Rose Women's Health: Anya Rose, MD

Dr. Anya Rose received the Covid-19 vaccine today!!! Dose number two in three weeks and full efficacy by week six. #covid19 #Pfizer #KickCovidOut

This is an amazing deal! Please check it out.

Celebrating our 5th anniversary @rosewomenshealth !! Grateful and blessed for all the love and support from our patients, colleagues and friends!

Be sweet to each other! #nothingbundtcakes #patientlove #obgyn

Yummy treats from our lovely patients

New online breast feeding support from Methodist Hospital!

Now there are virtual birthing classes offered at Methodist Hospital!

Treats from our sweets

Overwhelmed with so much love and gratitude!#makemasksvolunteer #fightingcovid19 #wecandoit #rosewomenshealth

New care options available now! - https://mailchi.mp/bbd0e2fec/new-care-options-available-now

Here's some information on COVID-19 with respect to health systems and the seasonal flu since there is a lot of misinformation floating around about it. Bottom ...line up front: You should be worried and you should be social distancing and considering what you and your family will do when local schools close and hospitals are full. COVID-19 is not "just another flu", nor is it "less of a big deal than the flu". Here's some data to explain why. Keep in mind, for the seasonal flu we have a vaccine that does some solid work decreasing both its severity and its transmissibility, in addition to its endemic nature imbuing many members of society with some baseline immunity to its worst effects. The latest estimates on case fatality rates from researchers in Switzerland is 1.6% (https://www.medrxiv.org//10/2020.03.04.20031104v1.full.pdf). The WHO estimates the case fatality rate of COVID-19 at 3.46% (https://www.who.int//situa/20200305-sitrep-45-covid-19.pdf) as of March 5th. Obviously this is incomplete. The crude mortality rate in South Korea is around 0.65% (https://www.scmp.com//coronavirus-south-koreas-aggressive-), which may be a reasonable lower-bound since they've done the most aggressive social distancing in a society with widespread testing (Hong Kong has better social distancing, but has carried out many fewer tests). For comparison's sake, the CDC says the case fatality rate of seasonal influenza is 0.1% (https://www.cdc.gov/flu/about/burden/2018-2019.html). Which is to say, in the very best case scenario, COVID-19 is 6.5x more lethal than the flu. In the WHO's estimation COVID-19 is at least 20x more lethal than influenza. The true answer is certainly somewhere in the middle. It's worth calling out that, per person, South Korea has about six times as many hospital beds as we do in the US (see graph below). That's not even the most important point though the worst part is that the doubling time for the virus is currently about 4 days. I.e. every 4 days the number of cases double (https://www.who.int//novel-coronavirus-/situation-reports/). We absolutely do not have the hospital capacity to deal with that. That means that there will not be hospital capacity for trauma patients, for those who have pregnancy complications, for those who have heart attacks, and on and on. Even if it is inevitable that a wide swath of the population is going to get the disease, there is tremendous value in slowing its spread (the picture below explains why). This is why narratives that compare COVID-19 to the seasonal flu do harm they do not encourage people to take it seriously and to take social distancing programs seriously. The social distancing in Hong Kong has been exceedingly effective, not just at decreasing COVID-19 but many other infectious diseases (https://www.chp.gov.hk//statisti/data/10/641/642/2274.html). This is worth considering since it's the key point as to why engendering a sense of inevitability OR minimizing the danger is likely the exact wrong course. China has been able to nearly arrest spread of the virus only with lock down measures that are completely untenable in the US. Italy is now trying similar measures with the spread of the virus unchecked in the Northern part of the country and its healthcare system on the verge of collapse. They are locking down a region of the country where 10 million people live. It is a near certainty that the virus will continue to spread. Which brings me back to the point about perceptions of minimal danger and inevitability. Even if we can't ultimately arrest the spread of the virus, there is tremendous value in slowing its spread. Flattening the epidemic curve is vital to our ability as a society to try and achieve the low mortality rates that South Korea presently has. Now is the time to get a flu shot if you haven't. There isn't going to be any room in clinics or hospitals to care for you if you get the flu. Also, wash your hands, be patient, and be kind.

COVID-19 Update - https://mailchi.mp/bd9d836d1e07/covid-19-update

Call us to schedule your appointment! 626-461-7071

Hope everyone had a happy and safe Halloween!