Navigating the New Normal: Updated COVID-19 Guidelines with Dr. Choctaw

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Coming up on this episode of

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the Healthy, Wealthy and Wise podcast.

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Every year we get flu vaccines.

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Every year that's flu season, right?

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Usually around the wintertime.

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Well, it's got to be sort of similar
with COVID, although COVID will have

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more seasons than the flu and COVID
is worse, but, but it's very similar.

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Some of it.

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Okay.

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What?

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Some of the newer things
that we've learned.

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Welcome to the Healthy, Wealthy,
and Wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information

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you can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50 years of
medical experience of this Yale University

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Medical School trained surgeon, who is
also a Western State Law School trained

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attorney, with executive experience being
a former mayor of Walnut, California, as

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well as the current chairman of the non
profit Servants Arms, and as president

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of Choctaw Medical Group, Incorporated.

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This is the Leadership Masterclass
Edition, already in progress.

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And one of the most
important new guidelines

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is isolation period.

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And if you remember a year, two
years ago before, if you got COVID,

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uh, and were symptomatic, you were
told to do certain things and to

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isolate yourself, uh, probably five
to ten days, whatever, whatever.

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Now what CDC says, that if you get
COVID, you do not have to isolate.

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Okay.

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If you get COVID, you do
not have to isolate now.

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What they say is if you're symptomatic,
if you're sneezing and coughing

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and have a hot fever, you probably
should stay away from people.

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Uh, but they, they leave that up to you.

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But in general, you do
not have to isolate.

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And so why, why did they
change that isolation policy?

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Wouldn't it be easier?

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Just to make everybody isolate,
wouldn't that be safe in

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terms of getting the disease?

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There are a couple of realities
that have gone along with that.

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One is, because we have vaccines,
fewer people are dying from COVID.

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Fewer people are being
hospitalized with COVID.

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That's a good thing.

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Okay.

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Uh, number one, number two, um,
most people are not testing.

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Remember everybody, not everybody, but a
lot of people were testing two years ago.

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You know, they would get the home tests or
they go to the hospital, test, test, test.

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A lot of, um, uh, jobs were requiring
their employees get tests before they can

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come back to work, whatever, whatever.

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Most of that's significantly decreased.

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So people are not testing.

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So people are not testing.

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How do you know?

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if people have COVID or not.

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People aren't going to tell you,
Oh, by the way, I have COVID.

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I just, I just thought I'd let you know.

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No, no, nobody's going to tell you that.

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And even if they know they have COVID,
they aren't going to tell you in general.

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That's been my experience.

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Now, there may be some changes with that.

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Um, and, and the third reason is, uh,
that, that CDC has, has, Um, change

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the guidelines, it's compliance.

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And I'm sure many of you remember,
even at the maximum period of death.

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Uh, many people refuse
to take the vaccine.

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I'm not going to take that stuff.

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Um, uh, and then you had all the
misinformation, the, the bleach

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and the veins and the on and on
and on the silliness, I call it.

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So the CDC put all that together and
said, you know, but what's most important

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is what's to keep people alive, right?

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Keep people alive.

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So we got to work with them, right?

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We got to work with them.

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And so what they've done is said, okay,
let's put out some guidelines that

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most people should be able to follow
and Um, that will have the biggest

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impact on the United States population.

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Okay?

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And so that was why they came up
with those particular guidelines.

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Um, obviously COVID is
still worse than the flu.

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The flu does kill people.

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It's important to understand that
a lot of people die from the flu,

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uh, but not nearly as many people
die from the flu as from COVID.

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Uh, but fortunately, the number of
people getting COVID is less, uh,

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felt to be because most people,
many people become vaccinated.

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Actually, most people
have become vaccinated.

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Um, uh, and as a result, um, uh, we
don't have a lot of the Um, the death

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that we used to have, but it is still
occurring and the people who are most

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susceptible tend to be individuals
who are 60 years of age and above.

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Notice I just said an age.

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I didn't say whether you had pre
existing diseases or not, because from a

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healthcare perspective, from a, a, a, a
epidemiological perspective, age alone.

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is a factor enough to force you to
have to get a, uh, a vaccination.

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Um, and I know 60 is the new
40 and all that sort of stuff.

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It's still Let's just keep that in mind.

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And if you do have pre existing
conditions, uh, particular conditions

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that would lower or weaken your immune
system, maybe you're taking medication,

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maybe you have a medical condition,
um, that is irrespective of your age.

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Um, so there are a number of
things to keep that in mind.

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Uh, and maybe not you, maybe
a family member has that,

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or a friend, or a co worker.

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So please keep that in mind.

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Just another few brief
comments about the CDC.

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Um, obviously we still want to stay
up to date with our vaccinations.

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Let me try to make a distinction
between vaccination and booster.

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Uh, some people are confused by that.

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They said, well, I got a vaccination.

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What, why do I, why do I need a booster?

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What is a booster?

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A booster is just an extra shot.

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That's all it's supposed to
boost your immune system.

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Okay.

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Not my word, but hey, that's just
the way they came up with it.

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So, and boosters primarily are
for those individuals over 60.

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and or have preexisting
conditions, healthcare conditions.

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So if you're 25 and you've gotten
your vaccine, uh, you probably

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don't need a boost, but if you
were 65 and you've gotten your

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vaccine, you should get a boost.

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So boosters are for those who
are 60 years of age and older.

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And if you aren't sure, check with
your healthcare professional or

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just go online, uh, uh, put in
your browser on your cell phone.

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Uh, you'll search CDC and say, what
are the requirements for boosters?

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What are the requirements for vaccine?

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And they'll, they'll, they'll
bring that up for you.

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Um, the other thing, obviously, if
you do get sick, um, the mask is still

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the best things to use, uh, to prevent
infections or the spread of infections.

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Um, uh, and the third thing, uh,
taking steps for cleaner air.

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We got it.

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We got to go a little deeper into this.

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Um, uh, because the important thing is.

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To keep in mind, uh, that
we have to stay vigilant.

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with this, with this particular virus.

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So, there are some similarities
between COVID and the flu.

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COVID is just much,
much, much, much worse.

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So, as a result, we have to stay vigilant.

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Every year, we get flu vaccines.

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Every year, there's flu season.

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right?

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Usually around about the winter time.

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Well, it's got to be sort of similar
with COVID, although COVID will have

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more seasons than the flu and COVID
is worse, but, but it's very similar.

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Okay.

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What, some of the newer things that
we've learned, the virus is airborne.

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It's airborne.

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Yes.

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It's okay to clean tables.

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Yes.

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It's okay to clean doors.

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Yes.

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It's okay to clean floors.

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But the virus is airborne,
primarily, right?

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So what does that mean?

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You gotta take care of the air.

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Gotta take care of the air.

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That was an interesting, uh, program.

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I'm a big 60 Minutes fan.

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Uh, may.

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Maybe that's an age thing.

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I don't, I don't know what it is, , but
I am, so every Sunday at seven o'clock,

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my wife and I sit down and we watch
six men, just, just the way it is.

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Uh, but last year, uh, and I mentioned
that 'cause I'm sure you can find

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this on YouTube, uh, from Sister
Men, last year they did a program

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on a church in Washington state.

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Okay.

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And this is a church, um.

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that, um, uh, was very, very good
about, uh, protecting itself against

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the virus and, and that's what
they, they would clean everything

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and whatever, whatever, whatever.

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But what they noticed was in this
church, there were about 60 plus

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people in the choir in this church.

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Uh, who appeared to be middle aged to
older, roughly, I would say, because

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they had pictures of, they were talking
to people in the choir, and most of them

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looked middle aged to older than me.

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Um, um, and of those 60 plus people,
about, roughly about 80 percent

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of them came down with COVID.

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And their point was, we
did everything right.

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Why did we get COVID?

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So then a bunch of physicians and
scientists and people rushed into this

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church area in Seattle and said, okay,
let's, let's take a look at this.

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What they found out was that yes, they,
they, they wore their masks, except

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when they were singing, uh, and they
cleaned stuff and all that sort of stuff.

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But COVID is airborne.

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It's when you talk, and if you
speak loudly, you're putting

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out more droplets of air.

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If you yell or you scream, you're
sending out more droplets of air.

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If you sing, you're sending
out more droplets of air.

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It is, the virus is airborne.

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So if you want to stop it,
you gotta attack It's main

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source, which is airborne.

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That's why mass works so well.

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They're not perfect, but they work well
because they filter some of the airborne

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stuff that comes out of our mouths.

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Right?

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So what they did was, uh, and
so, um, and they, they had these,

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these folks on TV, like I said,
on 60 minutes and it was amazing.

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So what, what this church that they're
in Seattle, Washington, What this

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church did was, among other things,
is they opened, at service, or at

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choir rehearsal or whatever, they
opened all the doors and windows.

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Now Seattle gets cold.

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I've, I've been to Seattle many times.

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I'm sure many of you.

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But that was, that was, that's like
low cost, low ebb way to, you know,

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to improve ventilation in a building.

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You open the doors and windows.

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I can remember down south, we
didn't have air conditioning.

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We opened the doors and windows.

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You know, uh, and so everything
came through the doors and windows.

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But that's just the way it was.

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But my point is, that's one of the
most effective ways to treat the virus.

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It is airborne.

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It is in the air.

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And it comes from our respiratory
systems as we respire, which

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means we inhale and exhale, it
comes out of our mouths and noses.

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Okay?

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So, one of the recommendations, the
main recommendation from CDC is that

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we need to do a better job because we
weren't doing this in the first part

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of the pandemic, if you remember.

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Nobody was talking about controlling
ventilation in buildings.

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They were talking about not touching
surfaces and how long does it

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live on a surface if you sneeze
or whatever, whatever, whatever.

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The main thing we did that was
right was the masks, the masks.

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But, uh, the CDC recommends you want to
control ventilation in your building,

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whether it's your house, whether it's
your, where you work, whether it's

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your church or whatever, whatever.

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Um, start with real simple stuff
like doors and windows, open

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them up, get that air in there.

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Um, some places have like ceiling fans.

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Now, I don't see a lot of ceiling
fans nowadays, except at hotels,

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but, but if you, if you have a
ceiling fan, okay, put it on.

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One of the things I thought was really
interesting that CDC recommended.

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Uh, they said, okay, so if you have
um, air conditioning in your house,

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or a heater, central air or central
heating in your house, when you turn

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your, your, your air on, instead of
putting it on auto, which is what I

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usually do, I put it on auto, so if it
hits a certain um, a number, then it

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stops, it goes on, they said put it on
O N, on, all the time, especially if

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you have people come into your house.

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Let me say that again.

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So you're at home.

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Um, you're going to have guests over.

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Now let's say there are
four of you in the family.

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You know, mom, dad, brother, sister.

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Um, maybe with the four of
you in the family, um, um, you

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may not need to open the door.

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Maybe you just open a window.

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But if you have central air, central
heating, uh, when people come

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over to your house, put it on, on.

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What, what are we doing?

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We're increasing ventilation.

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We're moving the air around more.

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Now there are fancier ways
to do that, sort of with the

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churches and buildings, whatever.

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But the point is, the virus is airborne.

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It is airborne.

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Uh, cleaning the floors is not
going to help you, basically.

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You can do it, not wrong with it,
it'll get rid of bacteria, but

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it's not going to kill the COVID 19
virus, because the virus is airborne.

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And so we appreciate that more now
than we did three or four years ago.

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I want to say a quick word
before we end about long COVID.

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I'm sure many of you have
heard about long COVID.

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A lot of people have the COVID
and most of us know the symptoms.

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Long COVID can occur at any
age, at any age, um, and it's,

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it's, it's a horrible type.

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Uh, problem, because it's, it's, it
causes fatigue, it causes what some people

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call brain fog, where the, where you're
there, but you just feel like you aren't

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quite with it all the time, so you can
imagine how that, uh, interferes with

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work, or just main, main socialization,
uh, pain, et cetera, et cetera.

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And we don't know why people have it
other than it's associated with COVID.

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And so there are a lot of research
that's occurring now to come up

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with the best treatment for it.

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Now, the way healthcare works
is again, medicines are not

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a hundred percent usually for
anything, but they're pretty good.

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They're pretty good.

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And vaccine is no exception.

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Uh, but the way we come up with treatment
in medicine is by doing experiments.

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It's a long process.

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It's a long process.

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You do experiments in the lab, and
then you take that, and then you

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move up to animals, and then you take
that, then you move up to humans,

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but there, but these are months and
sometimes years of experimentation.

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Because of the mRNA, uh, the
scientists were able to come up with

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the COVID vaccine faster, maybe in
one year, but it's still a long time.

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But we still don't know exactly why
some people have, have, uh, long

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COVID, and, and how to get rid of it.

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how to get rid of it.

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Um, and so the whole process of
doing experimentations with humans

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is you take patients who have long
COVID and you say, are you willing to

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allow us to give you XYZ medication?

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We don't, we know what some
of the side effects are.

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Uh, they may be bad, but you know, and
most people, uh, who have a problem

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like cancer, other types of problems,
if the basic treatment doesn't work,

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they'll help you any way they can.

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They'll say, sure, doctor, you
know, if this helps somebody else,

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blah, blah, blah, blah, blah, blah.

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Um, and so the same
thing is with long COVID.

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Uh, and so a lot of times these patients
are given medication that does not work

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because we don't know yet, you know.

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Um, and so the nature of the
experiment is very important.

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Who do you test this on?

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And then whatever those results are,
say, okay, because of group B, uh,

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we're going to use it for everybody.

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Who's in group B?

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How do you know that?

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Group B, traditionally in medicine,
like with everything else, tends

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to be the predominant population,
white Anglo Saxon Protestants.

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Why do I mention that?

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I mention that, uh, saying, I'm an
African American, American Indian.

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male.

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And so I don't fit into
that other category.

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So you're, you're, you're going to
get the results from this group.

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And I've got long COVID.

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How do I know that what you
develop based on the group that

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you use is going to help me?

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I don't, and you don't either.

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Now what used to be done when they
said, no, no, no, it'll work, it's okay.

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And I always like to use the term
about heart disease in women.

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Again, when I was in medical school,
the people in those groups were men.

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They were all men.

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There were no women in those groups.

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Right?

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Uh, and you would get a 50 year old
male, obese, in a group, and you take

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maybe 100 of them or 200 of them, and
then you give them some medication, and

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you say, okay, this is the standard.

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But you would give that
medication to women also.

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They were not included in the group.

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What's my point?

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My point is health care is very specific.

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Thank you for listening to this
episode of the Healthy, Wealthy,

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00:16:52,915 --> 00:16:54,354
and Wise podcast with Dr.

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00:16:54,354 --> 00:16:54,754
William T.

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00:16:54,754 --> 00:16:57,025
Choctaw, MD, JD.

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We hope you now feel more equipped
with tools and actionable information

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00:17:01,744 --> 00:17:06,025
that will help you live a more healthy,
which includes the mental, physical, and

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00:17:06,025 --> 00:17:07,685
spiritual, wealthy, wealthy, wealthy.

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00:17:07,835 --> 00:17:12,214
Which includes the financial
health and spiritual and wise,

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00:17:12,305 --> 00:17:16,785
which includes the practical,
theoretical, and emotional life.

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00:17:17,435 --> 00:17:21,795
For this one and past podcast
episodes, blogs, books, and

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00:17:21,805 --> 00:17:24,234
news you can use, go to www.

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00:17:25,134 --> 00:17:25,434
thwwp.

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00:17:27,755 --> 00:17:28,205
com.

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00:17:28,565 --> 00:17:30,415
That's www.

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00:17:30,465 --> 00:17:30,735
thwwp.

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00:17:30,735 --> 00:17:30,884
com.

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00:17:30,885 --> 00:17:34,805
T H W W P dot com and you've got it.

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00:17:35,475 --> 00:17:41,014
In the meantime, remember you too can be
the change you want to see in the world.

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00:17:41,635 --> 00:17:45,375
You've been listening to the healthy,
wealthy, and wise podcast with Dr.

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00:17:45,385 --> 00:17:45,865
William T.

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00:17:45,865 --> 00:17:49,260
Choctaw, MD, JD.