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Speaker 1: I just want you to take costs.

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Speaker 2: So if you're running with someone from another family unit,

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Speaker 2: just make sure that you're like, you know, have an

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Speaker 2: established understanding before you go out and say, Hey, like,

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Speaker 2: we're going to follow these guidelines to make sure that

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Speaker 2: we don't try to pent this virus. Let's do our

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Speaker 2: bands not to interact. Definitely don't touch as best we can.

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Speaker 2: I mean, you're running, so stay six ft away.

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Speaker 1: From each other. Hey.

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Speaker 3: Hurdler's Emily a body popping into your feed with a

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Speaker 3: special episode of Hurdle, a wellness focused podcast where I

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Speaker 3: sit down with inspiring individuals to talk about everything from

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Speaker 3: their big wins to how they've gotten through some of

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Speaker 3: life's toughest moments. And let me tell you, things feel pretty.

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Speaker 4: Tough right now.

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Speaker 3: I have been talking to so many of you through

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Speaker 3: direct message and email about how overwhelmed we are in

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Speaker 3: the wake of the coronavirus pandemic, so many questions coming in,

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Speaker 3: many of which I don't have the answers to. But

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Speaker 3: I reached out to someone who could help. His name

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Speaker 3: is doctor Dariens, and he's a trained emergency physician and

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Speaker 3: he's also the host of Doctors Without Boundaries on Instagram

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Speaker 3: that you can find him at doctor dot Darien. That's

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Speaker 3: DC t R dot d A R I E N.

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Speaker 3: We recorded this earlier today, just going through all of

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Speaker 3: the questions that had been flooding my inbox, touching on

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Speaker 3: everything from is it safe to run outside? Is it

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Speaker 3: safe to run with a friend? How long is this

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Speaker 3: thing going to last? What can I do to calm

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Speaker 3: my anxiety? And stuff like that. Listen, I know again

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Speaker 3: it's overwhelming right now, but none of us are alone.

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Speaker 4: We are all going through this together. I'll be upfront

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Speaker 4: with all of you.

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Speaker 3: I am certainly a little bit nervous about what remote

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Speaker 3: recording will mean for the podcast. I am working diligently

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Speaker 3: to find the best solutions, to figure out how to

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Speaker 3: get you the best quality while also getting you the

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Speaker 3: information that you need and sitting down all bite remotely

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Speaker 3: with inspiring people. So I ask you from the bottom

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Speaker 3: of my heart to stick with me, to have some

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Speaker 3: grace and know that we're just doing the best we

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Speaker 3: can right now with what we have at Emily Body

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Speaker 3: at Hurdle podcast on Instagram and Twitter. If you have

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Speaker 3: a Hurdle moment of your own to share, you want

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Speaker 3: to say Hi, you want a friend, you can always

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Speaker 3: reach out to me over email. It's Emily at hurdle

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Speaker 3: dot us. And with that, let's get to hurdling.

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Speaker 4: Today. I am sitting down with doctor Darien Sutton. He's

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Speaker 4: a trained emergency physician host of Doctors Without Boundaries Doctor

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Speaker 4: Darien on Instagram. I have been following you and it

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Speaker 4: has been so helpful for me. I am so grateful

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Speaker 4: for your time to help answer the questions that have

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Speaker 4: been coming at me that I am certainly not qualified

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Speaker 4: to help with.

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Speaker 2: I'm just appreciated to have more people talk to me

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Speaker 2: about the facts, So thank you.

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Speaker 4: Of course. So first off, let's talk about the basics.

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Speaker 4: Talk to me about what the symptoms for coronavirus are

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Speaker 4: and how it spreads.

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Speaker 1: Yeah, sure, great question.

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Speaker 2: So a lot of people, first off, many of us

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Speaker 2: had the last time we sat in a biology class

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Speaker 2: was like in high school. So a lot of times

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Speaker 2: I think we look at this and we're trying to

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Speaker 2: remember all these details that we remember from our initial classes,

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Speaker 2: but it may not be effective or appropriate situation.

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Speaker 1: So first off is that the COVID nineteen.

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Speaker 2: Virus, also known as the coronavirus, is a specific type

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Speaker 2: of virus that belongs to a family of virus. That

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Speaker 2: family includes viruses like the STARS virus, which was involved

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Speaker 2: in the Operation two thousand and three, as well as MERGED,

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Speaker 2: which is a Middle East respiratory syndrome, which is a

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Speaker 2: relatively rare virus that is mostly not really that noticeable

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Speaker 2: in the United States in terms of.

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Speaker 1: The amount of people that have had it.

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Speaker 2: The COVID nineteen virus specifically is new because it has

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Speaker 2: not been isolated in human species. There's a lot of

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Speaker 2: research about where it came from, and the most founded

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Speaker 2: one is that it's basically is a zoomotic virus, meaning

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Speaker 2: that it originated from animals, and what they postulate is

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Speaker 2: that most likely it came from that and had transferred

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Speaker 2: over to humans.

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Speaker 1: Now, the biggest.

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Speaker 2: Question is like, how does that even happen. As a

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Speaker 2: virus is transferring from one host to another, it's DNA mutants,

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Speaker 2: and sometimes that mutation can allow it to be successible

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Speaker 2: to another species, which unfortunately is human. So what we

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Speaker 2: found is that that virus has crossed over that likely

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Speaker 2: happened last year and now has led to the current pandemic.

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Speaker 2: The virus is like the other virus is within its

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Speaker 2: family a respiratory virus, or it causes respiratory symptoms like fever,

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Speaker 2: call shortness of breast, and unfortunately this can progress to

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Speaker 2: a pneumonia and in a very few cases well sadly

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Speaker 2: now many cases that can progress with death.

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Speaker 4: Now, who is at the highest risk for coronavirus?

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Speaker 1: So, right now, although we have a historical research from

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Speaker 1: similar viruses like coronavirus.

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Speaker 2: We really are looking at the data from China and

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Speaker 2: what we found is that anyone over sixty years old

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Speaker 2: has a significantly increased risk of a severe harm from

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Speaker 2: this virus, specifically patients who are over eighty. With that

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Speaker 2: being said, patients who are also immune compromise with any age,

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Speaker 2: and we always try to include prigant patients inside that

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Speaker 2: group as well, because they're naturally at an immunosuppressed state

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Speaker 2: and they're at higher risk than others.

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Speaker 4: Now, the questions coming in from the followers, can I

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Speaker 4: have coronavirus and not know it?

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Speaker 1: Great question?

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Speaker 2: Absolutely, Right now, we're noticing that people are transmitting this virus,

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Speaker 2: and what we try to preach specifically from the hospital

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Speaker 2: standpoint is why we need to socially distanced because many

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Speaker 2: people are walking around with this virus and don't realize

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Speaker 2: that they have it. A lot of our research people

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Speaker 2: have to understand it's based off of people whose self

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Speaker 2: report or present to the hospital. That means that we're

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Speaker 2: only really looking at those patients who have severe symptoms.

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Speaker 1: But these patients come from somewhere.

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Speaker 2: And most likely they're coming from their community where they

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Speaker 2: may have been involved or interacting with someone who had

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Speaker 2: mild or no symptoms. And those are the people who

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Speaker 2: are transcending the virus most often commonly and making it

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Speaker 2: more persistent.

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Speaker 4: All right, So then the questions come in about exercise.

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Speaker 4: Can you safely run outside right now?

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Speaker 1: Yeah?

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Speaker 2: Yeah, I think it's really important to help people understand

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Speaker 2: the answer to that question. When I preach about social distancing,

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Speaker 2: sometimes it can be confused with social isolation, and I

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Speaker 2: want to make sure people understand there's a difference. Social

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Speaker 2: distancing means that yes, you can definitely still run outside.

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Speaker 1: You can run on.

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Speaker 2: Run on the street, you can run wherever you feel

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Speaker 2: most come. What we're trying to preach is avoiding large gathering.

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Speaker 2: So you definitely should not be running in a group.

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Speaker 2: If you're running right now, the crucial time that we

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Speaker 2: don't want to mix households or family unit. So if

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Speaker 2: you're running with a roommate, that is fine because you're

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Speaker 2: obviously already in close contact with him, but you really

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Speaker 2: shouldn't be in close contact with other people who live

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Speaker 2: in different spaces because this is how the virus spreads.

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Speaker 4: Right, So, if you have a run buddy that you

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Speaker 4: usually run with every Tuesday morning, are you saying skip

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Speaker 4: the run buddy, No, Honestly.

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Speaker 1: I would say just be cognizant of the fact.

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Speaker 2: I definitely don't want people to feel I think exercise

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Speaker 2: is really important, especially for mental health. In the setting

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Speaker 2: of social distancing, I just want you to take costs.

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Speaker 2: So if you're running with someone from another family unit,

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Speaker 2: just make sure that you're like, you know, have an

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Speaker 2: established understanding before you go out and say, hey, like,

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Speaker 2: we're going to follow these guidelines to make sure that

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Speaker 2: we don't transmit this virus. Let's do our beds not

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Speaker 2: to interact. Definitely don't touch as best we can. I mean,

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Speaker 2: you're running, so stay six feet away from each.

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Speaker 4: Other, right, right, Totally. I actually went out Central Park

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Speaker 4: over the weekend, and I had a deep appreciation for

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Speaker 4: the quote unquote groups of people that were all just

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Speaker 4: standing about six feet apart from one another.

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Speaker 2: If people can understand and we'll get into this as

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Speaker 2: an emergency doctor, not only is our patients who are

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Speaker 2: over eighty at risk, but we are significantly at risk

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Speaker 2: of breaking down this healthcare structure because we do not

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Speaker 2: have the room of capacity to prepare for everyone becoming

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Speaker 2: sick around the same time. And now they're coming out

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Speaker 2: with reports that er physicians are becoming sick and ill.

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Speaker 2: And now I'm trying to express the people like, if

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Speaker 2: you can't imagine how it can be for an old

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Speaker 2: person to be sick, just think about talking to me

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Speaker 2: and think about the risk that I'm putting myself into.

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Speaker 2: So it's like infuriating now when I walk outside and

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Speaker 2: see brunches packed with people, I can understand it.

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Speaker 4: Yeah, well, I mean it goes without saying that. I'm

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Speaker 4: sure so many people are thankful for what it is

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Speaker 4: that you're doing, and you know the risks that you

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Speaker 4: incur every single day just by showing up and helping

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Speaker 4: other people.

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Speaker 1: So thank you for that. Thank you.

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Speaker 2: I mean, I appreciate it. I appreciate anyone taking an

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Speaker 2: effort to honestly help.

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Speaker 1: Increase.

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Speaker 2: The voice of people can't be heard, and a lot

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Speaker 2: of us are working so hard that we don't have

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Speaker 2: the chance or the modality or the mediums to be

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Speaker 2: able to communicate. But I'm just grateful for this conversation.

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Speaker 4: Any idea of how long this will last.

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Speaker 1: That is a question that's still trying to be answered.

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Speaker 2: There's a lot of analysts and epidemiologists that are looking

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Speaker 2: into the timeline.

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Speaker 1: A lot of.

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Speaker 2: People are postulating or thinking that maybe it can be

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Speaker 2: done at June or July, but it's really still too

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Speaker 2: hard to tell. And this is founded on the principle

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Speaker 2: that we don't have test being available in the emergency room.

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Speaker 2: I can't even get myself a test. I can only

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Speaker 2: get testifications who are higher risks, who are being admitted

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Speaker 2: to the hospital. This means that many people are coming

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Speaker 2: in with systems, being discharged and going back into the

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Speaker 2: community without a free understanding of.

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Speaker 1: Their actual risk and their actual diagnosis.

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Speaker 2: So with that being said, we don't have the ability

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Speaker 2: to set a trajectory. We cannot We don't know when

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Speaker 2: we're going to beat we don't know when it's going

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Speaker 2: to pop out, and it makes us really hard to

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Speaker 2: calculate when this.

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Speaker 4: Will ends, right, And I think it's interesting. I mean,

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Speaker 4: I went into a store this morning and they had

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Speaker 4: just received a new shipment of lifestyle and Clorox wipes,

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Speaker 4: and someone messaged me who works at a hospital, and said,

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Speaker 4: where is this? We need these supplies like it's literally

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Speaker 4: no discrimination against where these shortages are happening, and everyone's

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Speaker 4: just looking for, you know, the basic necessities right now.

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Speaker 2: People don't understand that even as physicians, we are literally

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Speaker 2: rationing out math. I'm talking about every type of math.

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Speaker 2: We don't have enough math toon. They will not be

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Speaker 2: enough loves. They're already limited beds because the hospital people

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Speaker 2: don't realize that hospitals operate close to capacity at baseline

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Speaker 2: to any kind of mass casualty incident for a pandemic

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Speaker 2: significantly and severely disrupt our flow.

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Speaker 1: And people don't get that right. Right.

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Speaker 4: Well, the next question coming in from the followers, can

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Speaker 4: my dog or pet get coronavirus and can they spread it?

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Speaker 1: That's good.

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Speaker 2: I have two cats and so I always get fearful

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Speaker 2: of this, and I understand the concern behind this question.

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Speaker 2: There has not been any research that shows that tads

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Speaker 2: the dogs can get this virus.

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Speaker 1: As I stand in.

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Speaker 2: The beginning, this virus viruses is very specific and it's

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Speaker 2: kind of a happenstance that they're able to inoculate or

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Speaker 2: cause us, or get inside of us as humans because

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Speaker 2: of a specific mutation that's heard that that finished the virus.

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Speaker 2: That being said, it would be really difficult for that

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Speaker 2: to happen again for another species that is close by,

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Speaker 2: like a dog or a cat.

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Speaker 4: Well, thank God that we can hold on to our

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Speaker 4: anxiety animals.

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Speaker 2: Yeah, and please take care of the shelters that are

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Speaker 2: trying their best to manage all of these these animals

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Speaker 2: that are that don't have a home.

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Speaker 1: I was just reading about that.

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Speaker 4: Another listener asks, I've been told that I should change

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Speaker 4: clothes right when I come inside. Is that necessary?

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Speaker 2: So, first off, I have to answer this question with

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Speaker 2: the understanding that some of us are privileged enough to

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Speaker 2: have this ability to have clothing in order to be

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Speaker 2: able to change. If you have the ability and you

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Speaker 2: have to be resourced, I would definitely do things. I mean,

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Speaker 2: I can go through my whole thing that I do.

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Speaker 2: I'm coming from a high risk environment. I have a

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Speaker 2: partner in my apartment, and I don't want to expose

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Speaker 2: him to as much as I can, I don't want

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Speaker 2: to expose him. So the things that I do is

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Speaker 2: that I leave my shoes outside. Obviously, you just have

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Speaker 2: to live in a space and stafe enough to do that.

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Speaker 2: I also make sure that I take off my.

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Speaker 1: Clothes immediately and put them in the washing machine.

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Speaker 2: But obviously before I even do all of this, I'm

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Speaker 2: changing from my thrubs into regular clothes in my office.

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Speaker 1: And then coming home.

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Speaker 2: But even with that being said, I still change, and

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Speaker 2: if I'm running outside, I try my best to change

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Speaker 2: to take a shower as soon as I get back again.

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Speaker 2: This is not really legitimized in research, but me, my

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Speaker 2: thinking is like mitigating as much as much as a

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Speaker 2: transmiss as possible because the virus thoes live on through

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Speaker 2: and now.

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Speaker 4: Specific to the running community, we've been seeing everything from

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Speaker 4: of course friends' weddings to large marathons. I was supposed

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Speaker 4: to run their London Marathon at the end of April

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Speaker 4: that's been postponed. A lot of people are kind of,

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Speaker 4: aside from the normal reasons to be unsettled during this time,

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Speaker 4: unsettled because they had such a crazy, big training mass

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Speaker 4: and they just don't know what to do to go

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Speaker 4: to a more sedentary possible lifestyle. So do you have

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Speaker 4: any at all, like words of wisdom for these people

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Speaker 4: that were kind of at peak fitness and they're just

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Speaker 4: really anxious about how.

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Speaker 1: To handle this.

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Speaker 2: Yeah, I mean, I'm definitely working with a psychotherapist on

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Speaker 2: resources because I want to make sure that I clarify

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Speaker 2: I have good statements when I'm talking about dealing and

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Speaker 2: self managing with anxiety. Especially, a lot of us are

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Speaker 2: just finding out that we're having anxiety. That's really important

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Speaker 2: to realize. It's really difficult because there's not going to

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Speaker 2: be in any time soon a way that people can

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Speaker 2: work out in a group format like a marathon or

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Speaker 2: a large event. What I would honestly say is take

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Speaker 2: advantage of the time that you can can run outside down,

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Speaker 2: you can run outside and definitely no one's judging you.

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Speaker 2: I would make sure to set goals for yourself and

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Speaker 2: organize your day as much as possible. You have to

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Speaker 2: realize that as working people, the majority of the people

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Speaker 2: who are listening to the set up and go to work,

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Speaker 2: now that that's kind of been taken away, we have

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Speaker 2: to figure out how to organize our homes in a

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Speaker 2: way that we can define spaces for sleeping, for entertainment,

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Speaker 2: and for working, and I think making sure that we

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Speaker 2: stay on the same schedule that we will already on.

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Speaker 2: It's really important because once your sleep schedule changes, it

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Speaker 2: can induce other risk factors for depression, increase, anxiety, and

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Speaker 2: then that can also be related to your health overall.

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Speaker 4: Right, So I mean you're touching on anxiety and mental health.

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Speaker 4: Any other suggestions aside from you know, designating designating certain

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Speaker 4: spaces to make sure that you have a separate space

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Speaker 4: for sleep versus where you're working on, just how to

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Speaker 4: you keep calm and keep anxiety at bay during this time.

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Speaker 2: Yeah, I think it's really person dependent. Being most honest

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Speaker 2: with you, If you have a therapist, emailing them and

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Speaker 2: asking them for the possibility of video conferences is really important.

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Speaker 2: A lot of the medical community understands the importance for

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Speaker 2: social distancing, so we are quickly adapting to be able

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Speaker 2: to figure out how to see our patients. For example,

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Speaker 2: my twin brother is an obstetrician and his client has

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Speaker 2: already adapted to be able to prop the patients online.

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Speaker 2: They're setting them blood pressure costs and all types of

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Speaker 2: tools to be able to test them and give them

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Speaker 2: the readings that they need in order to prepare them

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Speaker 2: for their deliveries. So we're adapting a lot. And so

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Speaker 2: if you're in contact with Dessignment and CARA Provider, you

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Speaker 2: can also find out ways that they can adapt in order.

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Speaker 1: To be able to help you while maintaining social distancing.

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Speaker 4: I love that. Now, do you have any last words

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Speaker 4: of wisdom for the hurdlers as I love to call them?

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Speaker 1: So I think that what I want at number one

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Speaker 1: social distancing, social distancing, social business thing. I wish I

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Speaker 1: did tattoo it on my chest as much as possible.

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Speaker 2: If you follow me online, you noticed that I'm the

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Speaker 2: running motif in all of my stories.

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Speaker 1: Is why social.

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Speaker 2: Distancing is so important, specifically because I'm looking at the

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Speaker 2: results of Italy and quite honestly, I'm really scared. And

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Speaker 2: the reason why is because I'm not necessarily scared about

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Speaker 2: the effect of this virus on the majority.

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Speaker 1: Because we've seen some studies eighty percent of the people who.

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Speaker 2: Get this virus you don't even need the requirement or

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Speaker 2: assistance of medical providers. But in that small percentage of

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Speaker 2: people who do need assistance, specifically, the five percent who

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Speaker 2: will be critically ill.

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Speaker 1: Those are the people who will present.

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Speaker 2: To the hospital all at the same time and cause detrimental,

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Speaker 2: severe affection on the healthcare system. So social distancing is

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Speaker 2: so important. Number two, making the story that you take

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Speaker 2: care of yourself. Making sure you set time limits on

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Speaker 2: your phone. I've learned how to do it already in

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Speaker 2: my setting to make sure that I can. My phone

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Speaker 2: reminds me after an hour and a half on social

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Speaker 2: media that I should take a break. It also silences

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Speaker 2: all notifications for my social media. It's something that I've

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Speaker 2: been practicing. I've picked up new things like calling people

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Speaker 2: which I don't often do, reading and writing so that

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Speaker 2: I figure out a plan and keep myself calm.

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Speaker 1: And then number three, realizing that this will pass.

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Speaker 2: People have to understand that anything that is happening in

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Speaker 2: our economy, these things are relatively transient and they will

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Speaker 2: also pass. We just have to figure out what steps

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Speaker 2: we can do right now to help.

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Speaker 1: And that is on the.

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Speaker 4: I love your advice about taking time to read and

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Speaker 4: write things down. It's something that you know we all

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Speaker 4: say constantly. Man, I'd love more time to do X

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Speaker 4: or Y and it's yeah, this is the time, this

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Speaker 4: is the time. How many times would someone have said, Man,

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Speaker 4: I wish I could have just had one more day

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Speaker 4: at home this week. Well, you have to day. So

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Speaker 4: let's let's try to be kind to ourselves and have

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Speaker 4: some grace and just accept that this is how it

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Speaker 4: is now, you know.

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Speaker 1: Yep, absolutely well.

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Speaker 4: Thank you so much for your time. I really really

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Speaker 4: appreciate it. How can the hurdlers keep up with you?

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Speaker 4: Follow you and get more updates from your world?

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Speaker 1: Yeah?

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Speaker 2: So, I mean, if you want updates, I would always say,

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Speaker 2: first and fore, follow the guidelines that are instituted by

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Speaker 2: your Department of Health with senior city. Follow any public

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Speaker 2: health official that is sharing information because it's exactly where

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Speaker 2: I'm getting my information from the information that I utilize.

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Speaker 2: I kind of try to sympthesize to an audience. So

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Speaker 2: if you would like to follow me doctor doc C

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Speaker 2: O R Dot Darien D A R I E N

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Speaker 2: on Instagram, And like I said, stay safe, stay healthy

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Speaker 2: and think about those aremmants.

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Speaker 4: Thank you so much for your time. Stay safe out there,

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Speaker 4: of course,