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COVID-19 Prep for People Living with Chronic Illness

March 7, 2020

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Set-up

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and Chat menu buttons

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Raise your hand

Use the �participants �menu tool��--or--
Type * in chat

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Rename yourself by hovering on

your name and clicking “Rename”.

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Hello!

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Participant Intro- Chat

Please share your:

Name
Gender Pronoun
Location
Why you decided to be here

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Welcome

Somatic room and access coordinator
Closed captioning
Chat
Slides

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Presencing

Wash your Hands by Dori Midnight

bit.ly/dorihands Wash Your Hands.

Scroll through faces if you can or sit in the knowing

“

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Why are we here?

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How’s This Gonna Go?

There are hundreds of people at this event.

We will have speakers and facilitators during the main part of the call

You can also type into the chat box during that time

We will also have time in small breakout groups where all of you can share.

Agenda

Welcome! Introductions + Background

Presencing + Embodied Practice

The Power of Networks”

What do you need to know and what does it mean

What does this mean for our movements and communities

BREAKOUT ROOMS

Wrap Up & What’s Next

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Who are we?

This webinar is hosted by a small group of people who came together over the last week.
Several of us have worked together in the past - most of us have not.
We believe in the power of mutual aid and networks, in the wisdom of people with chronic illnesses and disabilities, and in health justice.
We are honored to be with you here today in this time.

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NETWORK!!!!

We are already a network!!!

As of early this morning, 931 people have used the form to:

register for this event
get the recording, transcript and materials from it afterwards�and/or
request to be a part of a local or national network

If you have not yet filled out that form, you can do that at: bit.ly/march7webinar

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Group Agreements

Go with the Flow
One mic or speak one at a time
Pause before speaking
Equalize power relationships
Everyone is a teacher and a learner
Self care, community care

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Embodied P{ractice

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Embodied Practice

How are you feeling

What do you need to be present and in your full whole self?

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What we know and what we need

It’s Purim
The power of networks
Illder and crip wisdom
We can’t and don’t have to solve it all today

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What we have

What do you have in your tank or practices in your life that help you move through

How do you describe your network?

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Grounding Together

Who is speaking right now?

Crissaris Sarnelli, MD

She/They

Family Medicine Primary Care Doctor and Healer

Grounding:

Take a collective breath together: IN, and OUT

Settle in to your body, briefly scan from your crown to your root for any areas that are asking for extra attention right now and breath lovingly into them. All of you is welcome.

We would also like to acknowledge those who have passed as a result of coronavirus, both directly and indirectly. May we honor them with our gathering, and by how we care for each other and ourselves

Please take a life giving breath IN and OUT

There are x number of us gathered here today from all over, likely not only to obtain information on coronavirus and how to prepare and organize, but also to be in community. Take a moment to look at all the faces and/or names of the folx here with you today. Each of them has questions, and also wisdom to share. Be free if able, to type in our say outloud where you are checking in from.

Finally, I would love for us together say these following wise words from Dori Midnight. Repeat after me: Dori Midnight Poem from Instagram

Thank you

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Crissaris Sarnelli, MD

Focuses

Health precautions you can take
Caring for each other, from mild-severe cases
When to seek care and how to go about it

Full Document: Preparing For and Dealing with COVID-19 Coronavirus

I am Crissaris Sarnelli, a family medicine doctor practicing currently in Harlem, NYC. I come to you not as an expert on coronavirus. I, for example, am not any specific appointment public health panels or committees. I come to you as a healthcare provider and healer who has reviewed the information we currently know about the coronavirus, as obtained from weekly health provider calls with the NYC DOH, conversations with other physicians, including infectious disease doctors, and knowledge known from caring for folx in my practice and also some of what has circulated the interwebs.

It is important to note that there is a lot that we know about the virus. And what we do know helps us to care for this illness, for example viruses like it we do know about and have moved through in the past. It is true that we may not have all the answers we would like right now, and it is also true that we have collectively all we need. Deeply grateful we are creating spaces where we can access all that we have to help care for all of us.

There is a lot of information we can cover and much of it will be provided in the resources section of this webinar. There you will find information on:

What is coronavirus

How it spreads

What are the symptoms

Who is at higher risk for complications

How to treat it (there is no current cure)

How to take care of yourself at home

When to seek medical care at a hospital or clinical setting

How and what to communicate about to health care settings

Some ways to stay as healthy as possible

Sites to keep up to date and more info

For our time together what I will focus on is:

○ Health precautions you can take

○ Caring for each other, from mild-severe cases

○ When to seek care and how to go about it

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Health Precautions & Tools (1 out of 3)

SOME WAYS TO STAY AS HEALTHY AS POSSIBLE:

Exercise special attention to your wellness practices

meditation/grounding/mindfulness/stress-meditating practices
eating as healthily as you can
movement/massage, as you can
plant allies/vitamins: i.e. elderberry, garlic, echinacea, vitamin D, C, Zinc, Omega-3

Practicing compassion, kindness and care, with yourself and others

Full Document: Preparing For and Dealing with COVID-19 Coronavirus

Health precautions/tools:

Some ways to stay as healthy as possible:

Because we don’t have a known cure for coronavirus and we don’t know for sure if folx can be re-infected once they’ve recovered (though likely based on similar viruses), it is of supreme importance to stay as healthy as possible and prevent infection.

Exercise special attention to your wellness practices: meditation/grounding/mindfulness/stress mediating practices

eating as healthily as you can

movement/massage as you can

Plant allies/vitamins: i.e. elderberry, garlic, echinacea, vitamin D, C, Zinc, Omega-3

Practicing compassion, kindness and care, with yourself and others (decreases stress and improves immune response). (Mention interconnection and interdependence of all of us and careful of racism/sinophobia. Share briefly story of patient who lost his job at chinese warehouse due to same and led to decrease movement and led to worsening health and potential long term health problems)

Preventing spread:

Wash hands properly with soap and water (strategies in resources) or hand sanitizer (you can make your own at home, link in resources)

Cover your cough

If you are sick with cough, fever or other cold like symptoms, stay home

Clean and disinfect your surfaces properly

Avoid handshakes; Find new/old ways of greeting (pound/fist bump, elbows, lower limbs)

It does not spread through food

Caring for each other:

No evidence children are at higher risk. No information on pregnant people,experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. We know that elderly folx and people with severe chronic illnesses of the heart, lung and kidneys and immune-suppressed folx are twice as likely to have serious illness.

Mild symptoms:

Symptoms: Fever (subjective or measured) and/or cough, and/or runny nose, NO TROUBLE breathing

What to do: stay at home, do not visit clinic, do not visit emergency room. Helps prevent illness in others and exposes you less to other illnesses (flu, for example, is still rampant and to date, in the US since October for example, CDC reports 34-49M illnesses, 350-620k hospitalizations, 20-52k deaths)

Contact your healthcare provider to ask about obtaining extra necessary medications (90 day supplies) to have on hand in case there is an outbreak of COVID-19 in your community and you need to stay home for a prolonged period of time. If you cannot get extra medications, consider using mail-order for medications.

Be sure you have over-the-counter medicines and medical supplies (tissues, etc.) to treat fever and other symptoms.

Have enough household items and groceries on hand so that you will be prepared to stay at home until your symptoms resolve or have people bring you these things as needed.

Care: Things that help you feel good when you have a cold: i.e. warm liquids, staying away from alcohol, lung irritants, good food, good company;

ensure you have folx that know you are sick and can/are willing to care for you if you feel worse and/or if your regular caregivers become sick; make a plan with people who need to know (emergency contacts)

Get to know your neighbors and organizations that in your community that can help

wear a mask if you do go outside or are with others who are not sick until you no longer have cough or fever symptoms.

A note on masks: those who are well should not use them; special respirators require fit testing for proper/effective use; do not reuse masks/do not leave them in places where they are likely to reinfect

For the folx caring for others:

Use gloves. See resource for how to properly remove gloves and sanitize hands before and after use. Do not reuse gloves. (if have time, demonstrate)

Be loving and kind

Know what medications your loved one is taking and see if you can help them have extra on hand.

Monitor food and other medical supplies (oxygen, incontinence, dialysis, wound care) needed and create a back-up plan.

Moderate symptoms:

Symptoms: same as above, but feeling generally worse, achy, STILL NO TROUBLE BREATHING

Advise is same as above

If you are not sure whether your symptoms are severe, call your healthcare place, or DOH, or free/federally qualified health care centers (which are places you can get medical advice without insurance) in your area and describe your symptoms and advise on what do;

Severe symptoms:

Symptoms: Trouble breathing, tightness/heaviness in your chest, bluish lips, for children: ribs collapsing, turning blue, flaring nostril breathing; new confusion or lethargy/inability to arouse; Any quickly changing symptoms-sudden change ability to breath or change in mental status

What to do: call 911 to be transferred to hospital setting asap; tell the service of your symptoms and that you are concerned about COVID-19 so help comes prepared appropriately

Care: you will get care at health facilities and your loved ones may still be able to visit with precautions. They can also call, etc as you are able to receive them

*Prior to visiting any health care facility, it is good practice to call ahead with concern and/or immediately when arrive inform of symptoms so proper precautions can take place

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Preventing Spread

Wash hands, often and properly with soap and water OR hand sanitizer (you can make your own at home!)

Cover your cough

If you are sick with cough, fever or other cold like symptoms, stay home

Clean and disinfect your surfaces properly

Avoid handshakes; Find new/old ways of greeting (pound/fist bump, elbows, lower limbs)

It does not spread through food

What are strategies that will include and protect people who are imprisoned and houseless?

Full Document: Preparing For and Dealing with COVID-19 Coronavirus

Health precautions/tools:

Preventing spread:

Wash hands properly with soap and water (strategies in resources; you have may have seen to go for at least 20 seconds, or the length of the happy birthday song or even to frank herbert’s dune/litany against fear ) or hand sanitizer (you can make your own at home with an alcohol that is at least 60%, link in resources)

Cover your cough

If you are sick with cough, fever or other cold like symptoms, stay home

Clean and disinfect your surfaces properly

Avoid handshakes; Find new/old ways of greeting (pound/fist bump, elbows, lower limbs)

It does not spread through food

UP NEXT:

Caring for each other:

No evidence children are at higher risk. No information on pregnant people,experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. We know that elderly folx and people with severe chronic illnesses of the heart, lung and kidneys and immune-suppressed folx are twice as likely to have serious illness.

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Caring for Each Other

No evidence children are at higher risk.�
No information yet on effect on pregnant people. Pregnant people experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. �
We know that elderly folx and people with severe chronic illnesses of the heart, lung and kidneys and immune-suppressed folx are twice as likely to have serious illness.