My COVID-19 Experience | Dr. Shereene Idriss
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- เผยแพร่เมื่อ 15 ม.ค. 2021
- Back in November, I was diagnosed with COVID and lived through one of the most emotionally and physically draining time of my life. I am choosing to share this experience with all of you because having been in isolation going through it, it can be a very dark and scary time. I hope this offers some insight and guidance to that person who doesn't know where or who to turn to ❤️
REMINDER: This video is not meant to diagnose, treat, or provide medical advice. It's for informational and educational purposes only! You should 100% seek medical advice from your primary care provider if you are experiencing symptoms.
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The oximeter saved my mom’s life! Once she was on 92 we called an ambulance and eventhough they were fast; by the time they arrived she was on 77. I cannot thank you enough for the advise ♥️
Love to you, Dr. Idriss. My aunt passed away from Covid early-ish last year. She was a nurse here in our borough. My heart still aches for her baby girl. Everyone out there risking it all for us still, I hope I can one day reciprocate your incredible sacrifice.
I am so sorry for your loss 💔 may she Rest In Peace
I’m so sorry about your aunt.💔
thank you for sharing this. My dad is an ER physician and tested positive and so did I. He was in the hospital for two weeks, we almost lost him 💔 but he’s back home recovering. May not have my smell back but so thankful I have him back. ❤️
🙏❤️ wishing him a speedy recovery
@Chelle Bright I took zinc like crazy when I had covid and my smell/taste started returning after about two days of being completely gone.
Yes! Getting an oximeter is the best advice ever .. that's how we knew to take dad to the hospital before it was too late !!
I hope he’s doing better
Glad to see you are feeling better! I work as a nurse and I had COVID about two months ago even with the safety precautions I took. I know the struggle to isolate yourself and not seeing your loved ones because you are too afraid you might hurt them in some way. Keep your spirits high and don't let it get you down!
“The fart I was so most grateful for” - thank you for sharing your experience and being able to see the humour in a very dark situation.
Thank you for keeping it real about the panic attacks and stress when going through such an illness! When I get even just a dust allergy, I get so worried and I know so many of my family & friends who go through tension just on everyday allergies just like me because the times are such! There is a part of me that will accept whatever happens because my husband and I are very... extremely... careful and to the best our abilities extend the same diligence when we have to interact with another person. We both work from home, haven’t eaten out since March of last year, don’t travel anywhere (except for car rides & going to hiking areas during mid week), only zoom calls with loved ones and do grocery shopping only during non-peak times once in 2 weeks (we don’t have kids or seniors living with us). Yet, I know inspite of that, we could get ill due to somebody else’s asymptomatic conditions, and, exactly like what you say....it is important to take swift actions when diagnosed with covid, to be be guarded and follow the precautions to at least keep at bay an escalating health situation.
If everyone were this thoughtful this thing would be over! My respects dr. I'm tired of people not caring because nothing will happen to them, what about the ones around you?
@@notanotherseahorse8369 Do you know how much is 1% of the world population? A lot. Maybe your grandparents, friends or parents with comorbilities included. Anyway, I think the rate it higher than that, bc some countries aren't informing. Also, young people that catch it for the second time are dying, and some more never fully recovered,even dying 8 months since they had it..
@@carly9077 so then be concermed about cancer and heart attack because those kill higher percentages..
@@carly9077 you can be young and unhealthy. Young kids these days feed on takis and hot cheetos never get their vitamins in or eat healthy..
@@lmt6672 very true.. You never know what may happen.
Either way, more people had died bc of covid in the us than us citizens in the World Wars combined
I am a retired nurse and I would have the same reaction, “OMG, who did I infect” thanks for doing this. Glad you are feeling better. As always, appreciate your time! (Have everything except the Dexa.) I am prepared!
First, glad that your sense of smell (LOL) is coming back & that you're improving all around.....I'm a retired Director of Infection Control & just wanted to commend you on an excellent, informative, no-nonsense video. Kudos! I've sent it to several family members & friends. Just wanted t say thank you! xo P.s A Pulse Oximeter is one of the first things I bought when all this started👍🏻
Thank you so much 🙏❤️
You were super responsible. We appreciate that
Thank you for sharing your experience and your advice. I’m also a healthcare worker and I have been crazy paranoid. I can imagine your horror upcoming finding out and am so glad to hear you and your family are well. Appreciate you! 💛
Sending love to you and your family! Thank you for sharing. It calms down my anxieties when I hear stories like this of people getting through COVID.
Getting covid while getting tested, that is really really messed up. I am glad you are feeling so much better now
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This is the best video about a COVID experience I’ve seen. You are brilliant and so kind too.
5:56 I also realized I had covid when I couldn't taste my favorite food all of a sudden!
I had Covid back in April and it was horrible. I'm a university student in my early twenties and it completely wiped me out for four weeks. To this day, I'm having trouble with my breathing and I actually went to get my heart checked out by a doctor recently. But there was a silver lining: I got my sense of smell back eventually! Hope yours will return fully soon.
It’s a wild virus indeed.... I’m glad you’re feeling back 💯
It’s crazy how it affects everyone so differently! I know people who were/are extremely sick and hospitalized from it and I know several others who had no symptoms at all except some of them lost their sense of smell and taste.
This video pushed me to notify our doctors as my husband and I came down with Covid over a week ago. Thank you so much!!
How ironic getting Covid while being tested for Covid.
Biggest irony of all
@@shereeneidriss did you also lose your appetite?
@@tnt01 when I lost my taste I did lose my appetite .... glad it’s back now
@@shereeneidriss glad you are better. :)
Got it too while testing im sure 100%
I appreciate you sharing your experience and knowledge, I'm glad you're feeling better. this was a helpful and even hopeful reminder to keep social distancing and being extremely careful. sometimes the lockdown and the isolation part of it really get to me, mentally. but you reminded me, once again, why we're doing it and why we should keep going. thank you for this and for all you've done for me last year. love from germany ✨
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Dr Idriss I really really appreciate how genuine and honest you are, not to mention funny. Sending you love.
Thank you ❤️🙏
Thanks Shereen - this is incredibly helpful. I know how diligent and evidence based you are so it’s super valuable advice. It’s really good of you to post this. X
This might sound weird but I really like your voice
Thanks
I wish you and your sweet family stay safe 💜 The possible long-term effects of different pathogens are so badly understood and managed that it breaks my heart. Im personally battling CFS-like symptoms so I know what it can be like. Take care everyone xx
Thank you for sharing your advice. I am a phlebotomist on Long Island and we get tested weekly. I feel comforted knowing that there are things we can do if we contract the virus just to be proactive. I am glad you recovered safely!
Thank you for sharing this. Appreciate the reminder to be diligent in protecting myself and the people around me.
i wish i found this when i was sick in November too... also a doctor, also had the same emotionally and physically draining time of my life. gave covid to my parents and my kid and needed a psychiatrists and tons of prayers to get over that.. thank you for making me feel better
Thank you for being very candid about it!
loved this! I'm glad you and your family are safe!
I’m going to find a GP based off this video. So glad you have recovered safely- appreciate this video it was super helpful.
Love your videos. I always look forward to your video! Thanks for sharing. I’m glad you’re feeling well now 💜
Thank you so much Dr. Shereene - I have taken all your recommendations on board (going to get the Pulse Oxometer) and I'm so glad you are recovering ♡
This was incredibly helpful, will keep it in mind in case I ever get covid. So glad you've gotten better 💕
Hopefully you never do 🙏
Thank you so much for sharing this Dr. Shereene! 🙏🏻
Thank you for sharing and taking covid seriously. I’ve seen so many people, even doctors, not take it seriously. I’m curious to know if doctors are usually on call to take night calls? Thank you for all these tips. It really helps to have a plan of action. Hope you get better and love your channel :)
Thank you for sharing this. It’s important to be educated during this crazy time. Love all your videos
Both of my parents got their first vaccine this week because of their jobs. It makes me feel better than they have that extra protection as they are getting older. I can’t wait until the general population can receive the vaccine.
I got it along with my whole family .. i also thought it was ironic because we've been sooo careful, and ended up getting it from grandma, the person we were most worried about ( she also got it from my uncle ). Thankfully she has been really fine, but my dad ended up in the icu for more than 10 days, it's been 2 months and he almost recovered now. My sister and uncle had strong symptoms too, and was knocked out in bed for weeks, despite them being young and fairly healthy. The rest of us had it pretty light, the mental stress was horrible though.
I truly wish no one goes through this, feeling like you might lose your loved ones, without even getting to see them and spending the last moments with them is the worst feeling in the world. Stay safe everyone.
I’m so sorry and dont even want to begin imagining that - I’m so glad tou guys are all ok now ❤️
@@shereeneidriss oh thank you .. i like to think we were veery lucky and I'm forever thankful for that ❤
We've got same situation currently and today is the 9th day . It got it from my grandpa ,yep despite we've been so careful for him, he can't resist and unfortunately he died two days ago, he's 84 . And our the whole family still fighting and getting treatment at home from doctor. Sometimes isolation made me suffocated and feel depressed 😔and to be honest I'm nervous. I don't know why I text here may be I don't have no one to tell after I read ur comment it made me feel like we have got same situation I hope u will understand me
I just recently found your channel and it’s beyond wonderful;
Thank you for all of your priceless advice and your candidness ❤ Forever grateful
You seem like a genuinely kind person 😍
Such a helpful video, thanks so much! So happy you are better and didn’t have it too serious 🙏🏼💕
You're a lovely person. I'm glad you are recovering and thanks for sharing
Thank you for sharing!! I wish everybody is as careful as you and your family.
You’re such a sweet Dr and my favorite youtuber in the medical community 🥰
Thank you ❤️
Glad you've recovered 💙and this is such a helpful video! what I find most challenging, like you mentioned too, is protecting myself and others. my closest friends and some family want to keep meeting every weekend. how much can one say no? also recently had a friend land up in hospital due to a serious injury, and while visiting them is helping me and my friends, I find the entire situation even more stressful because of COVID- how do you still stay safe? what about the fear and guilt of infecting the friend or his family when meeting them regularly? how to deal with the stress of 'what if'? how can one be sympathetic and supportive during COVID in such situations? I am finding these emotional, social, and psychological aspects during this time quite difficult.
I'm so glad you're doing better now! Thank you for sharing your experience--I really hope others take it to heart and keep following Covid guidelines and get vaccinated as soon as they're able.
I’m SO happy you’ve recovered.
Loved seeing this, thank you! During this year of pandemic (I´m in Milan so we´ve seen a lot of it since February last year) I´ve not heard anyone who´d got covid19 express any worry about the possibility of having given it to others, and it disappoints me so much. When the pandemic started here, I was (and I still am) like you, protecting and isolating more than others around (they actually did nothing, just laughed) and still do more than what is requested. I was supposed to travel to India but cancelled mostly out of fear to bring the virus with me. I´m so happy to see so much empathy, care. You must be such an incredible doctor.
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I have reduced lung capacity and wear N95/FFP2 since April. I could wear those with a valve but want to protect others, even though I'm mostly isolated at home, since March 2020. Ffp2 have a training effect for my lungs.
I cannot to this day understand selfishness, especially in doctors and nurses who want to treat me, a risk patient, with only cloth masks , their full beard not shaven, or people who think it's ok to be careful only around me but not in general. I cannot be protected if the incidence is high. To think as a collective and not as an egoistic individual seems too difficult for many ppl in the West.
@@geckolia3823 Yes there´s incredibly lot of selfishness and also pure stupid thinking. I had to see a cardiologist for an emergency a few weeks ago. The physician came to my home, I had all windows open even though it was freezing cold, and was wearing a N95. I asked him to keep as much distance as possible. He had a N95 but too loosely fitted, so it constantly sat under his nose. He also asked me if I really didn´t prefer closing the windows as I had to stay undressed. Most of all he said that he doesn´t think covid is a threat for most people, only elderly and those with bad lifestyle! Furthermore he even said that he thinks there´s a lot of money in vaccines but that the most important solution is to have a healthy lifestyle. I didn´t reply but I´m still disgusted. In his eyes I probably don´t look like someone who has a healthy lifestyle. Due to autoimmune issues, congenital heart issue, I´m often ill, and I cannot exercise as much and often as I want. Even though I have an extremely healthy diet I´m not slim. I´m an extreme believer in healthy lifestyle (healthy wholefoods, fasting periods, rest, stress management etc.), but it´s not all, there are also genetic factors and lots of other things. Thankfully we can use both lifestyle (including natural integrative medicine such as ayurveda) and modern medicine and pharmaceuticals.
@@mj-ev8hu hahaha I had a doctor's appointment today in which she told me ppl die because of vitamin D deficit, pcr tests are false, and noroviruses worse. March last year same doctor advised me to isolate. It's mind boggeling. This doctor kept saying "you studied molecular biology and worked in a lab so you know" and I twice explained that pcr tests are utterly accurate or but she acted as if I had agreed with her. So bizarre. Deep down I know she knew I know and also that we both know it's crap but she wanted to believe it. O and of course she already had Covid (I was not surprised 🤣) but still wore a FFP2 to calm patients. That she could infect us again seemed to also not be possible.
Ps.: I have vitamin EDKA deficiency and substitute ;)
Your video gave me great comfort because now if my partner or I test positive, I have an action plan! Thank you so much for posting this! Also, for quarantine/Covid/etc----your hair looks damn good : )
I am truly proud of you Dr Shereene!! Thank you so much for your wonderful honest advice! Hope you get healthy soon!!
Thank you so much ❤️
Thank goodness you are on the mend ❤️ your TH-cam family is praying for your safe recovery ❤️ Thank you for all the valuable info! Your #funnynotfunny stories and warnings were endearing ❤️ Your worry for those you may have passed it onto was heartbreaking to hear-the thoughts can be terrifying and all-consuming ❤️ Stay strong fierce goddess! ❤️ may you soon be able to enjoy your family’s hugs and plates of cheese! ❤️ Merci azizam!
I’m so glad you’re doing better. My son, 14 and my mother just got over covid as well. The rest of us somehow tested negative twice during their time of illness. Luckily they had very mild cases that did not require hospitalizations. We are blessed ! Thank you for sharing all of these tips with us and I am glad you are recovered.
You're so an angel to share your experience!!!
More people have to get their stories out there. Thanks for this, and glad you're well.
Thank you for sharing your experience. This was honestly a very well-crafted video. You gave all the disclaimers, described your experience, gave tips, and it even had some funny moments! So glad that you were able to recover. I wish you and your family good health moving forward.
Thank you for sharing. This is exactly why we should keep on guard. I’m glad you recovered. Greetings from Spain
Thanks so much for sharing this, Dr. Idriss! My father passed away a month ago due to complications from COVID. He also had an oximeter while he was at home for two weeks before he went to the hospital and it was too late. If my family has learned anything, it's that if you're a person at increased risk (65+, heart disease, etc.) GO to your doctor and/or to the hospital. Just go. I would do anything to tell my dad that now if I could.
I’m so sorry for your loss 💕
I am so sorry you lost your father. Love to you.
I am so sorry for your loss!
dr shereene thank you for this very informative video and i wish i knew before about the importance of pulse-oximeter! when we reached the hospital my husband’s saturation was 89.. we were directed urgently to an emergency unit but all units all icu beds were full. i can not tell the panic we had been though. my husband told us that he was fine all the time (even with 89 saturation🤯) so having a device which gives objective scores and makes the situation clear is so important and so vital. thank you for stressing this👍🏻
Glad to see that you are doing better. Sending positive vibes ❤️
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Thanks for sharing! I've been terrified of catching it because I'm worried about passing it on, especially to my mom.
That’s the scariest feeling
My son has severe asthma and just got over COVID. His doc prescribed all of the same vitamins/meds with exception of turmeric and addition of an inhaler. He was through the illness in 1 week. I believe vitamin D is a big factor in reducing severity. Stay healthy!
This video is so so helpful. Thanks Shireen for uploading this video.
Thank you very much! How informative.
It’s a great reminder to never let my guard down. Thank you
Bonjour Shereen 💐 I'm really happy you're fine & your family too 🙏 I loved listening to you carefully no one is immune!! Your advice is precious, I thank you so much for sharing this experience with us, it's never enough ♥️ Glad you are fine, take care please 💐with Lots of love.
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Thank you for sharing, I can't imagine the stress and emotion till of thinking you might have infected a loved one. Thank you 🤗
I hope you never have to feel that ❤️🙏
Thanks for making this video. Maybe it's just me but this was the first time I ever heard anyone talk about covid so candidly and pragmatically. There is a void where self-care for covid should be, primarily I believe because of the stance society has taken and been led to by gov and paediatricians etc that covid is no big deal even to the point where my Dr doesn't take it seriously. I have been gathering scientific articles on covid prophylactics and I shall add your personal suggestions to my list to research. I can't stress this enough, thank you and so much gratitude ❤
That was me. I did everything right all last year then I got it on the first. Just now feeling better
Could you make a video about where you should/shouldn’t store skincare products?
I had the same experience with getting covid. My sister has ALL and ALM cancer and my dad was in a horrible car accident recently. And I gave them both covid. I hid in my room so fearful for them not me. It’s been 2 months and my dad is still coping with symptoms. My sister cannot get life saving surgery until she passes a covid test, she hasn’t passed yet. Please be careful out there it’s not worth it!
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Even so much later, this is still totally important and relevant. It was interesting to hear that you had been so careful, because I also was this careful and it seems like by far most people weren't (at least where I am, but not a big city like NY). My husband and I always followed all the guidelines, including not socializing with anyone outside of our household for months and months, and I think our extended families thought we were crazy. The only time I didn't follow guidelines was at work, because I'm a teacher and wasn't able to. At work I wore a KN95 every day and ate lunch alone. Our school (husband and I are both teachers) decided not to take any precautions except masking for a few months (something at least) and surface cleaning, even though at that point we knew surfaces weren't a danger. I finally tested positive for the first time one week ago, and today am almost at 100%. I had just started hanging around close friends unmasked and eating inside restaurants a week or two before, so no surprise. I don't regret anything I did and just feel so grateful I got it when we already had the vax and I was boosted. **Tell your doctor and get a pulse ox!!!!** My doctor immediately put me on paxlovid and I had already had a pulse oximeter since early on in covid. Those two things made it as easy as possible. So grateful for medical scientists and doctors! I understand why a lot of people have a we-will-all-get-it attitude, but in my mind it is completely preventable and I wish more people were willing to contribute to that.
I have been going to restaurants in Feb and March and also from July (when lockdown ended) and nothing. I have been seeing friends etc and doing everything you can possibly do. But I have been super careful washing hands etc. In the end I got it from my boyfriend who got it from a child at school. That’s unavoidable as we live together. So yes I think you got it from touching your face that time!! I understand the mental stress - I feel the same as we went to a restaurant Xmas eve and am worried we gave it to the old waiters or something :( be careful people - basic hygiene!! Don’t struggle with your mental health by staying indoors - just live your life and use extreme hygiene measures with your mask, wash hands etc
This was excellent information I haven’t heard a lot of this besides isolating yourself, thank you!!!!!! ❤️
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Glad to see you are okay and the symptoms were mild and honestly it was refreshing to hear that someone in the USA was wearing protective gear since February. You guys were hit hard.On another note: did you get into painting? Cannot wait to see more updates in future videos.
Grateful for social media to have connected me to many across the world who warned me... and I started in medical school 🙌❤️
Loved this video ... So informative. You are an amazing person 💗 thanks doll 💕
Thank you so much for your input. I know plenty of people who were super careful just like you and still got it. So, I get annoyed when people are going out and on vacation and they say "we are being careful". That isn't a guarantee, you can still get it, no matter how much you wash your hands and apply sanitizer. It's in the air people. Glad your doing better.
@May Gold, I got it before Thanksgiving also and I literally hadn’t left my house since March! My son worked at McDonald’s and although they masked and cleaned and he had hand sanitizer, one of his coworkers tested positive and since they usually worked drive thru together, it was not possible to social distance, so he got tested just in case and so did my husband and I. My husband was negative but my son and I were not. The worst thing was how terrified my son was that working to make his car payment would be what killed his mom. Thankfully we both had mild cases, but you are so right, this is nothing to take lightly! Thankfully I had decided to skip the holidays with my parents who are 86 and 84 because we didn’t show any symptoms until the Saturday after Thanksgiving and I can’t imagine the stress we would have be under if we had had our usual Thanksgiving dinner.
So glad you are feeling better. Was watching you while you were ill. You are great and funny!
Thank you ❤️🙏
Thank you for your story. I have just had the covid. The stress and anxiety was the worst for me. Even now I feel scared that it will return by watching the video 🙈
I didn't pass it on to my husband. I'm really proud of that. Because we couldn't isolate 100% because of my mental state. The lesson for me was that hygiene is vital. I'm trained in hygiene principals in healthcare. So I'm really thankful for my training.
Again thank you for the story.
Great video! Thank you for sharing your experience and wish you and your family good health!
Thank you 🙏❤️
Thank you for sharing- I feel the same as you
This should be a national covid PSA! Thank you for the video.
So glad to hear you're doing a lot better!
I got covid last summer and it was the worst. Only one day during those first days I got covid I woke up feeling like a cinderblock was on my chest and I checked the pulse oximeter and it said 91%!! My dog was barking outside my bedroom door so I think she was my guardian angel that woke me up that morning. I panicked and thought OMG I'm going to die. It felt like I couldn't even lift myself upright and I used all my strength. I was able to lift myself and I stayed upright and eventually my o2 levels starting getting better and I monitored them very closely - called my doctor who was aware I had covid but he said if I get a bad o2 level call - I got put on dexamethasone, baby aspirin and a z-pack.
Same as you I was super paranoid more than anyone I know masks, gloves, lysol spray everything. And I am pretty sure I know who gave me covid as a client at my job sneezed but the mask he used was later to be found out ineffective at preventing covid spread/droplets. I was the only one near him when he sneezed as the others who had been around him wore n95 masks and shields. Months later when we saw him again he confirmed he had gotten covid since we last saw him and lo and behold he said he had the same time I did. >.
Yes, your video was tremendously helpful. This is the most thoughtful, informative, and heartfelt video on COVID-19 to date. It should be mandatory viewing for anyone accessing You Tube or any other platform. I feel better prepared now. Merci!
Thank you ❤️🙌
I tested positive for COVID in january, lost my sense of taste and smell and had very light symptoms, but 3 or 4 days later my husband got very ill to the point where he needed oxygen 24/7 for almost three weeks. He lost a lot of weight, his hair is starting to fall, and is very tired all the time.
Thanks for sharing your story. Stay safe
the first thing I purchased when the pandemic started was the oximeter and my husband thought I was crazy.
I remember watching your stories when you said you thought you had a fever and my heart SANK bc I knew how careful you had been all these months. So glad you’re better and it was a “mild” case. Did the woman you contracted it from also have a mild case and how’s she doing?
I have a couple of funny stories from how messed up my smell and taste were but the most memorable one for me was when I salivated for soup. After I started feeling better I slowly got my taste back. I could taste only sweet first, then sour, and then salty. About 4 weeks after my onset of symptoms was when I salivated from smelling food. I could hardly smell it and it didn't taste that good to me but it still amazed me to realise it had been that long.
I hope you're feeling better and better each day.
Thank you so much for sharing your experience. I know it must have been so difficult for you. ❤️❤️❤️
If this can help just one person I’m happy
You are so lovely! Thank you! And from what I am seeing...I am liking your painting!
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You are such a wonderful soul!
You must have been terrified. I’m so happy that you’ve recovered. 💜
Very informative. Thank you. It’s amazing your husband didn’t come down with it as well
Bless you. Thank you for this.
this video is so helpful for planning for the worst but hoping for the best. Thanks Dr!
Always 🙌❤️
Really liked this video, thank you for making it!
Glad you're back to "Normal". I can only imagine how scary it was.
Thank you and I don’t wish it upon anyone
@@shereeneidriss I was like you with the mask wearing and was my hands before it was recommended.
I am from Canada and was studying in Minot. Luckily, I voluntarily got teste weekly and never got COVID but the fear especially lingered during my semester living on campus. Sadly, measures like mandatory mask wearing wasn't in effect until Oct-Nov! Thank god for online live courses so I can stay in Canada :)
Glad you are doing well doc! 🙏
I have had the virus twice confirmed, and first time I was pregnant back in Italy in February when we didn’t know much about it!
@Corinna Alvarez That must have been terrifying!
Great advice per usual
Thank you
I was diagnosed yesterday and these are great tips. Amazon order is on the way!!!
Thanks for sharing your experience- I can’t imagine how worried you must of been thinking you could affect patients, family and friends- I would be too as I’m a nurse but been lucky to not get it and get fully vaccinated now in Australia
Reqlly informative video thank you so much 🙌🏼 I hope you get back to your full swing and to also those who have been affected by covid please know that you are not alone please stay safe!
Can you make a video about what it’s actually like being a dermatologist? Like your day in the clinic? So sorry you got covid, I’m so glad you’re okay!!
She's done routine videos in Allure's TH-cam channel.