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Wyoming Coronavirus Cases Increase By 25 In One Day

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By Jim Angell, Cowboy State Daily

Wyoming coronavirus case count grew to 120 on Tuesday with the detection of 25 new cases in eight counties.

Laramie County’s caseload grew by the highest number, increasing by seven to make the county the hardest hit by the coronavirus with 27 cases.

Fremont County had 25 cases; Teton County had 23; Natrona had 12; Sheridan reported 10 cases; Johnson County had seven; Albany, Campbell and Carbon each had three cases, and Sweetwater had two. Converse, Goshen, Park, Sublette and Washakie counties each reported one case.

The Wyoming Department of Health reported that of the 120 cases, at least 26 patients have made a full recovery.

Dr. Alexia Harrist, the state’s health officer, said during a news conference Monday that rapid increases seen in coronavirus counts are due to increased testing along with the spread of the disease.

Since COVID-19 reached the state, the Wyoming Public Health Lab has completed 1,563 tests while private commercial laboratories have completed 634, according to the Health Department.

Gordon Signs Order Allowing Alcohol Sales With Food Orders Until April 17

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alcohol tax

By Ellen Fike, Cowboy State Daily

Gov. Mark Gordon signed an executive order Monday permitting restaurants, bars and grills with liquor licenses to sell malt beverages and wine with take-out and curbside food orders. These changes will take effect immediately.

“The social distancing measures we have implemented to slow the spread of COVID-19 have been extremely challenging for the restaurant industry,” Gordon said in a news release. “This executive order provides an opportunity for an additional source of revenue for these businesses.”

The order includes requirements for the businesses that intend to sell alcohol to restrict alcohol sales to 49% or less of the total pre-tax order amount and to notify local law enforcement of the intent to sell alcohol with food.

Mike Moser, executive director of the Wyoming State Liquor Association, praised Gordon’s move, explaining that the order will help a number of restaurants across the state.

“Obviously we don’t want restaurants to turn into package liquor retailers, but it’s reasonable to allow these businesses the sales they would normally get,” Moser said.

Many Wyoming restaurants already have retail liquor licenses that allow them to sell package liquor through curbside orders. But Moser explained that since many small restaurants do not have retail licenses, allowing limited liquor sales could make an enormous difference.

“We need to get through this together,” Moser said.

He explained that chain restaurants such as Olive Garden and Buffalo Wild Wings will again be allowed to sell alcohol in small quantities for curbside orders.

Wing Shack in Cheyenne is one of the restaurants now allowed to sell alcohol through Gordon’s order, and an employee explained that customers have to provide identification when they arrive to pick up their order.

“We’ll check their ID to make sure they’re 21 and as long as they are, we can sell either one four-pack of beer or up to four cans or bottles,” she said.

A full list of Gordon’s executive order conditions can be found here.

The order expires on April 17, matching the recently-extended public health orders issued by the Wyoming Department of Health.

How Coronavirus Affects Patients With Heart Disease

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By Kevin A Courville, MD, FACC, FHFSA, Advanced Heart Failure Specialist

As the consequences of the global pandemic associated with the outbreak of COVID-19 continue to be realized at an alarming rate, more data related to the effects of the cardiovascular system are becoming available. 

Previous outbreaks of the most recent past provide a look into the destructive path of a large- scale virus spread. The SARS outbreak from 2002 and the H1N1 pandemic of 2009 (in addition to MERS 2012) yielded a large number of deaths due to respiratory infection worldwide. 

However, cardiovascular complications when they exist are usually severe and must be addressed. Often as the disease progresses, the cardiovascular complications escalate the patients’ status to critical and frequently require treatment within intensive care units and require extensive healthcare utilization. 

Common findings of COVID-19 are arrhythmia, shock and acute cardiac injury occurring at a rate of 16.7%, 8.7% and7.2%, respectively. Potential findings that may be seen clinically include EKG changes, elevated troponin and abnormal findings on echocardiography (to include both diastolic and systolic dysfunction). 

Heart failure exacerbations were commonly seen during previous pandemics with significant morbidity and mortality associated with exacerbation. Similarly, systemic inflammation induced by the SARS CoV-2 virus binding to cells expressing viral receptors such as angiotensin-converting enzyme 2 (ACE2) can have the consequence of plaque disruption and acute coronary syndromes (ACS).  Anti-platelet agents, beta-blockers, ACE inhibitors, and statins have been suggested as possible therapeutic strategies for ACS. 

The pro-coagulant effect of the systemic inflammatory state caused by the virus should be identified in all hospitalized patients and preventive measures deployed. 

Patients with pre-existing cardiovascular disease should be carefully monitored and aggressive supportive care given upon the immediate diagnosis of COVID-19. For patients without pre-existing cardiovascular disease, a heightened suspicion for cardiovascular complications is required for all patients with a progressive course of COVID-19. 

Telemetric monitoring is offered here as a way to detect myocardial virus attacks. 

And lastly, for any patient surviving COVID-19 with a cardiovascular insult, prolonged disease monitoring is suggested such as the monitoring offered from the cloud-based PULSARIO remote heart management system. Although the current pandemic is in evolution, the above considerations are offered based on previous data sets and will most certainly continue to evolve.

(Note: This is an article published about COVID-19 on March 21 by Dr. Courville. He is the sole physician in Wyoming that is Board Certified in Interventional Cardiology and Advanced Heart Failure.)

Wyoming Coronavirus Cases Top 100

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The number of coronavirus cases detected in Wyoming topped 100 on Tuesday as the Wyoming Department of Health reported 14 new cases in seven counties to bring the state’s total to 109.

The department said its tests revealed three new cases in Natrona and Teton counties and two in Sheridan, Johnson and Laramie counties. Campbell and Fremont counties each saw one new case.

However, the Health Department also reported that of the 109 cases detected since testing began in mid-March, at least 26 involve people who have fully recovered.

As of Tuesday morning, Fremont County continued to be the hardest hit by the virus with 25 cases. Laramie County had 22; Teton County had 20; Natrona County had 12; Sheridan County had 10; Johnson had seven; Carbon had three, and Campbell and Sweetwater had two. Albany, Converse, Goshen, Park, Sublette and Washakie each reported one case.

Cowboy State Daily’s Binge-Watching Recommendations

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Since we’re all stuck inside right now, you’re probably watching more TV during your work hours than you’d like to admit.

We at Cowboy State Daily have compiled some binge-watching options for you to check out while you’re stuck at home for the next few weeks:

Jim Angell: 

“Father Brown” — Netflix

The writing for this BBC mystery series is snappy, witty and just plain fun. Mark Williams (for those of you who don’t remember, Mr. Weasley in the “Harry Potter” movies) is wonderful as the friendly, inquisitive Catholic priest who solves murders with the help of his rich duchess friend, church secretary and anyone else who happens to be around, most often running afoul of the local police detective in the process.

“The Musketeers” — Hulu

Another fun offering from BBC, this three-season series adds a real dash of fun, adventure, excitement and personality to the old “Three Musketeers” story. The characters are wonderfully developed, there’s action, conflict and explosions. What more could you ask for?

“Wings” — Hulu

We enjoy this pre-“Friends” sitcom about a group of friends who spend most of their time at an airport in Nantucket, Massachusetts, largely because of the well written interactions between the characters. Two of the main characters run a small commuter airline and a third runs the airport’s lunch counter. Larger issues weave their way through the episodes and you even have several on-again, off-again romances. It’s witty and fun. Perfect light fare.

“Sherlock” — Netflix

This dramatic retelling of the Sherlock Holmes tale is a great sort of “buddy cop” approach to the timeless detective stories. Benedict Cumberbatch is perfect as a modern-day Holmes — edgy, rude, wildly intelligent and somewhat self-destructive — while Martin Freeman is the perfect Watson, although he is much more useful and competent than Arthur Conan Doyle’s good doctor. Many of the stories follow the original Holmes mysteries, but exceptional writing weaves in wonderful twists, turns and new elements, all while updating the stories for a modern audience.

Ellen Fike: 

“Tiger King” – Netflix

If your Facebook feed is anything like mine, it’s been filled with memes about the newest Netflix true crime sensation, “Tiger King: Murder, Mayhem and Madness.” It’s difficult to completely summarize the seven-episode series in just a sentence, but the basics are that it focuses on the eccentric Joe Exotic, a man who owned a zoo in Oklahoma where people were allowed to interact with tigers and cubs. Joe employed a colorful cast of characters and interacted with people possibly running sex cults. It’s weird, wild and the only show anyone’s talking about right now. After you binge the series, make sure to take the Buzzfeed quiz asking you which “Tiger King” character you are. I got Joe! 

“Schitt’s Creek” – Netflix

If you’re looking for a happy, uplifting show to get you through these dark times, this is the one you want. The wealthy Rose family are forced out of the lap of luxury and end up living in a rundown motel in a town they bought their son as a joke when he was a teenager. At first, the show is all about poking fun at the Roses learning to adjust to “simple” life among some of the oddballs who live in the tiny titular town. But then, you realize you’ve watched three seasons of the show in 24 hours and you’ve fallen in love with the Rose family and their quirky dynamics. This is a show where you truly watch the characters evolve from shallow jerks to a real loving family. Plus, you get the added bonus of deciding which of Catherine O’Hara’s wigs you like the best throughout the series.

“Fleabag” – Amazon Prime

You’ll laugh, you’ll cry, you’ll be on the floor feeling destroyed after the short two seasons are over. Phoebe Waller-Bridge managed to create possibly the perfect show in 12 episodes. Waller-Bridge stars at the titular character who regularly breaks the “fourth wall” to talk with the audience as we see her struggle through life in London after her best friend dies. The show has this incredible biting wit and Waller-Bridge is just phenomenal as Fleabag. Sometimes you hate her. Sometimes you want to shake her. Other times, you want to throw your arm over her shoulder and tell her things will be OK. That’s just the first season. When the Hot Priest (played by Andrew Scott of “Sherlock” fame) comes in for the second season, it’s even more of a roller coaster ride.

Bill Sniffin: 

We loved watching “The Kominsky Method” on Netflix.  Michael Douglas and Alan Arkin are simply terrific as they explore geezer-hood while adding in lots of real-life issues. It’s a mix of compelling situations with outstanding acting. “Dead to Me” on Netflix is also a good watch. 

“Breaking Bad” (streaming on Netflix) was probably my all-time favorite show.  Thus, we have been catching up with “Better Call Saul” on AMC (most of the series is streaming on Netflix), which is a prequel with many of the same characters. It’s well-crafted and always a surprise.

I love sci-fi, so the reboot of “Lost in Space” (Netflix) is actually well done. Also watched the Mars series from National Geographic. My friend Judy Legerski recommended “The Crown” (Netflix), which we just started watching. It looks interesting so far.

A few shows on HBO always get our attention — “Curb Your Enthusiasm,” “Avenue 5” and “Westworld” are great. “Game of Thrones” is a total classic and for the few folks who haven’t seen it, you’re in for a binge treat! 

New Case in Teton County Brings Total to 95, Recovery Number Up to 26

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By Jim Angell, Cowboy State Daily

Detections of the coronavirus in Teton and Sweetwater counties brought the state’s total to 95 on Monday.

However, the Wyoming Health Department also announced that the number of people declared “recovered” from the virus was set at 26.

The new case in Teton County was the county’s 17th, while the diagnosis in Sweetwater County was that county’s second. Natrona County’s case count was reduced by one on Monday, but there was no immediate explanation.

As of Monday evening, there were 24 cases in Fremont County, 20 in Laramie County, 17 in Teton County, nine in Natrona County, eight in Sheridan County, five in Johnson County, three in Carbon County and two in Sweetwater County. Albany, Campbell, Converse, Goshen, Park, Sublette and Washakie counties had one case each.

Since COVID-19 reached Wyoming, only 16 people have been hospitalized with symptoms, Dr. Alexia Harrist, the state’s health officer, said during a news conference Monday. She added that some of those patients have left the hospital.

Watch Governor Mark Gordon’s Press Conference

in News/Coronavirus

Governor Mark Gordon hosted a press conference on Monday to discuss the coronavirus situation in Wyoming. You can watch the full press conference here.

How to Find Statistics and Information About the Coronavirus in Wyoming

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Every time we publish a post on Facebook from Cowboy State Daily, we note the comments that follow the article.

We get questions like “how many have recovered?” (we’ve started adding that to our stories) and many others.

When possible, we’ll answer those questions in each article — if the information is available.

One way to stay on top of this information by yourself is to check out the COVID-19 Map and Statistics on the Wyoming Department of Health’s website.

Here you’ll find a running tally of many important things like:

Number of cases
Location of the COVID-19 cases by county of residence.
Numbers of tests conducted
Numbers of recoveries
Numbers of deaths
Symptoms preceding onset
Cases by exposure risk
Cases by reported hospitalization
Cases by sex and age group
Symptoms Reported by cases

It’s worth your while to bookmark this site if you are following the conoravirus in Wyoming.

Gordon: Wyoming Residents Don’t Need ‘Stay At Home’ Order

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By Jim Angell, Cowboy State Daily

Wyoming residents are responsible enough not need the state ordering them to stay in their homes, Gov. Mark Gordon said Monday.

Gordon, speaking on the Townsquare Media radio program “Wake Up Wyoming,” said he feels Wyoming residents will act on their own to prevent the spread of the coronavirus.

“Wyoming people don’t need an order to know what’s important,” he said. “They have common sense.”

Gordon noted that in many states that have issued “stay-at-home” orders, there are numerous objections.

“If you really look at those statewide stay-at-home orders, they really have so many exemptions to them that they’re not materially different from what we have already recommended,” he said. 

Jackson’s Town Council on Saturday adopted a “stay-at-home” order for its residents, barring them from leaving their homes except to obtain supplies, such as groceries or medicine, to go to work in an essential job or to take part in outdoor recreation.

Teton County adopted a similar order on Saturday, but it applied only to those age 65 and order and those with high-risk medical conditions.

Gordon said Wyoming’s counties are free to adopt any restrictions they feel are necessary.

“If an individual county feels it’s appropriate and they need to issue a more strict stay-at-home guideline, then we can support that as counties feel it’s necessary,” he said.

However, Cheyenne Mayor Marian Orr, also speaking on the “Wake Up Wyoming” program, said she believes if some sort of restrictions are needed, they should be imposed statewide, not on a county-by-county basis.

What we are seeing … in the state is these patchwork ordinances are really problematic,” she said. “It’s not that I’m saying we need to shut down, but that any order needs to be statewide.”

Three statewide orders are in place restricting businesses and people. One closes schools and businesses where more than 10 people are likely to gather, one closes businesses that provide personal services, such as hair salons and tattoo parlors, and the third restricts gatherings to fewer than 10 people. All three orders are in place until April 17.

While President Donald Trump on Sunday recommended that people follow social distancing guidelines for the next 30 days, Gordon said state officials will assess daily whether the state orders need to be extended.

Gordon also said state officials had expected to see an increase in confirmed COVID-19 cases as more tests for the virus were conducted with increased numbers of available test kits.

“We only had a limited number of tests to start with, so the positives, we kind of came in below what we would have expected to see,” he said. “As we’ve ramped up testing, we’d expected to see more positives and that is in fact what’s happened.”

The state had 94 confirmed cases of coronavirus as of Monday morning.

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Hooray! John Krasinski and Steve Carell Have a Mini-Reunion of “The Office”

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Want some good news? Of course you do.

If you are a fan of the TV show The Office, then you probably miss it. We do. And you hope they’ll have a reunion or bring it back. Again, we do.

There was a reunion — of sorts.

Krasinski decided there wasn’t a site devoted to “good news” (actually, there are plenty).

But who are we to be scrooges and tell him that it’s already being done. Because, really, you can never have enough good news.

Krasinski launched his “good news” show on Sunday and brought back Steve Carell his former boss on the TV show.

And it was fun to see them together.

At this point, there is no use to continuing this article because you came here to see the video. So watch it.

We started the YouTube video where Krasinski and Carell are together, but it’s worth it to watch the whole thing.

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