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China's National Health Commission says the number of cases of a new respiratory virus has risen to 830 with 25 deaths. The update Friday morning also confirmed the first death outside the central province of Hubei. The health commission in Hebei, a northern province bordering Beijing, said an 80-year-old man died after showing symptoms upon his return from a two-month stay in Wuhan to see relatives. Wuhan is the capital of Hubei and has been the epicenter of the outbreak of the coronavirus first detected last month. 534

Doctors are reporting that people infected with the pandemic virus may lose their sense of smell and perhaps taste. The World Health Organization is looking into it, but some experts are already saying that changes in taste and smell might be a useful tool to screen people for infection. They cite reports from South Korea, China and Italy. Virus infection is already a known cause of smell loss, and in some cases it can be permanent. But in cases of the pandemic virus, it looks more like a temporary effect. 524

COLORADO — A 38-year-old father and basketball coach says his life was saved because of a nearby specialist who evaluated him digitally."I literally never once remember talking to a screen or seeing a screen in a room,” DJ Stelly said of a telemedicine robot in an emergency room.The ability for the ER to use a small machine to beam him in to a specialist 15 miles away saved him from having stroke. The specialist made the decision to airlift Stelly to a stroke center, where he spent four days in ICU before making a full recovery.“In my case, it was truly valuable,” he said. “I do think that this is going to be the future of super specialized expert care that’s instantaneously available.”Dr. Chris Fanale started the telemedicine program at Swedish Medical Center in Colorado, near Denver. Stroke specialists have access to more than 50 telemedicine robots in emergency rooms in five states.Fanale says the diagnosis isn’t the difficult part — it’s determining the treatment. And giving an incorrect dose of the stroke medication TPA can be deadly.“As you can imagine, patients as well as other physicians not used to this are a bit skittish at times, making that decision on their own,” Fanale said. “So that’s where we kind of help and augment providing that specialty care.”Fanale said doctors use their cell phones to beam into a patient’s hospital room.“You can see if pupils are being reactive or not,” he said. “Also if there’s any droopiness of the face.”Fanale can zoom in and out, even test verbal skills, saving critical time when every minute counts.“These are just cartoon pictures that will pop up on the camera in place of us and we will just ask them just explanations of naming objects,” he said as he showed the technology to a reporter.He believes the technology will lower costs in addition to leading to better care. 1861

Concerns about the spread of coronavirus disease 2019 (abbreviated COVID-19) mean more of us are doing what we probably should have been doing all along: washing our hands more frequently and thoroughly; staying at home when we’re sick; stocking up on food and supplies in case that stay becomes extended.People who may have been exposed to the new coronavirus or who get sick with COVID-19 may be advised to stay home for as long as 14 days to keep from spreading it to others, according to the Centers for Disease Control. That’s led many people to wonder if they could manage for two weeks at home without a run to the grocery store.Stocking up shouldn’t mean panic-buying cases of toilet paper at the nearest warehouse store, of course. But keeping a reasonable supply of shelf-stable food and other supplies on hand makes sense for all kinds of emergencies, from natural disasters to stretches of unemployment.At the same time, it’s important for your wallet and your community not to hoard stuff you don’t need. You can spend a small fortune on N95 masks, for example, but those are better reserved for the health care workers who can help those who become sick enough to need treatment. Likewise, there are companies selling emergency food kits with a decades-long shelf life, but those may include stuff you or your family just won’t eat. That’s a waste of money and food.A better approach is to create a two-week cache of food based on the “store what you eat, eat what you store” principle that I detailed in “ 1532

Everything you do during the day comes with making decisions. With quarantines lifting, you're now faced with a whole new set of decisions on what is safe to do.Experts say that's made more overwhelming because we still don't know everything about COVID-19 and you may be getting mixed messages from leadership.“So, you might have a governor saying one thing. You might have a mayor wanting something different happening in the local community,” said Dr. Lynn Bufka, Senior Director for Practice, Research and Policy at APA. “So, it becomes very difficult for the average person who's not an expert in these matters to figure out how to make decisions.”Bufka says this kind of cognitive overload or "decision fatigue" can make the simplest choices seem more exhausting, like what to wear or what to have for dinner.Bufka suggests two ways to take the pressure off. First, accept that it's not easy right now so it's okay to be imperfect. And second, set up a new routine. Even just rotating the same few outfits can help cut down on the decisions you have to make.“We don't really think about how much thinking and how much mental effort goes into what we do in the day,” said Bufka. “Every time we make a decision, that's a little bit of mental effort.”Bufka says our normal routines before, during and after quarantine will all look different. So, you may not be able to just go back to what you did before the outbreak to cut stress. 1448