Coronavirus Epidemic Update 17: Spike in Confirmed Cases, Fighting Infections with Sleep (COVID-19)

Coronavirus Epidemic Update 17: Spike in Confirmed Cases, Fighting Infections with Sleep (COVID-19)

welcome to another MedCram coronavirus
update you just wanted to review the Stars Cove e2 is the name of the virus
in kovat 19 is the name of the illness that the virus is causing and that’s an
important distinction because up to this point the criteria for a confirmed case
has been looking at the RNA using PCR technique and test kits specifically for
this virus and what they’re noticing of course is that they don’t have enough
kits to test everybody and so as a result of that and this has been a major
push they’re in Wuhan China is to look at something that is not as specific but
is much easier much more rapidly able to make that assessment and that’s it
looking at the illness and parts of the illness the characteristics of the
illness is an infiltrate on chest x-ray or CT scan so these lung scans have been
central in making the determination of whether or not we’re dealing with the
virus so again moving from something that’s very specific but takes a long
time to make a diagnosis couple of days to confirm it versus something that’s
very quick but not as specific in other words you may catch other things in
there but given the fact that there’s an epidemic the chances of that happening
are pretty low and the key here is that it’s very fast so it looks like today
they made that switch and as a result of that we’re seeing a lot bigger in
numbers let’s go to the numbers 60,000 now total confirmed cases 1369 total
deaths total recovered is 6061 about four times the number of deaths have
totally recovered and we’ll show that in a little bit what that looks like here’s
the world a meter website huge jump in cases and that’s because of the change
in the definition not much probably as change in terms of the reality on the
ground as we’ve been saying before this numbers probably been under estimating
but it’s been systematically under estimating and now we’ve gone from
apples to oranges where this is probably closer to the true number because now
we’re looking at lung scans still there’s probably a lot of people that
haven’t come into the hospital there could be many people outside of this
testing parameter that we’re not picking up let’s keep looking here in terms of
daily cases worldwide huge jump in the total number of cases now another graph
we’ve been looking at here recently is the total cases excluding mainland China
so what are things looking like and actually because we’re not overwhelmed
with the number of cases right total cases only 517 we can be very careful
and we can do those RNA tests that are very specific and again here some of the
smallest numbers to date as of February 12th we’ll keep watching those numbers
as they go okay I want to follow up a little bit more on some of the things
that we were talking about before and that is what we can do in terms of our
immunity and I want to be clear about this some of the things that we’ve been
talking about in terms of sleep in the last videos if you haven’t watched this
is that we don’t have any randomised trials for specifically coronavirus
everything we’re going to be talking about has to do with what evidence do we
have in terms of viruses in general or immunity I want that to be clear what
we’re looking at here is a methodological way of going through all
of the risk factors in trying to reduce our risks in this kind of a situation or
in this situation we don’t have medications or vaccines and so what is
it that we can do to reduce and minimize the risk of becoming infected and if we
are infected of surviving an infection so one of the easy things we talked
about is sleep and we made the point last time that by sleeping more that
actually improves the immune system but we’ve got to realize that not everybody
sleeps well right some people have insomnia the other thing that people
don’t realize is that if your body’s not ready to go to sleep and you try to go
to sleep and go in bed what’s gonna happen is you’re not gonna be able to
sleep and they’re gonna get anxiety because you can’t sleep then you’re
gonna associate that with the bedroom and when you walk into the bedroom
you’re gonna get more anxious I’m not gonna leave all of you hanging here
there are things that we can do for people who can sleep people who have
insomnia there’s many other things that can happen when you’re trying to sleep
including obstructive sleep apnea there’s people that can’t sleep because
of medical problems and I’ll try to address all
of those however remember that each person is an individual and we’re not
here to give out medical advice so all of this needs to be reviewed with your
personal physicians but there are some guidelines there are some things that
you can do that are going to help and we’ll be happy to go over some of those
things in general so I wanted to review another paper that was put out to study
by van coder basically what they did was they took some healthy men and on
average they’re around 23 years of age and there were some criteria that they
had to have number one no influenza vaccine in the previous three years and
all of them had to have a specific sleep routine in other words they normally
went to bed between 11:00 p.m. and 1:00 a.m. they typically woke up between 7:00
and 9:00 a.m. and their total sleep time was around 8 hours plus or minus 30
minutes there were about 25 of these men and they split them up into two groups
the first group which had 11 was the intervention group and these are the
ones that were prevented from sleeping and then there was another group of
about 14 that were the control group they did something very interesting
those eleven in the sleep deprivation group were only allowed to sleep for
four hours and they did this for six nights whereas the control group were
allowed to sleep for the eight hours for those same six nights then after those
six nights of only four hours sleep per night then they were allowed to sleep
for 12 hours to recover and they did that for seven nights here of course
they were allowed to sleep again for the eight hours for the same seven nights
what they did was they took measurements of antibody titers and they did it just
before they were given an immunization so I’m gonna right here when they were
given immunization was on the fourth night so right here
fourth night of minimal sleep and this was an
immunization against the flu vaccine okay so flu vaccine given there and flu
vaccine given the same point over here and what they measured was at this point
right here what was the antibody titer to the flu vaccine and they also
measured again ten days later and then they measured again 21 to 30 days later
so they wanted to see what the effect was of sleep deprivation on the body’s
ability to make antibodies against in this case the flu vaccine basically a
challenge immunologically to the patient’s immune system so even though
the patient’s had never had a flu shot before as we mentioned in the previous
three years they did have antibodies against the flu because of course people
have had the flu in the past and so there was no statistical significant
difference here between these two so there was no difference and over here on
the sleep deprivation side it was point zero seven and I’m rounding it off and
over here on the control side it was point zero nine so there was no
statistical significant difference now after the immunization these people here
were sleep deprived these people here were not sleep deprived and so the
question is what was the difference here at this points even though remember now
this is 10 days in they had the ability of recovering some of their sleep even
at 12 hours so the four days into recovery sleep how much would it be
well the titer here in the sleep deprivation group was point five zero
whereas the titer over here on this side was 1.15 it was over twice the amount
now when they looked at it after about 21 to 30 days after they had gone both
back to a regular sleep schedule again there was no difference in terms of
antibody titer so what they discovered was that sleep deprivation could reduce
the body’s ability to fight off the flu as measured by antibodies but that
difference seemed to go away after a period of 21 to 30 days but please
remember that they also stopped the sleep deprivation that they were doing
so the question is what would happen is someone had chronic sleep deprivation
okay let’s look at in another study this one was by Cohen at all in this one this
is a bigger study they took a hundred and fifty three patients and they were
aged 21 to 55 years of age and they asked them about the previous 14 days of
sleep and they looked at two things they looked at sleep duration how long were
they sleeping for and they looked at sleep efficiency and then they put in
rhinovirus one of the viruses that cause the common cold and they dropped in with
nasal drops into their nostrils these drops in to infect them okay so we know
exactly how much duration they sleep their efficiency and we’re taking a
hundred and fifty three of them and basically inducing a cold they monitored
them for five days and they looked at the results of it two sets of results
the first one had to do with a duration remember we looked at the duration and
we looked at efficiency let’s talk about duration first they were able to divide
them into two categories those that had less than seven hours of sleep and those
that had greater than or equal to eight hours of sleep in total those that had
less than seven hours of sleep were anywhere between one point one eight and
7.30 times the likelihood of having cold symptoms and on average that was two
point nine four so in other words based on the duration of sleep if you had less
than seven hours you were on average two point nine four times more likely to
develop a cold when exposed to the same exposure than those who slept for
greater than eight hours there was another category and that was efficiency
now efficiency sleep efficiency is simply the amount of time that you are
asleep divided by the amount of time that you are in bed and they divided
that into two categories those that were asleep greater
98% of the time versus those that were less than 92% of the time and what they
found was that those that slept less than 92% of the time were 5.5 times the
likelihood of getting the cold and that was a range of 2.0 eight to fourteen
0.48 meaning that it’s not just how long you sleep but with efficiency you sleep
with as well now when you’re looking at statistics they noted that it was just
these things duration and efficiency that made the difference when they look
for confounders things that did not predict this pre-challenge antibodies
did not predict it demographics the season of the year the BMI the
socioeconomic status and their health or lifestyle none of those things affected
whether or not they got the cold but the strong predictor was duration and the
efficiency of sleep so I believe that even though these two studies are not
specifically testing the 2019 coronavirus I do believe that they do
have some appropriate information for us in dealing with what is it that we can
do right now in terms of protecting ourselves from the virus and realize
that it’s not a hundred percent you can still get the virus even though you
sleep well just like some of these people got the cold even though they did
sleep but it was less likely so the purpose of these last couple of updates
was to show you the importance of sleep now the question is is well what can I
do to make my sleep better and I think that’s what we’re going to attack in the
next couple of videos is what is it that you can do personally if you have such
and such a problem let’s say you have difficulty falling asleep let’s say you
have difficulty staying asleep what are the things that you can do that are
fairly simple and effective in making your sleep better let’s talk about those
and also update the news and the numbers as we go through this epidemic thanks
for joining us you

100 thoughts on “Coronavirus Epidemic Update 17: Spike in Confirmed Cases, Fighting Infections with Sleep (COVID-19)”

  1. Please Subscribe! … and visit our website
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    Quick links to our other videos on Coronavirus (COVID-19):
    – Coronavirus Epidemic Update 16: Strengthening Your Immune Response to Viral Infections (COVID-19):
    – Coronavirus Epidemic Update 15: Underreporting, Prevention, 24 Day Incubation? (COVID19):
    – Coronavirus Epidemic Update 14: Hospital spread of infection, WHO allowed in China, N-95 masks:
    – Coronavirus Epidemic Update 13: Li Wenliang, nCoV vs Influenza, Dip in Daily Cases, Spread to Canada:
    – Coronavirus Epidemic Update 12: Unsupported Theories, Pneumonia, ACE2 & nCoV:
    – Coronavirus Epidemic Update 11: Antiviral Drugs, Treatment Trials for nCoV (Remdesivir, Chloroquine):
    – Coronavirus Epidemic Update 10: New Studies, Transmission, Spread from Wuhan, Prevention (2019-nCoV):
    – Coronavirus Epidemic Update 9: Fecal-Oral Transmission, Recovery vs Death Rate:
    – Coronavirus Outbreak Update 8: Travel Ban, Spread Outside of China, Quarantine, & MRSA:
    – Coronavirus Epidemic Update 7: Global Health Emergency Declared, Viral Shedding:
    – Coronavirus Outbreak Update 6: Asymptomatic Transmission & Incubation Period:
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    – How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & Treatment:
    – Coronavirus Update 3: Spread, Quarantine, Projections, & Vaccine:
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    – Coronavirus Outbreak – Transmission & Updates:

  2. Oh, heavens! I don't want to imagine the amount of people getting quarantine – with sick people – just because COPD symptoms are very similar to those of the virus, very similar. If you look at a CT you will see inflammation and mucus like patients with virus or pneumonia or bronchitis. God, protect them!

  3. Love these updates. I see there are over 8 000 people in critical condition. You should perhaps include these data because it would add more depth to your deaths vs recovered stats.
    Keep up the great work.

  4. I've been following your work for a long time. I have always trusted you in everything. even getting me through school. What you arr saying right now does not correlate. This makes no sense. ohhhhh wo

  5. Hi Doctor, well I have a question I’m not sure if you will understand or read this but if so here it go’s: So we been informed by China calculations of recovered people suffering from the Corona Virus does this mean that person or People builds immunity against the virus and won’t catch it again? P.s. I’ve become a big fine of yours and I’m always waiting for the next episode every day. Thank you for all your work you out in to inform us.

  6. Thank you for the knowledge…

    I wonder how the agreement for labeling SARS the "virus" and CoVid19 the "disease" came about? Analogous to HIV (Human Immunodeficiency Virus), is coined the "virus" and AIDS (Acquired ImmunoDeficiency Syndrome) is the disease… Why is SARS labeled as the virus as it stands for Severe Acute Respiratory Syndrome which makes more sense to label it as the disease and CoVid19 to be labeled as the "virus"…

  7. Is there an impact from using sleeping pills on your immunity? I.e. using sleeping pills to get a solid 8 + hours sleep a night.

  8. Very very VERY odd observation of your videos. But I dont think you are using a mouse. Are you using a pen and pad?????

  9. This is excellent! Took me back to my A&P Bio classes and microbiology. I never get more than 4 hours……..but thanks! You are brilliant. Thank you from NY/south Jersey Shore!

  10. You may share this in later videos but I would like any medical advice on nightmares. I’m an adult female over the age of 30. I’ve had nightmares every night for as long as I can remember. It’s not a reoccurring dream and I do not have any mental health disorders or diagnosis. I simply have nightmares every single night. I wake up exhausted and anxious. Is there any medication I can take? As far as I’m aware there isn’t anything that can be done BUT I’m hoping you know something I haven’t been made aware of yet. Thank you! Great channel so glad I stumbled across it.

  11. Pleace share!

    An MD PhD member of the scientific committees of BioMah, Rome, Italy says that the corona virus can possibly be fought by Dihydroartemisinin, also known for its treatments against malaria and cancer.

    Dihydroartemisinin is a derivative of artemisinin, Artemisinin is isolated from the Artemisia annua plant (sweet wormwood), a herb used in traditional Chinese medicine.

    It is said that twice a day 100 mg of Dihydroartemisinin you will have sufficient resistance to the COVID-19 virus.
    The problem is that you cannot just buy Dihydroartemisinin as a supplament in contrast of Artemisinin annua supplaments
    Artemisinin annua supplaments only stays in the body for 1 to 3 hours.

    But better than nothing you could take 500 mg Artemisinin 3 times a day to defend yourself against the corona virus.

    But the best thing would still be to share this information with a virologist!

    Are you a virologist, please try!

    Do you know a virologist, please share!

  12. I have slept 5 to 6 hours a night since the age of about 13. I'm just not tired. Some people just don't sleep alot. If I get 8 hours I don't feel right. Sluggish and not not as aware. I sleep as my body prods so when I'm sick I do sleep more. If I'm tired or physically tired I sleep more. Point being listen to your body. It will tell you what to do.

  13. you could also put in a bit about induced coma to treat rabbies… it happened 10 years ago in the US, a girl got rabbies and came to the ER late too late for the effectiveness of a vaccine.
    EDIT: found a source: N Engl J Med 2005; 352:2508-2514
    DOI: 10.1056/NEJMoa050382

  14. This series has been a godsend. I wonder whether it wouldn't be a good idea for the CDC and WHO, which have to fight a tsunami of mis- and disinformation, to set up a kind of seal of approval for outlets like this that aren't full of it. Could help in the "infodemic" battle.

  15. Doctor can you discuss how to read lungs scan of corona virus infected people. Also how plasma of recovered patients can be used to treat existing people?

  16. Our whole family is taking minced raw garlic and ginger (along with other supplements) to strengthen our immunity, not sure if it helps but it doenst hurt to try, not much of an outbreak here in philippines but better safe than sorry

  17. @MedCram – Medical a lectures Explained CLEARLY how long does this specific virus stay live on surfaces? Do we assume 5 days?

  18. Hay my Daughter and her two kids, have been to ER room, 2 with namonia and the other type b flue, Drs note and all, and the school wants to turn her in for kids being out of school for an accumulative of 10 days if they stay out any longer, if she doesn't send them even if they are sick she will be fined .

  19. I learn so much from your videos! Can't wait to hear your advice on how to get a good nights sleep! I have terrible insomnia in the last 2 years, I only average 4-5 hours per night… Really hoping you can help! ❤️️

  20. In both cases the high-risk group had elevated stress in common. In the first case, the stress was induced by sleep deprivation. In the second case, the stress resulted from an inability to succeed in attempts to sleep. It has been known for some time that elevated stress reduces imuno-efficiency, so I see no compelling evidence here that a short, regular sleep cycle results in curtailed immune response; emotional stress would be normal in that case.

  21. Thank you! Good stuff here. Tip re: sleep — I found a "rain on tent with campfire and stream" ambient video on YouTube that REALLY helps. There is a wide variety, from electric fan sounds to fireplace and train ride sounds 😎👍🏼 hope this helps someone❤️

  22. So doctor. What do us Nocturnists do? As a Nocturnist I perform the function of hospitalist and critical care doc for procedures at night for my hospital. Do you propose we end shift work knowing what we know about immunity and sleep?Do professional nocturnist do better being professional shiftworkers? When i was doing straight IM/Nephrology i slept less. I get a week off now, what is your thoughts on this?

  23. Van Cantu question: What about autoantibodies? We know the flu vaccination causes autoantibodies but would sleep deprivation increase autoantibodies in both groups?

  24. So… all new moms, perimenopausal and menopausal women with fluctuating hormones are in trouble…😩 I think it's time I stop watching… the fact that I have trouble sleeping that is beyond my control will cause me to get very anxious if I keep hearing about exactly how crucial sleep is! 😪😪😪

  25. Years ago I battled a severe case of bronchitis in bed for weeks, nothing I did helped. Eventually it was suggested I try nebulizing with colloidal silver. Within days I was fine. I thought it was just a coincidence. The following year, my husband became very sick, was almost hospitalized and again colloidal silver was used – same result, within days he was well. I am wondering if using colloidal silver in a nebulizer would work on the corona virus? Thinking out loud , trying to help.

  26. not enough kits to test everybody – oh man – if you test 10 000 per day just in wuhan you would need about 30 years for that city area allone – its a matter of time. what the corona virus shows very good is – that people are not able to understand, that the number of tested positive infected was never the number of infected. and then – if you want to get the quote of death you need the number of discovered and dead – either they die or they discover – and so these numbers are good for the procentual death rate – not the number of tested positve / death. i have no doubt that scientits are too intelligent to make such a mistake – i am not so sure with the journalists.

  27. It is likely a LOT more cases. Realize that 60,000 number is only the ones tested in Hospitals with the PCR test and now the lung scans.
    There are likely a huge number of infected with mild symptoms or none at all..
    There was this woman on the cruise ship that didn't have any symptoms and she had the virus and she still, unless it has happened now never shown any symptoms.

    We get notified of the worst scenario, especially at the start of an outbreak like this. So hopefully it's not going to turn out to be as bad as it looks.

    I am still thinking that we should look closely at the international cases and see the death/recovery ratio among them. It might paint a picture for how it would be around the world.
    In China the VAST majority of deaths is in Wuhan and Hubei. Almost all cases.
    Could be that a lot of deaths are from overload on the hospital system.

  28. Damn.. I do get enough sleep in time. Sometimes too much. But I don't think the efficiency is very high. Feels like I wake up a lot.
    I wish I slept like when I was younger, it was go to bed then just wake up 8 hours later and no going up to pee or waking up or tossing and turning.

  29. Thanks for the current and trustworthy updates. I feel very well informed when watching your videos. I pass them to my Daughter, a PA in Texas.
    Thanks again.

  30. So this explains the large number of medical staff (up to 75% of Wuhan hospital infections in that one study) getting the virus. Those people are overworked and probably sleep deprived while the epidemy is going…

  31. I chuckled yesterday. Someone said that taking 1000 micrograms of Vitamin c supplement 3 x a day, stops one catching corona virus 😂

  32. Clinical Question: Is there a correlation to the suppression of the immune system in patients using medications containing NSAIDs and/or acetaminophen daily? What about patients using benzodiazepines or narcotic medications daily for chronic conditions? I know narcotic and certain sleeping medications affect one’s ability to remain in REM sleep. Since that is the time where the majority of the body’s repair work happens, does that also impede in the immune system response? I have asked several providers about this, and haven’t gotten a clear answer. In specific, I am wondering if that is a large cause of why chronic patients are often times immunosuppressed. Hoping you will see this and be able to elaborate. Thanks!

  33. They say a guy in Britain, had recovered from the Corona virus. So called experts, say they don't know fully about the virus and are still learning about it; i am just an ordinary British tax paying citizen, my question is…. does the virus lay dormant and a person that has been cleared by experts, saying they are now clear of the virus, could the virus re-surface itself a later time????

  34. Sealing off apt buildings and cities for fewer deaths than common cold? By your stats, military sleep deprivation will take many out

  35. I have sleep apnea and insomnia. I’m looking at fixing my circadian rhythm. Thanks for the presentation of the two studies. I’m looking forward to seeing more on sleep.

  36. Seeing these graphs with the spike of confirmed cases, and everyone is showing the same — it it not a critic to this video, quite the contrary since this video explains what everyone is showing — my opinion is that they are damn stupid.
    Since the criterion for "confirmed case" is changed, i.e. the measurement is changed, we are literally changing the unit of measurement.
    Thus, representing the data according to the new criterion as a continuation of the data of the old criterion, is not much different than showing the mean seasonal temperature in °C and then continuing with F using the same scale for the pure value… and then someone goes "OMG, there's a spike in the temperature!". It is this level of wrong.
    The correct graph would show two different lines corresponding to the old and new criteria, of course.
    And lack of data is no excuse for such a wrong presentation.

  37. You left out the part where taking a CT scan of the lungs only reveals the illness in a minority of the infected, and even then only late into the course of the disease. It would reveal nothing for the first 5 days in almost everyone, and reveal something after that in only about 20% of cases. If that's what our estimation is based on calling it 'closer' to the real number is a pretty serious understatement.
    I'd wager these numbers are largely political propaganda at this point, they may as well be completely fabricated. We should completely ignore what china says and look to the cruise ship as our primary source of understanding instead.

  38. A Sudden 15k jump (for positive cases) supplied by the Chinese Government looks like a phantom number and it ONLY make sense IF the gradient for positive cases are steeper after the day where CT scanning test method was introduced.

    CCP Claims:
    1) The use of CT scanners which are big bulky expensive high powered magnet and 2) also said test result can done within few hours using CT scanners.

    Calculations using exaggerated scenario :
    – London have 300 hospitals for 9m people and in Wuhan with population of 11m = 367 hospitals (assuming Wuhan is as rich as London)
    – Assume each hospitals in Wuhan own 10x CT scanners and can test 2 hours per patient (very generous figure & Overly exaggerated)

    meaning they can test 12 patients (per 24h period) x 3670 scanners available = 44040 tested patients per day theoretical max. (for both positive & negative cases).

    15000 (positive case) / 44040 = 34% (positive vs negative ratio). This 34% ratio could also applies to whole of Wuhan population of 11m people = 3'850'000 positive cases (max potentially in Wuhan) -15000 (already tested positive) = 3'835'000 awaiting to test positive in Wuhan.

    So if Wuhan can test 44040 patients within 24 hours using this new CT scan method and so you should see a surge of positive patients (steeper gradient) after the day when CT scanning technique was introduced for at least 87 days (3835000 / 44040), assuming ONLY positive potential people cuing up awaiting for CT scans.

    See the problem here?

    Even if you manually adjust the positive vs negative ratio to 1% (instead of 34%) i.e. 15'000 positive cases / 15'000 scan per day (where no negatives were selected for testing).

    Which still means 1% of positive cases for whole of 11m population in Wuhan = 110'000 of positive patients, then you should still see a surge of positive cases after the day CT scanning technique was introduced i.e. steeper gradient of positive cases than before the day CT scan was introduced .

    So the 15'000 positive cases from the Chinese Officials is highly questionable (for now). The only explanation why Chinese Officials are adding 15k phantom positive cases is to lower the fatality ratio i.e. people who got positive VS people who then die from it.

    Because the fatality ratio (positive vs death ratio) was 2.0% then risen to 2.5% just a day before CCP introduced 15000 phantom positive cases (speculative), which drop back down to 2.2% (as of 13th Feb)

    For reference:
    SARS fatality ratio = 9.56% (774 deaths vs 8096 positive cases)
    COVID 19 fatality ratio = 2.1% (as of 14th Feb, i.e. if the number can be trusted supplied by the CCP)

  39. Which is why when you have a virus! All you want to do is sleep.
    I take Humira for Chrone's Diseases as it reduces my Immune response, if I get infected do I stop my medication for a while? Obviously I would contact my DR, but what is your response?
    It all comes down to what can kill you quicker in my mind!

  40. This is the reason I get amazed by Hinduism which warns against promotes Vegetarian food and Pro environmental responsibility,all these deadly flu viruses are lot do with non vegetarian food's ,such virus can erase a human race in that province.

  41. This makes absolute sense. My ex sleeps all the time, never gets sick. I started sleeping in and taking naps. Feel so much better.

  42. Now i understand why in Indonesia no corona case so far, i'll tell you.. we usually sleep 8 to 10 hours a day, some people take a nap bout 30'to1 hour.. we take a shower 2 to 3 times a day and always wash hand and wudhu 5x a day for prayer ..most of us also eat healty food…No wonder🤔

  43. Unfortunately it will be harder to sleep while this virus is (statistically likely to be) killing one of your family members.

  44. Please talk about the role of histamines in the immune response and the interplay of using an antihistamine to assist with sleep.

  45. echinade seems to kill virus – an eye dropper on the back of the tongue twice a week. I haven't had a cold or flu or shot for decades. My daughter's doctor recommended before her nasal surgery. I got a flu shot 30 yrs ago and was sick for 3 months – never again.

  46. A true physician. Thank you sir for teaching, and your willingness to share your expertise.

    Interestingly, perhaps, I am always advising the parents of my patients on this exact issue (sleep and it's impact on health). I'd have to say that approximately 25% of the kids I see are not getting adequate sleep for age (worst group is the teens and preteens). It is amazing how remarkably better they do once getting proper rest.

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