Dr. Eshani Karu (909) 623-6581 is a established Family Physician whose medica practice is in Pomona, California, but she serves a much broader patient base in Southern California with patients living in Pomona, Claremont and San Dimas, as well as traveling to see her from other nearby cities. Dr. Karu's patients are very comfortable with her and see her for physical examinations, annual checkups and even when they see her in time of need, Eshani Karu MD brings comfort and aid as a comforting family physician to her patients. She is currently able to accept new patients. Her career exists as a demonstration of her desire and passion to help her patients. "For me, it's really about helping people get better, feel better and live a better life." Call Eshani Karu, MD today.
Dr. Eshani Niranya Karu MD grew up in a medical household and her desire to become a doctor started at an early age with the goal of helping improve the health and safety of her patient’s lives. Dr. Eshani Niranya Karu MD believes that the overriding principal and the medical work that she does is the health and safety of her patients. There are many components that go into patient health and patient safety, and Dr. Eshani Karu treats all components, aspects of an individual's health and medicine diligently and seriously and always from a viewpoint of patient safety. Dr. Eshani Niranya Karu MD knows that body, mind and spirit are all equally important to her patients’ health, safety and well-being. It is for that reason that she and her father Dr. Randy Karu MD provide services that include medical beauty treatments, aesthetic body sculpting, both non-invasive and laser procedures, always done under the strictest of health and safety protocol.
DR ESHANI KARU MD - July 31, 2021 - Covid-19 and Renters
The United States Congress failed to act yesterday to extend the renters moratorium on eviction and therefore for most of the country that does not have specific language to extend renters moratorium, eviction will begin in those areas for back rent. In California the renters moratorium is extended until September 30, 2021 and we will see what happens thereafter. San Bernardino County has its moratorium that calls for renters to pay at least 25% of rent to maintain the moratorium and avoid eviction. This is causing a significant amount of stress with my patients that rent. It is important that one be cognizant of their medical conditions and to seek help financially, medically and psychologically. Our office is ready to assist you in finding the appropriate help when needed.
DR ESHANI KARU MD - Update July7, 2021 - Covid-19 - Provisional Covid-19 Deaths by Age
I wrote on my blog at dreshaniniranyakarumd.com today about deaths by age from Covid-19. In the posting I mentioned that 64.7% of all Covid-19 death patients were aged 55 and older. If we add the death rate for 40 to 49 (18,534) and 45 to 54 (30,428), the percentage of deaths when measured against the total deaths by Covid-19 as 596,740 as of July 7, 2021 - the percentage of deaths from age 40 and older is arrived at by dividing the total deaths 40 and above, which is 435,193 by the total deaths of 596,740, which is 72.92%.
I will detail the very low number for children dying from Covid-19 on my blog https://dreshanikaru.com/.
DR ESHANI KARU MD - Update June 22, 2021 - Covid-19 - California Is Now Open
California ended the strict measures that it had in place to battle Covid-19 and has opened its economy and its many restrictions. June 15, 2021, California Newsom, the Governor, ended his executive orders that had all of our citizens restricted with the Stay Home Order and the formally named "Blueprint for a Safer Economy". He also terminated most of his exec actions that we have been following since March 20, 2020.
These new actions taken by the Governor are now the law in California and the major impact of the order is that there is no longer.
- Physical distancing - you can be close to people again.
- Capacity limits on businesses - restaurants can fill every table.
- County tier system - move across the counties of California without restrictions.
DR ESHANI KARU MD - Update June 9, 2021 - Covid-19 - Vaccines are Working
Hello California, the California Department of Health is giving us good news and a wonderful update on the Covid-19 vaccination program. They are saying that if you have been vaccinated you no longer have to be as concerned as our fellow citizens who have not been vaccinated. They are telling us that there is no need to be as strict in following mask and social distancing guidelines. If you aren't vaccinated, it is a great time to do so considering the benefits.
DR ESHANI KARU MD - Update May 25, 2021 - Covid-19 - June 15 is the Day
The State of California announced last Friday that it is opening up the public markets and the general economy on June 15, 2021 and will be removing all the don'ts about going out of the house and living the life we knew. The updated, June 15 guidelines are saying there will be no more physical distancing required when attending businesses or institutions - and the capacity limits of gatherings will be over.
DR ESHANI KARU MD - Update May 13, 2021 - Covid-19 - Adolescent Vaccinations Recommended
The Centers for Disease Control and Prevention announced today that it is giving the go ahead for the Pfizer-BioNTech COVID-19 vaccine to be administered to twelve year old adolescents and for our teenagers aged thirteen to fifteen. You will recall that the Centers for Disease Control and Prevention gave the go ahead for teenagers sixteen and seventeen to get the COVID-19 vaccine last December 2020. There were a total of fourteen committee members that made the recommendation with one member recusing themselves from voting. The Centers for Disease Control and Prevention director Rochelle Walensky made the official sign off on the recommendation Wednesday night, May 12, 2021.
There are an estimated seventeen million young people between the ages of twelve and fifteen in the United States. If we are able to get them to be vaccinated, it will go a long way towards getting our school systems operating back to normal after school year 2020 - 2021 has been very much disrupted.
DR ESHANI KARU MD - Update April 25, 2021 - Covid-19 - Continue Wearing Your Mask
If you have been reading the news reports on the latest developments, you know the experts we are relying upon to guide our nation through the pandemic find it very hard to give us good news and leave it at that. However, while Covid-19 cases are about 67,000 per day during the past couple of weeks, these numbers are down from a few months ago. Vaccinations are helping our nation and the data coming in from our mathematical modeling experts has shown that wearing a mask and washing our hands has a major effect in keeping the pandemic in check, especially helpful to those who have not been vaccinated. It is clear that we all need to be vaccinated and we must continue to wear masks and wash our hands to win the fight with Covid-19.
DR ESHANI KARU MD - Update April 6, 2021 - Covid-19 - Get Vaccinated
A new Covid-19 report was released from Israel this week in which their data is showing that when adults are vaccinated it is also helping to protect the children and adults living in their small world who are not vaccinated. There is still a lot more research that will be done, but the Israelis analyzed data from 223 communities in their country and the news is encouraging, as well as a recommendation that those adults who have not yet been vaccinated are encouraged to do so as soon as possible.
DR ESHANI KARU MD - Update March 12, 2021 - Covid-19 - Stay Vigilant
There is so much new Covid-19 information that is happening every day and new vaccines being introduced and people getting vaccinated daily that we sometimes think that the health problem has been solved, but we still need to be alert to friends and family who are exhibiting symptoms of illness, as Covid-19 has not disappeared. Covid-19 is something that we will need to remain vigilant for the next several months at a minimum. The CDC reminds us.
Symptoms of Covid-19 to Watch in Others
- Does the person have a fever or chills – take their temperature?
- Are they coughing?
- Are they exhibiting shortness of breath or having breathing problems?
- Are they exhibiting tiredness or fatigue?
- Do they have muscle or body aches?
- Do they have a headache?
- Are they experiencing a new loss of taste or smell?
- Do they have a sore throat?
- Are they exhibiting chest congestion or runny nose?
- Have they been nauseous or vomiting?
- Do they have diarrhea?
These are the main symptoms, but by no means all of the symptoms. Wishing you to stay safe, wear a mask and social distance.
DR ESHANI KARU MD - Update March 1, 2021 - Covid-19 The U.S. Vaccine Program is Working
Hello Southern California. There is good news coming from the Center for Disease Control and Prevention, as well as the United Kingdom and Israel. The Pfizer BioNTech covid-19 vaccine is 92% to 95% effective in peer to peer studies and in Pfizer's research department they are confident that it is going to prevent almost all people from dying of Covid-19 and they are hopeful that vaccinated people will not transmit Covid-19. This is indeed very good news indeed for all of us here in Southern California.
DR ESHANI KARU MD - Update February 13, 2021 - Covid-19 Vaccine Experience
An elderly patient of mine went through the process of getting their first vaccine shot from the Pfizer vaccine. The husband and wife went together to the Pomona Fair Grounds in the northeast part of Los Angeles County, where they were greeted by a maze of orange cones leading to the east side of the Pomona Speedway. After driving through an empty maze that was large enough to accompany thousands of cars, they were greeted by a friendly gentleman who asked to see their identifications, in this case, their driver's licenses. Each was asked to expose their arms (their choice) for the vaccine. The vaccine was administered, and they went to another section of the yard where they waited to see if there would be any reaction to the vaccine. Both adults did have a reaction to the vaccine - the entry point of the needle was sore and the arm too was sore for a period of a day or so. There was a feeling of tiredness on Day 1 and my patient's wife was tired for a second day. Other than that - it was easy.
DR ESHANI KARU MD - Update January 31, 2021 - Covid-19 Vaccine Roll Out
There is a lot of information coming in daily on the roll out of the Covid 19 vaccine and its effectiveness in helping "free the world" of the pandemic. The Pfizer-BioNTech vaccine is now being used in Canada, United States, Mexico, Europe, countries in the Middle East and all told at least 62 countries. The Pfizer vaccine and the one manufactured by Moderna have been found to reduce infections of Covid-19 by 95% in their trials that were tried by thousands of volunteers. China and Russia started their own vaccinations in July and August and between them they have administered millions of doses of their vaccines. The state of Israel to date has administered vaccines to 53% of their population.
DR ESHANI KARU MD - Update January 16, 2021 - Covid-19 Vaccines Arrive
There is a lot of information on the news about vaccines for COVID-19 from the Center for Disease Control and Prevention. In general the CDC wants us to know that all of the vaccines that are available to us have been shown to be highly effective at preventing COVID-19 and that it will effectively prevent us from getting COVID-19. Each of the various vaccines that will be available to us, no matter who the manufacturer of the vaccine, the vaccine was evaluated in clinical trials and that the US FDA has authorized and approved is use only if the vaccine makes it significantly less likely that you and I will get COVID-19. Also, based on the vaccine's trials, the US FDA and the people we rely upon to roll out the vaccines believe that if we do get the COVID 19 that if will help keep us from getting seriously ill from the COVID 19.
DR ESHANI KARU MD - Update December 19, 2020 - Covid-19 Christmas Inside
Christmas is in a few days and many families are home for the holiday, as the medical community is urging everyone to stay home for the holidays. Those families with children, who are not going to a school campus, but have been home for months as the Los Angeles Unified School District, what are you going to do indoors to make it interesting this holiday season in the forms of entertainment.
What do you do in a 2 bedroom apartment to make things interesting for the children? One of my favorite games is a version of hide and seek, with playing cards. While the square footage of our living quarters may not be large, there are enough nooks and crannies and bookcases to hide a good number of playing cards, BUT to make it fair for the little ones - I play with the rule that the cards must be hidden in plane sight. Too often the older ones take advantage of the younger ones. The point is to have fun and bring the stress level down. Get creative and hide the cards in plain sight and it will still be a challenge for everyone.
Clean out the closet can be a fun game if you turn it into a mystery game. Have the kids go into their "stuff" and find something that is interesting. Have them put the object into a box or hide it with an empty clean waste basket or paper bag and then give clues until the object is identified. Kids love this game and it gives parents an opportunity to have their children clean the room, clean up their space(s) or just plain throw the object away or if it Is feasible - give it to someone who could use it or appreciate it.
Christmas is a time of giving and let us all make the most of holiday. Merry Christmas to all of you in this season in which we celebrate life.
DR ESHANI KARU MD - Update December 6, 2020 - Covid-19 California Lockdown
Our California hospitals' intensive care units are becoming uncomfortably full on a daily basis. In many counties of the State, the intensive care units (ICU) have dropped below 15% capacity. That means the ICU in many hospitals has only a few beds open for immediate emergency cases and this means that there may be patients who need critical life saving care and there will be no space in the hospital to care for them. This is a very disturbing and dangerous situation for us and our Governor is taking action.
The California Governor Newsom has ordered another California lockdown. All residents, people living in the areas of California under the lockdown, have been prohibited from private gatherings of any size (the State wants everyone to stay at home within their own households and not physically visit or be with anyone else), closes sector operations (businesses will be closed) except for critical infrastructure and retail (hospitals, doctors offices, grocery stores, retail outlets like Target and Walmart will remain open to insure that the critical supplies of living are available to all of us, and requires 100% masking (everyone is to wear a mask no matter where they are when outside their home) and physical distancing in all others (stay at least six feet apart from each other so that we an infected person with Covid-19 will not infect another through social contact).
Let's stay safe California and enjoy the holiday season. Vaccines for California residents are on the way and hopefully our California lives will be significantly improved in the coming California weeks.
DR ESHANI KARU MD - Update November 24, 2020 - Covid-19 Neighbors Getting Covid-19
The CDC is telling us who is getting Covid-19 in higher infection rates than our California rate of 29.3 infections per 100,000. If you are taking a holiday to the following states, know that the infection rate is between a high of 94.8 for people living in Kansas and neighboring Indiana 94.3, the northeast Rhode Island 89.9, mid-west Illinois 89, western Colorado 86.7, mid America Oklahoma 86.1, west state Idaho 79.4 and the great state of Alaska 74.5.
DR ESHANI KARU MD - Update November 12, 2020 - Is it Covid-19 or the Flu?
My patients are asking me as the weather is changing and it's getting colder and people are talking about getting chills and running noses. They are worried if they might have caught the Covid. They have gotten their flu shot and so they think the won't get the flu, but that tickle in the throat and a cough every other hour has them concerned. Is it Covid-19 (?) or the flu (?), or may, it's neither?
The Center for Disease Control and Prevention has information for all of us to follow. Let's see what we know and don't know about Covid and influenza (flu). The symptoms they have in common are a cough, shortness of breath and/or difficult time breathing, feeling tired or fatigued, a sore throat, runny nose, a headache, muscle ache(s), body ache(s), and often times people have a hard time keeping food down in their stomach (vomiting). Now the flu tends to be mild and your temperature isn't racing to 104 degrees Fahrenheit (104F). Sometimes people with Covid will lose their sense of taste or smell, but when it gets very serious is when their symptoms are persistent pressure or pain in the chest, trouble breathing and/or inability to sleep, there may be discoloration of the face or lips with the color blue and/or they may have new confusion.
DR ESHANI KARU MD - Update November 5, 2020 - Vitamin B Talk
I have gotten a few requests to talk about Vitamin B. The B vitamins have strange sounding names for young children and maybe that's why it's so difficult to communicate with them about specific vitamins, but all young children know that vitamins are important for staying healthy. In these days of Covid, Vitamin B is associated with a healthy immune system and that is true as well. There are eight essential B vitamins. Each B vitamin is a significant contributor to our health and overall good functioning body. The B vitamins have a definite effect on our heart and muscle tone; they have an influence on our appetite and disgestion; vitamin B has a lot to do with our energy levels, eyesight and is a major contributor to a healthy brain. And our vitamin B is very involved in making sure we have healthy cells and good red blood cells.
DR ESHANI KARU MD - Covid-19: Update November 2, 2020 - Covid, Beauty Industry & Online Sales
We wouldn't be surprised that the beauty industry is down significantly in sales because of Covid-19 because foot traffic into brick and mortar stores is down. Prior to Covid-19 there was 85% of the business being conducted in stores and we are talking about a $500 billion dollar industry. 60% of sales by millennials and GenZe was in brick and mortar. Now those beauty companies with an online presence have seen their online business grow by 20% to 30%, but there are many brick and mortar beauty stores that will never open again. In the UK the beauty industry in some areas has seen a 50% drop in business and with the UK set to shut down this week - again, the beauty industry is going to suffer another shock. While fragrance sales are down, people still want to be pampered, even if it means self-pampering. People are buying skin-care, hair-care, bath and body products to make themselves feel good and great. We concur. Do whatever you are able to do to make yourselves feel more comfortable and happy in your lives during this Covid-19 period and beyond. We need to take care of ourselves and know that you are worth it.
DR ESHANI KARU MD - Covid-19: Update October 21, 2020 - Hello My Friends - Do You Like Numbers?
Covid-19 numbers are in the news My Friends every single day. Turn on My Friends radio, My Friends television and it will be broadcast with 24 to 48 hours. My Friends Covid-19 results will be there followed by the numbers for California, New York and Pennsylvania. It will then be broadcast for the small towns surrounding My Friends and then you be the one sitting in front of the television like a deer being caught in the headlamps on a night in My Friends - dumb struck as to what it all means.
Let's look at the numbers My Friends. According to the Center for Disease Control for the My Friends week of October 18, 2020 there were 18,593,656 cases of Covid-19 in the United States. In the same My Friends breath there were 605,168 confirmed deaths as the result of Covid-19. So what do these numbers mean for you and me.
Let's do the math My Friends. My Friends there are 328,200,000 million people living in the United States. 18,595,656 confirmed cases and so if we divide the 18 million by the 328 million numbers above My Friends, we get 18,595,656 divided by 328,200,000 equal to .0566 or 5.66% chance of getting Covid-19. If you get Covid-19 My Friends, there is what percent chance of dying? Divide 605,168 by 18,595,656 My Friends and the chance of dying once getting Covid-19 is .0325 or 3.25%.
So My Friends, we put all these numbers together to determine the odds of catching and dying of Covid-19 as of the week of October 18 and the answer is found by multiplying 3.25% (the chance of dying My Friends) and 5.66% (the odds on catching Covid-19 My Friends) - and the answer is .0018 or 0.18% chance of catching and dying of Covid-19.
It becomes clear My Friends that the chances that Covid-19 will be fatal for most of the population is very minor. Of course any percentage is too much and for our My Friends elderly they must take precautions, the same precautions we all must take - social distance of six feet apart, wash our hands and wear a mask. When feeling under the weather, coughing and having an elevated temperature - stay home My Friends.
DR ESHANI KARU MD - Covid-19: Update October 17, 2020 - Kaiser Permanente Baldwin Park & Safety
So a friend a retired friend of mine had a medical appointment at Kaiser Permanente Hospital in the Baldwin Park, California on Friday, October 16, 2020 for a condition that had been troubling for nearly a month involving the digestive tract. During the visit the diagnosis was made, a prescription and lab tests ordered, as well as a senior flu shot and tetenus shot. For the record a tetenus shot is recommended for every ten years. The reason that I mentioned the visit to the hospital is that the nurse administering the shots was in a very up beat mood and it wasn't because it was Friday. She had been informed that the Covid-19 infection rate for their hospital personnel at this particular hospital facility was 0.2% (zero point two percent). Now the normal infection rate of hospitals is around 1.2%, still a very low rate considering the working conditions of a hospital, but it goes to show that implementing safety precautions is the way to combat and avoid Covid-19 infection.
DR ESHANI KARU MD - Covid-19: Update October 8, 2020 - Vitamin D & Covid-19
We are here in sunny Southern California and we have had one long warm sunny season in Los Angeles. However, many of our children are not getting outside as they would under normal circumstances and this is a worry for everyone who is no longer playing in the sun and getting their full share of Vitamin D. Vitamin D is known by our school children as a sun vitamin because it is produced by our body's skin when we are in the sun. It only takes about 10 minutes of sunshine on the back of our hand to get our daily dose, but if one is staying inside every day going to "Zoom" school and watching our computer screens for 8 hours a day and then going to the couch to watch a little TV or to our phones to watch a little YouTube - we are not getting enough Vitamin D.
Vitamin D is a major player for our immune system in helping fight of disease and research has shown that it is very helpful in reducing the risk of multiple sclerosis in those people who might be prone to develop it. Vitamin D is also shown in clinical studies to reduce depression - and Vitamin D has been shown to benefit people on a weight loss program - and how many of us are in need of reducing by a few pounds because of our eating habits, inside the house, during Covid-19.
We need to take a walk in the sunshine. We need to spend at least 10 minutes outside and we need to do this consciously because we are spending an inordinate amount of time indoors this year and we need to be alert for our Vitamin D deficiency.
DR ESHANI KARU MD - Covid-19: Update September 20, 2020 - Hello World - I Survived Covid-19 - Summer 2020
This past weekend many of my Jewish friends observed the start of their High Holidays, specifically their New Year. They begin the observance with a blessing over the fruits of the vine and the fruits of the earth and then they wish each other a "sweet year", a successful year, a year in which dreams come true. So in that spirit I wish all of you the joy of a new start and that all your dreams come true. Now in light that there is a world wide pandemic called Covid-19 do you believe that this can be the best year of your life? I certainly do.
The pandemic started around February 14, 2020 when California and other states started to become very concerned with the pandemic. Stores were closed, children sent home from school and our worlds changed. The restaurants were closed; there was a run on toilet paper and cleaning products and one would have throught that every 3rd person on the planet would die, but that did not happen. I'm not sure of the number, but I think that 99.9% of the population or more is still living and that the pandemic has not made a significant dent in the world population, as one would have thought it was going to be.
We do not know who will live and who will die and because of that we wear our masks and social distance, but just because there is a pandemic of Covid-19 about us, around us, that is not an excuse to stop living life. A few of us know people who have gotten the virus and there are even fewer of us who know someone who has died of the virus. The odds on one of us getting the virus and dying is so signficantly statistically low that we must continue to live our lives as if we expected to live to be 100 years old, as I do.
Let us embrace the end of Summer 2020 knowing that we have survived a most intense ordeal and know that we are going forward into a bright future and one in which all our dreams may come true.
DR ESHANI KARU MD - Covid-19: Update September 13, 2020 - Have Fun with Covid-19 BODY Gear
So I'm walking down the street and I run across a couple of guys and girls that are wearing T-Shirts and I'm smiling behind my mask. You gotta give it to the American people to make lemonade out of lemons. I'm walking north and come across 2 people walking south and their shirts almost made me stop where I was. The one shirt read, "If you can read this it means you are too close, please stand back". Okay, pretty funny and it is lined up like an eye test chart you'd see at a doctor's office. The second one read, "If you can read this my girlfriend says your standing too close to me". I love it. I'd love to see and hear more about the ingenuity of American business and the Covid-19 pandemic. It doesn't always make sense, but there is no reason we cannot all find a reason to smile everyday. The pandemic will end, we will have lived 300 to 600 days and we want to remember that we enjoyed our lives along the way. If you can read this sentence it means you have a pulse and the ability to smile.
DR ESHANI KARU MD - Covid-19: Update September 4, 2020 - Labor Day School Holiday
It is the beginning of the school year. Students in Los Angeles and Orange County, California have gone back to school, but no one has left their home. This is presenting a dilemma for many working parents, especially those parents with children that are under ten years of age or do not have the ability to do school work independently. We need to think creatively in the next few weeks to make sure that our children who are unable to work independently at home with parents having to work outside the home that these children do not lose this school year. It is a very real possibility that left alone to work by themselves with a short attention span that teachers talking to them through Zoom or Microsoft Team will not make mental contact with them. Daydreaming is not necessarily a bad word, but for a student not listening to their teacher and unable to perform their school work because of a lack of attention and inability to totally focus on their own, this is normal, but highly inefficient in a school pandemic situation. Let us think about what we can do as a community to help these children so that they do not miss this school year academically.
DR ESHANI KARU MD - Covid-19: Update August 28, 2020 - MIT and Oxford Talk Face Masks
So researchers at the Massachussetts Institute of Technology (MIT) and Oxford University in the United Kingdom have published a joint review of what they considered an update on social distancing and a reset of the 6 feet distance, as it relates to being safe when one person has Covid-19 and the other person does not. They have postulated that the 6 feet distance was set by scientists and researchers over 80 years ago and that no one has taken into consideration the years of updated knowledge and experience gained over that period of time. They are suggestion to the public, with the idea of giving us greater assurance of safety with the idea behind it of relaxing a bit and being able to live a more fuller life we should know, in their opionion, that when you are meeting someone OUTDOORS (both of you wearing a mask) and you are not-talking the risk of infection is low. When you are talking outdoors, both wearing masks, the risk of infection is low. If you are singing or shouting, then the risk is significantly higher. The same will be true of indoors: silence is golden, so if there is a group of people doing social distancing and you are the silent one, not speaking, your chance of infection is lowest possible; speaking is low, but shouting or singing is a riskier proposition. So what it all comes down to is wear a mask, social distance and live your life on an upbeat, rather than go around with a worry cloud.
DR ESHANI KARU MD - Covid-19: Update August 22, 2020 - Time to Eat Our Veggies
We've talked a lot about wearing our face mask and washing our hands, but maybe it's also time to talk about our diet and to remember to eat well and to do our best to refrain from eating junk food and substituting quality nutritious food when we eat. All of us are suspectible to binge eating when we are nervous and nothing compares to pandemic eating habits to put unnecessary pounds on our bodies. Chocolate, cookies, potato chips and cheese burgers all taste great and nothing comforts like a milk shake, but if we are not careful, we will get ourselves in medical trouble, especially if we have pre-existing conditions. We need to remind ourselves to eat as many vegetables, grains, beans, fruits as part of our breakfast, lunch and/or dinners. Those who are at risk for heart disease, aslthma and/or type 2 diabetes a healthy diet and exercise may go a long way to mitigating. It is also important to walk. Walking is a great physical conditioner and it is not to be discounted, even if it is only a few minutes each day. One can start with a walk to the end of the block and in several days or several weeks the walks will be longer and more substantial and you will feel much better about your physical condition and health.
DR ESHANI KARU MD - UPDATE COVID-19 XXIII - (16 August, 2020) - Face Mask and Clean Hands is Best Defense
I've said it before and it is worth repeating that wearing your face mask and washing your hands or using hand sanitizer is your best defense against the virus, but it is important to live your life as well. Fear is not our friend and when in doubt we need to take a deep breath and understand that the virus does not live in one particular space waiting for your mouth or eyes to hit it. The Covid-19 is transmitted through tiny wet particles from mouth drops, spit or spittles and moving from one person to another. Wearing a mask cuts down the likelihood of transmission towards you from 95% to 5% even when the person getting in your face is not wearing a mask. Two people meeting and both are wearing a mask the odds drop to 1.5% probability and that is when the 2 people are within 6 feet of each other. Walking without a mask and seeing another person on the other side of the street walking without a mask and assuming there is a least 10 yards, 30 feet, between you, there is enough space that the odds are near zero. That said, walk with your mask in hand and when you see someone walking without a mask, put your mask on no matter the distance between you and know that are protected. Deep breath, wear your mask and live your life without fear.
DR ESHANI KARU MD - UPDATE COVID-19 XXII - (9 August, 2020) - TIME TO SEE THE DOCTOR
Too many of my patients are not coming into the office for fear of dying from Cov-Id 19. My friends this is not the way to take care of yourselves. We have created a very safe environment at our offices. We have tested ourselves to make sure we do not have the virus. Our nurses do not have the virus. The office does not have the virus. Our patients with chronic diseases such as diabetes, hypertension, coronary artery disease, hyperlipidemia, chronic kidney disease, gastrointestinal disease, diseases that we, in the medical community have long been able to control are now at risk to have these conditions overtake them and exacerbate these conditions instead of visiting us and keeping them in "check". We have the medical capability, the lab equipment, the lab tests, the medications, to be able to manage and control these diseases so that our patients can have a good quality of life and get these diseases under control but you need to be physically able to come into the office on a regular basis to do so. It is a crime after science and medicine has given us the ability to treat chronic disease to have our patients too afraid to visit for treatment. Call us to set an appointment and then let's visit and take care of your condition.
DR ESHANI KARU MD - UPDATE COVID-19 XXI - (1 August, 2020) - Suicidal Ideas Should Not Be Ignored
The subject of suicide was brought to the attention of the medical community this week in an article published in "Suicide and Life-Threatening Behavior". It is a subject that is always just under the thoughts of the general public at large as they "wonder" how many people are being effected by the pandemic and its circumstances. People are isolated in their homes, often 24/7 because of the Covid-19, and they have lost their jobs often to circumstances having nothing to do with their own behavior and the need to be a part of something is often felt to have been taken from them. Sometimes though as we all know, life and living can be a challenge to our emotions and then we are challenged to cope and we don't know how to untangle the fear, untangle the hurt, untangle the desparation, untangle the hopelessness and powerlessness that we feel. YOU ARE NOT ALONE. There is always light at the end of the tunnel. There is always hope. There is always an answer. Oftentimes we need help to find those answers and help is always available. Know that you or someone you know is in need of someone to talk to there is the National Suicide Prevention Lifeline operating 24/7 at 1-800-273-8255.
DR ESHANI KARU MD - UPDATE COVID-19 XX - (July 23, 2020) - A Doctor's Reflection on Office Visits
The COV-ID 19 crisis has made quite an impact on Dr Eshani Karu, her patients and her staff. It is obvious to all of us that COV-ID 19 is impacting our lives, but Dr. Eshani Karu has noted that it is an all encompassing crisis effecting nearly all of the areas of our lives. Eshani Karu, MD notes that it is physically impacting everyone as there is a threat to our lives every time we stop outside. Mentally our emotional well being is threatened as we our likely to get the virus from someone we come into contact, which forces us to limit our social interaction, just at a moment when we need all the emotional support we can gether. And then just when we get used to this restricted life style, we are hit with mandated shutdowns and now we have to deal with lost jobs and less work available in the marketplace.
And yet all is not total doom and gloom. We are able to see patients at Eshani Karu MD's office and help patients get through the day and their non-Covid 19 illnesses. We are able to do physicals and checkups and solve the issues not related to the coronavirus. There has even been positive outcomes from new treatments at nearby Pomona Valley Hospital Medical Center with convalescent plasma from recovered COV-ID 19 patients and treatment and with a combination of hydroxychloroquine and azithromycin, among other medications. Do not give up hope. Our medical people are intelligent, diligent and winners who will find a solution.
DR ESHANI KARU MD - UPDATE COVID-19 XIX - (July 16, 2020) - Protect Yourself with a MASK
The news coming out of Los Angeles this morning is one of great disappointment to those of us that live in Los Angeles County or live and work nearby. 11,400 new cases of Covid-19 infection was reported for Los Angeles on Tuesday, which is a number that is and sounds dramatic. 11,400 cases and my question is, "How many of the people that became infected were wearing a mask diligently when they ventured outside? How many of the people that were infected had been staying at home and became infected by loved ones who had ventured outside and did so and didn't wear a mask? How many ventured outside with a mask and were confronted by people not wearing a mask? These are the pertinent questions that I would like to know the answers, but regardless, we all know that the majority of people that were infected with Covid-19 were infected by people not wearing a mask and that the majority of them had been infected by people who had ventured outside with wearing a protective mask
The only person whose behavior we can control is our own. We owe it to ourselves to wear a mask in public. We owe it to ourselves and our loved ones to social distance. The statistics are overwhelmingly in our favor when we wear a mask. The odds of getting infected with a mask versus without a mask is over 95% in our favor. If 2 people are wearing a mask, the likelihood of being infected is 1% to 1.5% It is seemingly foolish not to wear a mask in the face of statistical evidence of this nature.
DR ESHANI KARU MD - UPDATE COVID-19 XVIII - (July 10, 2020) - Texas Medical Risk Assessment for Hair Cuts
The Texas Medical Association's Covid-19 Risk Assessment Chart was published earlier in the week and it was done to give the citizens of Texas a better idea on the risks they might be taking when doing various activities during this time where the coronavirus is not yet under control and a vaccine is not yet available. Medical doctors were given a list of activities and asked to rate them on a scale of 1 to 10 with 1 being the least likely to infect them with the coronavirus. At the top of the least as least likely to infect one with Covid-19 was "opening the mail".
Now what was considered fairly risky at a risk level of 7 was going to a hair dresser or a barbershop. Now understand that this is a medical opinion and it is based on a number of facts. Let us suppose that both you and the hair dresser are wearing a mask. Under no circumstances would I even entertain getting my hair done by a hair dresser that wasn't wearing a mask. I know that if we are both wearing a mask and we are standing 6 feet apart the likelihood of getting the coronavirus is around 1% o 1.5%. No one has published number for hair dressers that are right in front of the client getting their bangs cut. The Texas doctors and I would concur, the riskiness rises upwards from 1.5% the closer two people are closer to each other from six feet.
DR ESHANI KARU MD - UPDATE COVID-19 XVII - (July 05, 2020) - Hair Cuts & Style Protocol
A few female teenage patients of Eshani Karu MD have asked her about sharing their make with friends when they get together. Dr. Eshani Karu stressed that we all should be practicing social distancing, wear a mask and wash our hands frequently and that this wasn't the time to be sharing their lipstick, mascara and other beauty items. However, it is safe to use your own makeup products, but you must wash your hands before using them because you will often times put makeup on your nose, near the mouth and eyes. If you get the virus, you don't have to throw your makeup out with the trash; you can still use your makeup, but do not give to your friends to use.
DR ESHANI KARU MD - UPDATE COVID-19 XVI - (July 01, 2020) - 4th of July Weekend Protocol
The 4th of July is upon us and some of my patients are getting cabin fever and others are ready for a 4th of July barbeque. However, today the Governor of California has issued a 3 week ban on indoor eating at restaurants, musuems are closed, and so are the zoos and aquariums where families like to gather and show children new adventures and new experiences and the card rooms where adults gamble is now closed. So is it safe to go outside? The rule of thumb right now is that if you don't need to go outside, stay inside, but if you must go out - wear a mask. We have been saying this to our patients for quite some time - wear a mask, wash your hands often and practice social distancing."
DR ESHANI KARU MD - UPDATE COVID-19 XV - (June 25, 2020) - Food and Coronavirus Disease 2019
My patients have been asking me quite a few questions on COVID-19 and most recently about food and food preparation. Today the infection rates in Southern California, especially Orange County and Los Angeles County have been rising as people have been going out in public and not wearing masks, as well as the opening of restaurants and bars. The simple answer to the question of getting the virus through our food chain is, and I quote from the Center for Disease Control, "This is not thought to be the main way the virus spreads. Currently, there is no evidence to suggest that handling food or consuming food is associated with COVID-19. Currently, there is no evidence that food is associated with spreading the virus that causes COVID-19."
DR ESHANI KARU MD - UPDATE COVID-19 XIIII - (June 18, 2020) - STUDY SAYS WEAR MASK TO PREVENT COVID-19 SPREAD
June 12, 2020 ScienceDaily.com reported that Texas A&M university's professore Renyi Zhang, a distinguished researcher, and his team completed a study of trends and migration procedures from the countries of China, Italty and New York City, USA and found that for the period of April 6 to May 9, 2020 that Covid-19 infections were prevented by as much as 78,000 people in Italy an 66,000 in NYC from April 17 to May 9, 2020. Their conclusion was that wearing a face mask will definitely prevent "inter-human transmission". This finding has been confirmed by other studies and locally Kaiser Permanente personnel confirm that wearing a face mask is beneficial in preventing the spread of Covid-19.
DR ESHANI KARU MD - UPDATE COVID-19 XIII - (June 12, 2020) - CDC RECOMMENDATIONS FOR VENTURING OUTSIDE AFTER QUARANTINE
We have all been waiting for the Center for Disease Control (CDC) to publish their thoughts on the recommended actions, behavior, for all of us who have been in isolation or home quarantine and are now getting ready to venture back into the a more normal routine. There wasn't anything remarkably new in the recommendations that the news media outlets haven't been presenting to anyone watching the television news or radio. The items mentioned were:
- Wear a mask when outdoors
- Practice social distancing of 6 feet.
- No shaking hands, high fives and stay away from the elbow bumps. It's difficult but resist the temptation to touch.
- Use hand sanitizer when out, especially after banking with the ATM machine.
- When going over to eat socially, let everyone know the safest way to eat together is to bring your own food and drinks.
DR ESHANI KARU MD - UPDATE COVID-19 XII - (June 4, 2020) - CDC GUIDELINES for REOPENING OFFICE BUILDINGS
The Center for Disease Control has issued its guidelines to businesses and landlords for reopening business offices prior to businesses reopening. At first glance it is going to be a challenge to run businesses that once had employees working in wide open spaces and now with the CDC recommendations, including social distancing, it will be a challenge. Just picture most offices that you have visited prior to the quarantine.
1. Was there an elevator in the building? There is no social distancing possible in one of those, but we can wear a mask.
2. The CDC recommends opening windows and getting fresh air into the room and maybe a breeze. Tall office buildings are few and far between that offer open windows.
3. One area that is easily implemented is the snack area and lunch room, but it won't be the same happy place in prior times. No coffee pot that is always brewing. No open snacks like popped popcorn. Everything needs to be in an individual package and then of course, who is going to wipe down the counters and keep the room sanitized.
4. Putting desks 6 feet apart will be the norm, but if that can't be done then the CDC is recommending plastic shields protecting the desk and workspace.
The challenge will be to try to comply because the only reason for the recommendations is the safety of us all.
DR ESHANI KARU MD - UPDATE COVID-19 XI - (June 3, 2020) - CDC: EMERGENCY ROOM VISITS ARE DOWN
The information from the Center for Disease Control (CDC) is that nationally the number of people visiting emergency doctors and emergency rooms for the Covid-19 and or illnesses that had similar symptoms declined again, which is consistent with the numerical decline the past four weeks. visits to outpatient providers and emergency departments (EDs) for illnesses with symptoms consistent with COVID-19 continued to decline or remain stable at low levels. Those patients visiting on an outpatient basis is also down nationally in all various regions of the United States.
DR ESHANI KARU MD - UPDATE COVID-19 X - (May 28, 2020) - REOPENING SCHOOLS
The Center for Disease Control yesterday issued their guidelines for schools to reopen in the United States. The purpose of the guidelines is to help students and teachers from contaminating each other and spread the Covid-19 virus to one another. They want the schools to work with state and local officials and meet the regulations that both have put in place for their location. We wouldn't expect the CDC to say anything less.
The CDC guidelines state that for older students wearing face masks is a must, except when doing physical exercise and then social distancing should be followed. Staying away from sick people is also encouraged. Remember to wash your hands for 20 seconds and make hand sanitizer available in the absence of soap and water and tissues for sneezing.
The school administration should see to it that all high touch surfaces, like stair banisters, need to be extensively cleaned once a day. The classrooms should be laid out so that desks are at least six feet apart and if possible, the CDC would like partitions between desks to maintain social distancing.
Finally, in the area of school lunch and snacks. Students are encouraged to bring their own food. Eating areas are to be disinfected after use as well. Staggered drop-off and pick-ups from school are encouraged to avoid overcrowding. And the CDC encouraged visible signage and public address over the school's PA system.
The website mayoclinic.org wrote as recently as April 20, 2020 that dizziness was one of the main reasons that patients go to see a doctor. Some of the symptoms may be a false sense, a feeling of spinning, motion, a feeling of lightheadedness or a feeling like losing one's balance and a feeling that you are going to fall. This feeling or episode may last a few moments, minutes or even days. A call to the doctor is certainly in order when an event like this occurs. Dr. Eshani Karu MD has written an article on the subject and it can be found here.
DR ESHANI KARU MD - UPDATE COVID-19 X - (May 21, 2020) - CDC: DIAL DOWN YOUR ANXIETY
Yesterday the Center for Disease Control announced that after several months of data derived from around the country that the likelihood of catching or getting COVID-19 from touching the surface area of objects is very low. Touching table tops, counters, grocery bags, mail, these are not high priority targets for catching the Covid-19. There will be more to come I am sure in the future, but for right now there are some basic things we all need to do to prevent the spread of this virus. One - wear a mask. Two, maintain social distancing of six feet with other people. Three - frequently wash your hands. My colleagues bought hand sanitizer in the grocery store, so it is becoming much more available. So let us all stay with it: mask, social distancing and keep our hands clean.
DR ESHANI KARU MD - UPDATE COVID-19 IX - (May 15, 2020) - GETTING A VACCINE - Part 1
The talk continues on a daily basis about COVID-19, quarantine, getting back to work, open the schools and fill the sports arenas with people, laughter and cheer. Much of the talk is that this won't be possible without a vaccine, which is not entirely true, unless we as a collective society make it so. There is a possibility that COVID-19 will burn itself out like SARS did. There is also the possibility that COVID-19 could become something season like flu, every time it gets to be November or December COVID-19 might reappear. There is also the possibility that a vaccine could be developed and if that happened then people could get the vaccine and all would return to normal.
What is a Vaccine?
Vaccines are substances that stimulate our immune system so that they are able to make antibodies the provide us immunity against a disease or in this case COVID-19. The US government has given its full support to speed up the process of helping public and private entities develop a COVID-19 vaccine as soon as possible. Vaccines have to undergo research by scientists or inventors and experimentation is part of the process for developing a vaccine. There can be laboratory tests on animals at first and once there is success with animals, their attention turns to testing a potential vaccine on human beings. At the human level the scientists conduct "clinical trials".
There are three (3) phases that a vaccine needs to go through to get its approval.
There is Phase 1 in which just a small number of people are tested to see that the vaccine is safe. This might be as few as 5 people, but more than likely a greater number will be tested against COVID-19.
There is then Phase 2 in which the vaccine's effectiveness is evaluated. It's one thing to know if the vaccine has potential, but you also have to know how much of the vaccine is safe to give and what are the possible doses or dosing to over the COVID-19.
Then there is the final Phase 3 where the vaccine is put to the test by the thousands of people and the vaccine is perfected. In the case of COVID-19 the government and the people are not looking for perfection; we are looking for something effective.
DR ESHANI KARU MD - UPDATE COVID-19 VIII - (May 9, 2020) - ONCE YOUR QUARANTINE IS LIFTED
There are several cities that are lifting the Covid-19 quarantine. Some businesses are being allowed to open, albeit in a different form that pre-Covid-19. Restaurants are maintaining social distancing as best they can. The National Basketball Association has set up special practice procedures for their players that includes no more than 4 players on court at a single time with each player having an assistant coach wearing face mask and gloves to retrieve and throw them two (2) practice balls. Hand sanitizer, snacks, water and everything they need is put on the court so that they do not interact with the other players. Social distancing of 12 feet apart is their norm. Parks and hiking trails have opened with people wearing face masks and maintaining 6 feet social distancing is in effect. Yes it will feel uncomfortable for a little while to be meeting friends and strangers wearing masks and maintaining social distancing of 6 feet apart. This may be the new normal for several months, but we will adapt. I encourage all of us that when our first instinct is to "flinch" when something out of the ordinary occurs to you, recognize that you have reacted and that the reaction is something new that has occurred as part of the new normal. Smile that you have recognized it and move on with your day, confident in the knowledge that you have the ability to adapt.
DR ESHANI KARU MD - UPDATE COVID-19 VII - (May 4, 2020) - Covid-19 Test Kits and Testing
I have been receiving questions about Covid-19 test kits, as it relates to the news articles about a shortage of test kits with local county health offices, sometimes hospitals and general questions about Covid-19 tests.
There are 2 main tests that are in the field today. The first test deals with our RNA, the virus is measured using Reverse Transcription (RT) PCR (polymerase chain reaction) or the short term PCR test. This test is able to tell you whether or not you have Covid-19 if you are in the 2 to 14 day incubation period.
The other test measures your immunoglobulin (blood protein), is known as the IgG/IgM serological test. It tells us whether or not you have had the virus and takes 15 minutes to get the results. If you are interested in a more detailed explanation of the test kits and testing, please see my article on Medium.com.
DR ESHANI KARU MD - UPDATE COVID-19 VI - (April 25, 2020) - California Website Bullet Points to Protect Californians from Covid-19
California's Website has published several steps we should all take to "combat COVID-19 (also known as coronavirus) from spreading in California.
- Californians have been ordered to stay at home in order to slow the spread of the virus from person to person unless their jobs are deemed necessary.
- Covid-19 testing is now free for all medically eligible Californians.
- California students are able to study and complete their classes and still receive their free meals even though all schools are currently closed.
- The California National Guard has been assigned to work at California food banks around the state to ensure that Californians have a stable food supply and to avoid people going hungry.
- The State of California has distributed millions of N95 masks and other PPE personal protective equipment to health care workers across the state and in some cases across the nation.
- The State of California has made hotels and living travel trailers available to give people with no housing and others experiencing homelessness a place to live and quarantine so as to stop person to person contact and the spread of Covid-19.
Dr Eshani Karu MD - UPDATE Covid-19 V - What Are The Symptoms?
The United States Center for Disease Control (CDC) has told us on their website that people who have COVID-19 have a lot of different symptoms that go from having very mild symptoms to having severe illness. The CDC also tells us that the symptoms may appear as soon as 2 days into the illness to up to 14 days after the person was exposed to the COVID-19.
So the symptoms that we should all be aware of for ourselves and our loved ones include:
- High temperature - fever
- Repeated shaking with chills
- Shortness of Breath
- Difficulty Breathing