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In his weekly clinical update, Dr. Griffin delves into discussing drinking \u201craw\u201d milk possessing H5N1 influenza virus, if the virus can reproduce in the human gut, and the meaning of finding viral RNA in wastewater samples before reviewing the recent statistics on SARS-CoV-2 infection, the guidelines for spring administration of COVID vaccines boosters, withdrawal of AstraZeneca\u2019s SARS-CoV-2 vaccine from the European market, discusses the emergency use application of a pre-exposure prophylactic, continues to dispel the myth of viral rebound, when to use steroids and the benefits of convalescent plasma, what do when healthcare workers succumb to SARS-CoV-2 infection, if administration of colchicine for the management of COVID-19, compares and provides information for the enrollment into the NIH clinical trials of long COVID and its effects on sleep, exercise intolerance and the cognitive profile in multiple sclerosis and post-COVID, exercise intolerance and post-exertional malaise. For more information about cow and milk infection by H5N1 listen to the discussion with Richard Webby on\xa0TWiV 1113\xa0and for long COVID-19 listen to\xa0TWiV 1088. Dr. Griffin also provides a list of apps for monitoring one\u2019s health including brain health.

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• Who demands\xa0milk infected with H5N1? (Futurism)
• Uncowed\xa0by milk possessing H5N1 \xa0(LA Times)
• Cow flu\xa0flying around for 4\xa0months (CNN)
• The\xa0unpasteurized raw\xa0milk institute (Raw Milk Institute)
• Infection and reproduction of H5N1 in the\xa0human gut\xa0(JID)
• Wastewater samples\xa0identified H5N1 in 9 cities (medrxiv)
• Richard Webby, is H5N1 a concern? (TWiV 1113)
• COVID-19\xa0national trend\xa0(CDC)
• COVID-19\xa0deaths\xa0(CDC)
• Spring vaccineadvice\xa0(CIDRAP)
• Older adult\xa0spring booster available (CDC)
• Advisory committee for immunization practices\xa0slides\xa0(CDC)
• Advisory committee for immunization practices\xa0spring 2024 COVID-19 boosters (CDC)
• Withdrawal\xa0of Astra-Zeneca SARS-CoV-2 vaccine in Europe (European Medicines Agency)
• Astra-Zeneca\xa0withdraws SARS-CoV-2 vaccine from market (AP news)
• Global vaccine\xa0data/adverse event\xa0network (Vaccine)
• EUA for pemgarda\xa0(FDA)
• CDC Quarantine\xa0guidelines (CDC)
• Early phase\xa0of SARs-CoV-2 infection (COVID.gov)
• NIH\xa0COVID-19 treatment guidelines (NIH)
• Infectious Disease Society guidelines\xa0for treatment and management (IDSociety)
• Overuse ofantibiotics\xa0for COVID-19: a viral disease (European Society of Clinical Microbiology and Infectious Diseases)
• Molnupiravir\xa0safety\xa0and efficacy (JMV)
• Convalescent plasma recommendation for\xa0immunocompromised\xa0(IDSociety)
• Outpatient treatment with concomitant\xa0vaccine-boosted convalescent plasma\xa0(mBio)
• Updated\xa0respiratory virus\xa0guidances (CDC)
• What do when your\xa0heathcare provider\xa0is infected with SARS-CoV-2 (CDC)
• Managing healthcare staffing\xa0shortages\xa0(CDC)
• Steroids,dexamethasone\xa0at the right time (OFID)
• Anticoagulation\xa0guidelines (hematology.org)
• Colchicine\xa0for managing COVID-19 (BMC Pulmonary Medicine)
• Colchicine guidelines\xa0(ID Society)
• Long COVID evidence based review\xa0TWiV\xa0shout out (TWiV 1088)
• NIH\xa0long COVID sleep disturbance, exercise intolerance and post exertional malaise clinical trials (NIH News)
• COVID-19 Yorkshire\xa0rehabilitation scale\xa0(BML Open Respiratory Research)
• Visible\xa0heart monitor (Makevisible)
• Bearable app\xa0(Bearable)
• Tracking\xa0your chronic illness using Flaredown (Flaredown)
• Improving your\xa0brain health\xa0(BrainHQ)Vanderbilt\u2019s long COVID resources: podcasts and books (Vanderbilt University)
• Contribute to our\xa0Floating Doctors\xa0fundraiser
• Letters read\xa0on TWiV 1114
• Dr. Griffin\u2019s COVID treatment summary (pdf)
• Timestamps by\xa0Jolene. Thanks!

Intro music is by\xa0Ronald Jenkees

Send your questions for Dr. Griffin to daniel@microbe.tv