Coronavirus: Straight answers from a doctor on the front lines

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STATEN ISLAND, N.Y. -- As the number of confirmed coronavirus cases continues to rise, so does the number of questions about the deadly illness -- everything from how to keep from getting sick to how to know if you should go to the hospital.

These issues -- and many more -- are being answered in a viral video (which is available in a full-length and an abbreviated version) being shared on social media of Dr. David Price, a critical care pulmonologist at Weill Cornell Medical Center, who is caring for patients with COVID-19.

“You may hear a little inflection in my voice like I’m emotional, it’s not because I’m scared, it’s actually the opposite. For the first time in a while, I’m actually not scared,” says Price at the beginning of the recording.

Here are some of the key answers shared by Price in the abbreviated video, which can be viewed above.

How do you get COVID-19?

The overarching theme is sustained contact with someone who has the disease, or someone who is about to get the disease – which means someone who will develop symptoms of the disease in the next one to two days, according to Price.

Symptoms include fever, body aches and a sore throat, as well as shortness of breath.

“The way you get this is transmission of the virus almost exclusively from your hands to your face,” says Price. “From your hands to your face. So it’s either into your eyes, into your nose, or into your mouth.”

He explains that while there is talk about contracting the disease through the air, it would have to be very long sustained contact with someone in an unprotected environment in a very closed room without any type of mask.

“The thing that makes me smile is I know now that I won’t get this disease because I know how to protect myself,” he states.

How do I protect myself?

“Always know where your hands are and have Purell,” says Price. “When you touch stuff that’s outside your home, just make sure you’re washing your hands.”

He says it’s important people learn to not touch your face. You can train by wearing a mask inside and outside your home -- and it doesn’t need to be an N95 mask.

“You don’t have to be scared of the outside world now,” he says. “You don’t have to be scared of your neighbor, and I’ve actually found that to be incredibly liberating right now."

Although, he emphasizes that people should continue to stay six feet away from others.

What do I do if I get this disease?

If you have something that feels like a cold, or you feel like you’re getting sick, Price says you should take precautions like you had COVID-19 for at least one to two days.

“If in one to two days, you’re feeling much better and this is like a thousand other colds you’ve had in the past year because you have kids, you don’t have COVID-19,” he says. “And then you can go back to your completely normal living-at-home life with your family.”

He says the danger is people being too cavalier when developing symptoms and exposing their family too early.

When should I go to the hospital?

“If you’re feeling short of breath, come to the hospital,” Price says. “That is the rule. That is the clearest thing. It’s not, ‘I have a fever.’ It’s not, ‘I think I have COVID-19.’ It’s not, ‘I can’t stop having those body aches.’ It’s, ‘I feel short of breath when I get up to go to the bathroom.’ Those are people that should come to the hospital to be evaluated.”

He says about 10% of the population getting COVID-19 need to go to the hospital because they are short of breath. About 1% to 3% who need to go a hospital are put on ventilators. The overwhelming majority of people come off the ventilator, usually seven to 10 days later, Price explains.

“I think the important thing for you guys to know is going to the hospital is not a death sentence,” he says. “It’s a safe place for you to be. Go to the hospital when you’re short of breath. Don’t go to the hospital just because you have COVID-19.”

Should I get tested if I have COVID-19?

Price says it depends on the availability of testing in your community.

If you are experiencing symptoms of the flu, he says it’s likely you have COVID-19. Behaviors protecting yourself and others wouldn’t change by knowing if you are positive or not.

“If your community
 is testing a lot and you have clear access to testing, absolutely getting the test is a good idea,” Price says. “When it’s negative, then in a day when you’re feeling better, you can have full interaction with your family. That is the key. If you live In a community where there’s very rare testing going on at this point, do not try and jump the line to someone who’s actually short of breath and really not doing well just to make yourself feel better to know that you have it.”

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In the full version of the video, Price answers many questions about the coronavirus -- such as wiping down groceries or taking ibuprofen.

Price says it is reasonable to have groceries delivered and left outside your door. But he says, for everything you touch, you should clean your hands. And he adds that you don’t need to wipe down the groceries, just keep cleaning your hands.

Also -- If you exhibit any symptoms, Prices advises against taking ibuprofen.

“We’re not using it [ibuprofen] in the hospital anymore,” he says. “There’s really good data from Germany that there’s worse outcomes in people, more inflammation in people who use ibuprofen.”

He says to stick to acetaminophen, or Tylenol.

Perhaps the most important information shares is that the coronavirus affects the entire spectrum of ages, and that people with zero medical problems are getting this disease, going to the hospital and going on ventilators.

You can watch the full version of Price’s video below.

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