who are ill to stay at home

(3) Avoiding the usual hand shake in greeting all individuals, including patients.

(4) Being compulsive about the use of proper hand washing (see this link) and the use of hand sanitizer containing alcohol after touching other individuals, doorknobs, railings, etc.

(5) Keeping hands away from face and mouth.

(6) Informing our physicians promptly should we develop fever, cough, muscle aches or shortness of breath.

(7) Avoid unnecessary travel or contact with crowds - separation is an important prevention strategy.
(8) Meet friends and families outdoors

(9) Don't count on a "miracle" to solve the pandemic (see this link).
(10) Recognize that this virus is going to be with us for quite a while and, when it's gone, new ones will arise to challenge our resolve for public health.

Inspite of the pandemic, nature continues, the bald eagle continues to terrorize coots

and catches one that separates from the raft of his other coot friends

It is somehow reassuring that much of nature remains as it has for centuries and will remain for centuries to come.