You will discover no scarcity of medical recommendation on the market throughout the coronavirus. Separating fable from reality, the present from the outdated might be tough. And what recommendation is really important, crucial to prioritize?

Chopping via the noise—that is why we requested medical doctors for crucial recommendation they need you knew. Here is what they advised us. Learn on, and to make sure your well being and the well being of others, do not miss these Certain Indicators You have Already Had Coronavirus.

The coronavirus menace will not be ending anytime quickly, regardless of the place you reside. Folks of all ages can turn into severely in poor health with COVID-19, and you may unfold it even with out growing signs. Observe all official suggestions about social distancing and good hygiene practices to cut back the unfold. “Go away your footwear by the entrance door,” says Dr. Deborah Lee.

“Wash your palms all through the day, particularly in case you have been out and have simply arrived dwelling, earlier than you contact something in the home. And take social distancing severely. Will probably be some time earlier than you possibly can see household and associates, however you set your like in danger—and theirs—by not following the principles.”

“Many individuals affiliate switching to weight loss plan soda, or different weight loss plan drinks, as a wholesome different to some drinks,” says Drew Miller, MD, a household doctor in Lakin, Kansas. “Nevertheless, there have been quite a few research reporting the hyperlink between weight loss plan soda and weight achieve, in addition to elevated danger of growing diabetes, coronary heart issues, or different power well being points.”

The Rx: Swap out that soda for water, seltzer with out synthetic sweeteners, or selfmade spa water — add slices of lemons, limes, oranges or grapefruit to a pitcher of H20.

“For essentially the most half, persons are making an attempt to be useful, stay as much as expectations and hold their sufferers wholesome,” says says Ariel B. Grobman, MD, a board-certified otolaryngologist with Larger Miami ENT. “Errors do occur, and issues might be missed, however we must always have compassion for healthcare practitioners.”

“Many individuals assume that effervescent of hydrogen peroxide on a wound is proof that there have been micro organism within the wound and that the micro organism are being killed,” says Dr. Robert Beam of Novant Well being-GoHealth Pressing Care in Kernersville, North Carolina. “The effervescent justifies its repetitive use.”

The Rx: Clear wounds with cleaning soap and water, apply antibacterial ointment, and canopy with a Band-Support. However skip the bubbly stuff. “Hydrogen peroxide is a potent oxidizing agent,” says Beam. “It damages all natural materials, bacterial and human.”

“Respiratory via the nostril is an easy but efficient methodology to attain higher sleep,” says Anil Rama, MD, adjunct medical school on the Stanford Middle for Sleep Sciences and Medication. “Our nervous system consists of two components: the sympathetic system and the parasympathetic system. The sympathetic or ‘combat and flight’ system is lively throughout the day; the parasympathetic or ‘relaxation and digest’ system is extra lively at evening. Any course of that will increase the exercise of the sympathetic nervous system makes sleep tough. Mouth respiratory will increase the exercise of the sympathetic nervous system.”

“If I may give one well being tip, it will be to protect your psychological well being and inside peace in any respect prices,” says Sophia O. Tolliver, MD, MPH, a household drugs doctor with the Ohio State College Wexner Medical Middle.

The Rx: “Meditating within the morning and setting an inside agenda and optimistic intention might be an effective way to set the tone for the day,” she says. “On the finish of an extended day, meditating to clear your thoughts of all negativity, forgiving the upsets of the day, and reconciling your genuine self can set the stage for restful and enjoyable sleep and actually is a type of self-care at its highest stage.”

“Get your annual screening mammograms, know your loved ones most cancers historical past, and educate your youngsters about most cancers danger identification, administration and discount,” says Anjali Malik, MD, a breast imaging radiologist in Washington, D.C. “Annual screening mammograms lower deaths from breast most cancers by 40 %.”

The Rx: “With the highest two danger elements for breast most cancers being non-modifiable (feminine gender and growing older), it can be crucial for each lady, no matter household historical past, to have an annual mammogram beginning on the age of 40,” he says.

“Understanding your loved ones historical past of all cancers (breast, colon, ovarian, pancreatic, thyroid, lung, melanoma) might impression your total danger for most cancers, and will elevate the necessity for genetic testing,” says Malik. “Figuring out our dangers, and realizing how one can scale back these which might be modifiable, are a key a part of prevention and precision drugs within the twenty first century.”

“Getting older is a course of none of us are proof against, and so making ready for it’s essential,” says Dr. Thanu Jey, DC, clinic director at Yorkville Sports activities Medication Clinic. “Many aged-age accidents happen from falls, and it is essential to start out fall-prevention coaching earlier than it is too late.”

The Rx: “As your dad and mom age, it is a good suggestion to start stability and stability coaching early, so it turns into a part of their each day routine,” says Jey.

RELATED: COVID Signs Often Seem in This Order, Examine Finds

“It is essential to take care of a wholesome weight and life-style, as a result of total well being and wellness decreases probabilities of many issues, together with coronary heart illness, diabetes, sleep apnea and extra,” says Nodar Janas, MD, medical director of Higher East Facet Rehabilitation and Nursing Middle in New York Metropolis. Consuming mindfully generally is a highly effective device for sustaining a wholesome weight.

The Rx: At mealtime, “Lower your portion dimension by no less than half, be sure you are literally chewing your meals, make one meal each day solely fruit and veggies, and cease consuming no less than two hours earlier than sleep,” advises Janas. “It takes quarter-hour for abdomen receptors to ship info to the mind telling it you are full, so in the event you eat slowly at first of your meal, you could eat a 3rd of the portion you may in any other case eat.”

“Should you’re having ache with sitting for lengthy intervals of time close to the place the entrance pocket of your denims are, that is in all probability coming out of your hip joint,” says Derek Ochiai, MD, an orthopaedic surgeon and sports activities drugs physician in Arlington, Virginia. “It’s best to in all probability not ignore it, and no less than get it checked out by an orthopaedic surgeon, earlier than it turns into arthritis.”

At the same time as cities reopen after the lockdown, it’s nonetheless essential to take care of a six-feet distance from different individuals to stop the unfold of coronavirus. Till a vaccine is developed, or an antibody check, we can’t be certain who’s in danger—so should assume everyone seems to be in danger.

“When prescribed medicine, ask your physician to elucidate why you want it, and in the event you agree, be compliant,” says Janas. “Within the U.S., we’re being overmedicated.”

The Rx: “If you end up prescribed a medicine by your physician, ensure that to take the time to grasp why it has been prescribed,” says Janas.

“Feed a chilly, starve a fever’ will not be true!” says Betsy Koickel, MD, affiliate medical director of Northwell Well being-GoHealth Pressing Care in New York. “Taking in an sufficient quantity of energy and fluids are essential to your physique combating off most diseases. Growing your fluid consumption throughout any sickness is useful to your immune system. Fasting throughout sickness might make you extra in danger for weak point, dehydration, and fainting.”

The Rx: Eat as regular once you’re in poor health, and be sure you’re hydrating. Goal for 4 glasses of water a day once you’re wholesome; throughout sickness, you may want extra.

“Should you assume it is best to go to remedy, however do not actually need to make investments emotionally in it, aren’t actually keen to be weak and work onerous and typically even undergo in it, it in all probability will not work so do not waste your money and time,” says Gail Saltz, MD, affiliate professor of psychiatry on the New York Presbyterian Hospital Weill-Cornell College of Medication. “Remedy is not a magic wand, you even have to totally take part in it.”

“Nevertheless tough issues are in life, take a couple of minutes day by day to consider what you do admire,” says Saltz. “Should you do not make some extent of it, you in all probability will not do it and truthfully you possibly can utterly lose perspective in your life.”

The Rx: “Take 5 minutes day by day and take into consideration what you do really feel grateful for,” says Saltz. “You will discover that even over a few weeks you will really feel extra positively.”

The “winter blues” aren’t a fable or one thing to be ignored. “Many individuals actually do have a temper change for the more serious when the times turn into shorter. Should you really feel seasonally down or irritable or drained and slowed down, strive mild!” says Saltz. “It is odd to individuals to assume mild may do one thing to your mind, nevertheless it does. You want the appropriate sort of sunshine, after which each day use, however it will probably change your complete state of wellbeing throughout the fall/winter months.”

The Rx: Many fashions of sunshine packing containers can be found, from the cheap to the deluxe. Speak to your physician about any season-related emotional modifications you feel, and if mild field remedy is likely to be best for you.

“Ensure you’re getting no less than seven hours of sleep,” says Janas. “Decrease room temperature if you cannot go to sleep, or take heed to enjoyable music as an alternative of counting on drugs. Satirically, that is one I do not comply with myself. I get about 4 hours of sleep an evening as a result of I’m continuously getting calls from sufferers or colleagues. Nevertheless, I’ve educated myself to work and performance this fashion and I strive, all through the day, to take naps when attainable.”

The Rx: Specialists just like the Nationwide Sleep Basis advocate getting seven to 9 hours of sleep an evening. Should you’re having power bother getting that quantity, speak to your physician. She or he may advise chopping again on caffeine, limiting naps, getting extra train or addressing anxiousness or melancholy.

“You won’t have had an damage, however you may nonetheless get a stress fracture, which is microscopic injury to the bone,” says Velimir Petkov, MD, a board-certified podiatrist with Premier Podiatry in Clifton, New Jersey. “You may get them by carrying flip flops, sandals or footwear that fail to supply enough cushioning and shock absorption. Strolling, leaping, operating and even standing for prolonged intervals of time could cause stress fractures.”

The Rx: “Sporting snug footwear with good padding, in addition to getting loads of Vitamin D and calcium is essential in stopping stress fractures,” says Petkov. “Your main care physician can order a bone density check to confirm your bone mass.”

As nail salons reopen: “Getting a pedicure may look like an awesome thought, however many salons do not disinfect the whirlpools or footbaths correctly,” says Petkov. “Drains and filters usually do not get cleaned in between appointments. You may get a plantar wart, or a bacterial or fungal an infection which might require medicine, a number of endurance and time to do away with. Athlete’s foot (tinea pedis) is a quite common fungal an infection that spreads significantly nicely in moist areas.”

RELATED: Unhealthiest Habits on the Planet, Based on Docs

“These are consuming the perfect meals, getting sufficient train all through the day, managing power stress, enhancing sleep, keep away from all tobacco merchandise, problem your thoughts each day and spend time with family and friends,” says Stephen C. Schimpff, MD, MACP, a board-certified oncologist and infectious illness specialist and writer of Longevity Decoded – The 7 Keys to Wholesome Getting older.

“We ate high quality meals in my mom’s day, however the emphasis was on meat because the centerpiece with greens as an add-on,” says Schimpff. “If she have been alive at this time, I might encourage her so as to add many extra greens to her weight loss plan — natural if attainable — scale back the potatoes, and solely purchase grass-fed beef and free-range rooster.”

The Rx: “Make the greens one-half or extra of your plate and the meat no a couple of quarter,” advises Schimpff. “Enhance fish for the omega-3s, use olive oil and eat nuts and seeds and avocados, all for his or her wholesome oils.”

“It is a very fast and cheap CT scan that may inform you in case you have onerous plaque in your coronary vessels,” says Anthony Youn, MD, writer of Taking part in God: The Evolution of a Trendy Surgeon. “I like to recommend it for anybody over the age of 40 who’s involved about growing coronary heart illness. It is super-easy and cheap and simply may save your life.”

The Rx: Ask your physician if the check is best for you.

“Crucial recommendation I may give is to maintain your mouth clear,” says Carl Medgaus, DMD, a dentist in Pittsburgh, Pennsylvania. “Folks usually do not realize the systemic impact that oral well being has on the physique. Plaque buildup on enamel, for instance, can result in atherosclerotic coronary heart illness.”

The Rx: “Use an electrical toothbrush with a two-minute timer, separated in 30-second intervals, so you know the way lengthy to spend on every part of the mouth,” says Medgaus. “Then equip your self with a water flosser. Nobody likes to floss. Even I hate it. But it surely needs to be completed. Water flossing makes it simpler. I had my doubts about water flossers at first, however medical analysis reveals that they’re equal to conventional floss in relation to eradicating plaque.”

“Daily, drink a tea or espresso, and likewise a cup of pomegranate juice,” says William W. Li, MD, writer of Eat To Beat Illness: The New Science of How Your Physique Can Heal Itself. “Espresso and tea can sluggish mobile growing older, starve most cancers, scale back the chance of stroke, and enhance longevity. Pure chemical compounds in pomegranate improves your intestine microbiome to assist enhance the immune system.”

“Don’t remain long-term on estrogen substitute remedy,” says Li. “Many older girls have been taking hormone replacements for years, however long-term use can improve the chance of breast most cancers.”

“Eat extra soy,” says Li. “Opposite to well-liked perception, soy would not trigger breast most cancers. In reality, analysis reveals consuming extra soy really lowers the chance of breast most cancers.”

The Rx: Specialists advocate consuming a reasonable quantity of soy — one to 2 servings a day. Meals which might be wealthy in soy embrace edamame, different meats such because the Unimaginable Burger, soy milk, tempeh and soy protein.

“As a healthcare skilled, I can not stress this one sufficient,” says Dena Nader, MD, regional medical director of MedExpress primarily based in Washington, Pennsylvania. “Washing your palms continuously, and nicely, is among the finest methods to keep away from illness and spreading germs to others. However what we regularly neglect about are these different surfaces that we contact on a regular basis – our telephones, steering wheels, doorknobs, taps, toys, remotes – that additionally harbor micro organism that may make us sick.”

The Rx: “I sometimes advocate to my sufferers that no less than as soon as per week, and extra throughout chilly and flu season, they bear in mind to wipe down these continuously touched, however simply missed surfaces with antibacterial wipes to assist sluggish the unfold of germs,” says Nader. “Additionally, keep away from placing pens or pencils in your mouth – but when it is a behavior you simply can not seem to break, be sure you disinfect this stuff day by day.”

“Most of the sufferers I speak to really feel overwhelmed on the thought of standard train as a result of they assume it is time consuming and onerous work — nevertheless it would not must be,” says Nader.

The Rx: “Making little changes to your regular routine, like taking the steps as an alternative of the elevator at work or in your residence advanced, could make an enormous distinction,” she says. “Whenever you’re operating errands, strive parking as distant from shops as attainable so it’s important to stroll a bit bit further. Take time throughout your lunch break and get some steps in by strolling round your constructing. If and once you’re able to take it to the subsequent stage, keep in mind that it is all the time a good suggestion to speak to your physician earlier than beginning a brand new train routine.”

“Dehydration is quite common – actually, a lot of my sufferers do not even notice they’re chronically dehydrated,” says Nader. “I am all the time reminding my sufferers to drink extra water even earlier than they’re thirsty. If it turns into an ongoing situation, lack of water and dehydration can result in severe issues, like urinary and kidney issues, heat-related sickness, and seizures.”

The Rx: “Whereas water is an effective way to get and keep hydrated, there are options for individuals who wrestle to drink sufficient water or get uninterested in the style,” says Nader. “Many greens, like celery, tomatoes, cucumbers, and broccoli, supply a singular different to water. And all fruits, particularly grapefruit, watermelon, strawberries, and oranges, have a excessive water content material and are a wonderful supply of nutritional vitamins and fiber, too. Selfmade fruit smoothies, coconut water, and water infused with fruits like lemon and strawberries are additionally nice methods to boost your liquid consumption for the day.”

RELATED: Dr. Fauci Says Most Folks Did This Earlier than Catching COVID

“Breakfast actually is among the most essential meals of the day,” says Nader. “Not solely can it assist management weight, nevertheless it additionally helps you get the essential nutritional vitamins and minerals that you just want in a day.

The Rx: “I attempt to plan forward as a lot as I can the evening earlier than,” she says. “There are such a lot of completely different recipes for in a single day oats, for instance, which you’ll be able to prep beforehand, so all it’s important to do is pull it out of the fridge the subsequent morning. Pairing that with some fruit is a good first step to a wholesome breakfast routine. In case you are a morning individual, strive waking up a bit bit earlier and beginning easy. Go for protein-rich eggs and pair it with a bit of whole-grain toast and a few fruit.”

“Loneliness is the main epidemic plaguing people over the age of fifty in America at this time,” says Prakash S. Masand, MD, CEO of the Facilities of Psychiatric Excellence (COPE). “It’s usually missed by healthcare suppliers and members of the family, but its penalties might be far-reaching and even tragic.”

The Rx: “Feeling lonely and being lonely take an actual toll on the mind and in your total well being,” concurs Saltz. “You actually want to attach with others and have just a few relationships that matter and nourish you, this isn’t one thing to only let go on. Do what it’s important to do to maintain just a few individuals in your life to care about, to attach with, to put money into.”

“Take advantage of your relationship together with your physicians,” says Angela U. Tucker, MD, a household drugs doctor with the Ohio State College Wexner Medical Middle. “Be organized once you go to your appointments with precisely what your considerations are and what signs have occurred for the reason that drawback began. Should you really feel that your well being suppliers will not be listening to you and have your finest curiosity in thoughts, discover somebody who will. Your life might rely on it.”

“Medication has modified so much within the earlier 20 years, when it comes to shifting focus towards enhancing high quality of life,” says Ariel B. Grobman, MD, a board-certified otolaryngologist with South Florida ENT Associates. “Previously, individuals have been inspired to hunt therapy and intervention when issues have been actually unhealthy. In my line of labor, having one deaf ear was beforehand seen as ‘not that large of a deal,’ — in any case, you’ve got a second good ear. These days, we attempt to enhance sufferers’ lives by restoring operate to as regular a stage as attainable.”

The Rx: “Everybody has a proper to stay their finest life,” says Grobman. Prioritize your psychological and bodily well being, speak overtly together with your doctor about signs, and do not undergo in silence.

“Get your youngsters vaccinated towards the HPV virus,” says Eamon McLaughlin, MD, an otolaryngologist with Larger Miami ENTs. “It prevents cervical, anal, and oropharyngeal most cancers.”

The Rx: Based on present tips, girls and boys must be vaccinated towards HPV at age 11 or 12 (and as much as age 26 in females and 21 for males if not vaccinated beforehand).

“I additionally recommend to mothers of all ages to not keep away from getting their listening to examined due to the stigma of listening to aids,” says McLaughlin. “There are such a lot of discreet selections at this time and left untreated, listening to loss can result in social isolation, cognitive decline and dementia.”

For years, individuals acquired a “base tan” earlier than a trip, pondering it will forestall sunburn and pores and skin most cancers. “It is a horrible thought and furthers your danger of getting pores and skin most cancers,” says Richard Torbeck, MD, a board-certified dermatologist with Superior Dermatology PC in New York Metropolis. “Intermittent sunburn is immediately linked to pores and skin most cancers danger.”

The Rx: The Pores and skin Care Basis recommends making use of sunscreen that is no less than 15 SPF, which can shield you towards doubtlessly cancer-causing UVB rays.

“A standard missed pores and skin signal is a mole that’s darkening or altering in shade,” says Torbeck. “Any time there’s a mole that’s altering in dimension, form, shade, itching or bleeding I like to recommend a biopsy. Don’t forgo getting it checked out.”

“Do not use tea tree oil, witch hazel, apple cider vinegar, or rose-hip oils as a way to deal with pimples or blemishes,” says Torbeck. “These dwelling or pure cures have some very weak information behind them. They’re extra more likely to inflame the pores and skin than to assist it.”

RELATED: The Unhealthiest Issues in Your Medication Cupboard

Your main care physician or dermatologist might have prescribed a topical steroid cream for a rash or blemishes, but when they do not clear up comparatively rapidly, one other plan of action is important to stop pores and skin injury. “Folks’s pores and skin can develop an habit to topical steroids,” says Torbeck. “A rash that by no means actually resolves which will barely enhance with steroids could also be rosacea, seborrheic dermatitis, or contact dermatitis to steroids (which is uncommon).”

The Rx: “If a rash would not enhance with a steroid after two to a few weeks on the physique, and one to 2 weeks on the face, it is prudent to see a dermatologist for a biopsy,” says Torbeck.

“My household and associates ask in the event that they really want that flu shot since they’ve by no means gotten the flu earlier than,” says J.D. Zipkin, MD, affiliate medical director of Northwell Well being-GoHealth Pressing Care in New York. “The issue is that almost all of individuals hospitalized with influenza probably may have mentioned the identical factor beforehand. Sure, you want that vaccine. Vaccines are like seat belts: do not watch for one thing unhealthy to occur earlier than you begin utilizing them!”

The Rx: Get a flu shot yearly, and ask your physician about different vaccines they may advocate, together with these towards pneumonia and shingles.

“We’re what we eat,” says Ronald Schuster, MD, a board-certified plastic surgeon in Baltimore, Maryland. “As all of us grow old it’s much more essential to eat nicely to remain nicely. Fads come and go, however meals actually might be drugs. I stress clear, sustainable sources of protein equivalent to fatty fish, poultry, grass-fed beef, beans, nuts and seeds. Your plate must be filled with principally greens, particularly darkish leafy greens, tomatoes, avocados and greens like broccoli, carrots and Brussels sprouts. Combine some fruits equivalent to berries into your salad so as to add taste and highly effective hit of antioxidants.”

The Rx: “Keep away from piling meals in your plate and people late-night binges earlier than you fall asleep,” says Schuster. “Discover the wholesome meals that you just like and make them a daily a part of your weight loss plan and be part of a wholesome meals group to help you. Try new recipes from communities on-line for how one can add some spice and taste to those wholesome meals whereas having a wholesome help system.”

“Equally if no more essential than what you eat is what not to eat,” says Schuster. “Avoiding all processed meals (when attainable) will go an extended strategy to hold you wholesome. Processed meals are full of preservatives, synthetic chemical compounds, sugar, sodium and empty energy that your physique merely would not want and/or know how one can digest, which causes irritation. Irritation is the basis reason for power illness.”

The Rx: Goal to eat as many entire meals as attainable, with an emphasis on fruit and veggies.

Should you’re taking statins to decrease your ldl cholesterol, you continue to should be vigilant about coronary heart well being. “Many medical doctors do not emphasize sufficient that statins are sometimes only the start, not the ending, of preventative take care of coronary heart illness,” says Robert Busch, MD, an endocrinologist at Albany Medical Middle engaged on the REDUCE-IT cardiovascular danger discount medical trial. “Sufferers who’ve their ldl cholesterol managed with statins are sometimes nonetheless vulnerable to having a cardiovascular occasion, together with coronary heart assault or stroke.”

The Rx: “I encourage these sufferers to seek the advice of their medical doctors as a result of, past statin therapy, as there are different useful cardiovascular therapies that could be added to their regimens to additional scale back their residual dangers,” says Busch.

“Observe tips,” says Janas. “Labs yearly, test pores and skin continuously, aspirin at 40, mammogram at 45, colonoscopy and prostate testing at 50, and so on. Vaccinate. Do not learn the blogs towards it. The significance of seeing a physician annually cannot be overstated.”

The Rx: “Regardless of being a doctor, I nonetheless see my main care doctor annually and do a full blood workup,” he provides.

“The blue mild from our screens can intrude with our circadian rhythms and disrupt our sleep,” says Youn. “Taking these two steps might be very useful in providing you with evening’s relaxation.”

The Rx: Along with enabling blue-light-reducing apps in your cellphone and pc, take your eyes off screens no less than an hour earlier than mattress.

RELATED: 7 Facet Results of Sporting a Face Masks

“Fiber can usually be forgotten within the on a regular basis weight loss plan, nevertheless it’s important in wholesome vitamin,” says Kim Yu, MD, a household doctor in Mission Viejo, California. “Not consuming sufficient fiber (by way of fruit and veggies) can result in constipation, lower bowel transit and improve danger for colon most cancers.”

The Rx: Goal for 5 to seven servings of fruit and veggies each day. Different high-fiber meals embrace entire grains, nuts, seeds and oatmeal.

“Many on a regular basis dietary supplements and natural medicines do not must get approval from the Meals and Drug Administration (FDA) earlier than placing their merchandise available on the market,” says LaTasha Perkins, MD, a household doctor in Washington, D.C.

The Rx: “It is essential to talk together with your doctor about potential advantages and unwanted effects, particularly in the event you’re taking different drugs, have power well being points, are pregnant or breast-feeding,” she says.

“Girls usually imagine they should douche to have a wholesome vagina,” says Anita Ravi, MD, a household doctor in New York Metropolis. “It is counterproductive, as douching can improve the chance for infections equivalent to yeast and bacterial vaginosis. The vagina is self-cleaning, and discharge might be regular.”

“Probably the most precious habits individuals can construct into their day is setting apart time to mirror frequently,” says Jay W. Lee, MD, a household doctor in Huntington Seashore, California. “Many adults are over-scheduled and feeling overwhelmed, which might result in danger for melancholy and anxiousness.”

The Rx: “It is essential to meditate and follow stress discount and resiliency methods day by day,” says Lee. “Observe makes (nearer to) good.” And to get via this pandemic at your healthiest, do not miss these 35 Locations You are Most More likely to Catch COVID.