#covidtoes #toevid update. This is 40 days after she first complained of feet symptoms and 91 days after first symptoms of a febrile URI (might have been something other than COVID, it was early). No swelling, itching or pain for about...2 weeks now.

This is what it looked like April 7th (I thought it was contact dermatitis tbh)

And here was last week of April the classic “COVID toe” look (that was the tail end of them being swollen and itchy)

For the newbies...all four of us got sick with a febrile respiratory infection starting Feb 13th. That was right before a week of school vacation, I wasn’t working that week. Only odd thing was all of us getting sick and all of us having a fever. Usually one of us is spared...

...and we usually don’t get fevers with colds. So I didn’t think much of it until the *second* kid came up to me complaining of swelling, itchy toes. We saw derm (telehealth) who said it was unheard of for two different kids in the family to get chilblains at the same time.

All of us have been fine, completely symptom free since early March, except for the kids’ feet.

I had my husband and myself antibody tested, but it was before the better tests came out. We were negative. And, as you can see, while MA was hard hit and early, it would have been *really* early

So I don’t really know what happened.

But derm says 100% the kids had COVID, she thinks all of us had it, even after I followed up with the negative tests. So I have my cool masks and face shields ready to go for reopening.

That graph is from the MIT modeling site that’s been pretty accurate so far https://covid19-projections.com/us-ma 

One of the hard? strange? parts of this was talking to coworkers and patients. Psychiatrists see patients frequently so I had seen some 2-3 times before I said...oh hey, remember when I saw you in late February? It’s possible I had COVID then.

Back then we didn’t know that speaking caused droplet spread, I wasn’t sneezing or coughing, I was covering for a coworker who was out on leave...I was meticulous about touch hygiene. But still. I can’t speak to any further contagion from me without HIPAA violation but...

...it has been heavy on my mind.

One patient laughed when I told her and said her au pair was just back from Wuhan in January. Who knew? (As always this story is changed in particulars to be unrecognizable from the original story)

According to a lot of the data the most infectious part is the day or two before you are symptomatic...fortunately I was home with the sick family on vacation through that time. If it was COVID.

And look how swollen and uncomfortable her poor foot was...I was texting a bunch of medical friends saying WTF is this? https://twitter.com/evolutionarypsy/status/1261667363075883008?s=21 https://twitter.com/evolutionarypsy/status/1261667363075883008

The path on COVID toes https://docs.google.com/document/d/1QrCmMYX1eXRfhDewC-Y6lugEfGPwOq-U4ppUAnhlibg/mobilebasic