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UAB doctor who had COVID-19 would advise Trump to ‘go slow’

The treatment President Donald Trump is receiving for COVID-19 is probably the first of its kind and could help him improve quickly. But Dr. Michael Saag, an infectious disease expert at UAB who came down with COVID-19 back in March, would advise the president to “go slow.”

“The symptoms wax and wane, so there will be moments where he will feel pretty good, and he’ll think he’s through it, and then it will come back in a very haunting way 12 hours later,” Saag said. “The people who I see who suffer the most from fatigue are the ones who tried to do too much too quickly. So I would say definitely take it easy for at least the next week. The more he tries to do, the slower his recovery will be from the fatigue.”

Saag, a professor of medicine and infectious diseases at UAB, said much of Trump’s treatment, as gleaned from medical briefings, shows the strides physicians have made in the past six months in fighting coronavirus.

Trump entered Walter Reed Medical Center Friday, with reports emerging later of a spike in fever and fatigue. Doctors revealed that Trump experienced two incidents, on Friday and Saturday, where his oxygen levels dropped.

According to medical briefings, the president has been given the steroid dexamethasone on Saturday, in addition to remdesivir, an antiviral drug. He has also received an experimental antibody cocktail that is being tested by the drug maker Regeneron.

Remdesivir and dexamethasone are drugs that already have a track record of being used with COVID-19 patients, Saag said. The Regneron therapy, however, is new, and Saag said he didn’t know of any other patients who have used it in conjunction with remdesivir and dexamethasone.

To understand how the drugs work, Saag said its important to know how the virus attacks the body. SARS-CoV-2, which causes coronavirus, attacks the body, reproducing “like crazy” within the body and triggering a response from the patient’s immune system. The problem is that the virus complicates the immune system’s ability to “cool down,” causing many of the well-known symptoms – shortness of breath, coughing, fever.

Remdesivir is usually given intravenously for five days, twice-a-day, he said. The Regneron therapy attacks the spike protein of the virus, blocking the ability of the virus to enter cells in the body. Together, the two drugs are meant to keep the virus from replicating.

“To my knowledge, (Trump) is the first person in the world to receive the drugs together,” he said. “That said, it makes perfect sense to choose that approach, even though there is no data to support it.”

Dexamethasone takes on the other problem – that of an overactive immune system.

“After the immune system attacks a virus, it has a way of tapping the brakes and slowing down,” Saag said. “The COVID virus has an almost unique ability to interfere with the immune system’s shutting down. What you end up with, especially in people who get older, there’s an out-of-control immune system

Is MS Dhoni Fit to Play Against Kings XI Punjab? Here’s Fitness Update of Chennai’s Skipper Ahead of KXIP vs CSK, Dream11 IPL 2020 Match

The Canadian Press

Trump said to be improving but next 48 hours ‘critical’

BETHESDA, Md. — President Donald Trump went through a “very concerning” period Friday and faces a “critical” next two days in his fight against COVID-19 at a military hospital, his chief of staff said Saturday — in contrast to a rosier assessment moments earlier by Trump doctors, who took pains not to reveal the president had received supplemental oxygen at the White House before his hospital admission.
Trump offered his own assessment Saturday evening in a video from Walter Reed National Military Medical Center, saying he was beginning to feel better and hoped to “be back soon.”
Hours earlier, chief of staff Mark Meadows told reporters outside the hospital, “We’re still not on a clear path yet to a full recovery.” In an update on the president Saturday night, his chief doctor expressed cautious optimism but added that the president was “not yet out of the woods.”
The changing, and at times contradictory, accounts created a credibility crisis for the White House at a crucial moment, with the president’s health and the nation’s leadership on the line. With Trump expected to remain hospitalized several more days and the presidential election looming, his condition is being anxiously watched by Americans.
Moreover, the president’s health represents a national security issue of paramount importance not only to the functions of the U.S. government but to countries around the world, friendly and otherwise.
Saturday’s briefing by Navy Commander Dr. Sean Conley and other doctors raised more questions than it answered. Conley repeatedly refused to say whether the president ever needed supplemental oxygen, despite repeated questioning, and declined to share key details including how high a fever Trump had been running before it came back down to a normal range. Conley also revealed that Trump had begun exhibiting “clinical indications” of COVID-19 on Thursday afternoon, earlier than previously known.
Conley spent much of the briefing dodging reporters’ questions, as he was pressed for details.
“Thursday no oxygen. None at this moment. And yesterday with the team, while we were all here, he was not on oxygen,” Conley said.
But according to a person familiar with Trump’s condition, Trump was administered oxygen at the White House on Friday morning, well before he was transported to the military hospital by helicopter that evening. The person was not authorized to speak publicly and spoke to The Associated Press only on condition of anonymity,
Conley said that Trump’s symptoms, including a mild cough, nasal congestion and fatigue “are now resolving and improving,” and said the president had been fever-free for 24 hours. But Trump also is taking aspirin, which lowers body temperature and could mask or mitigate that symptom.
“He’s in exceptionally good spirits,” said another doctor, Sean Dooley, who said Trump’s heart, kidney, and liver functions were normal and that he was not having trouble breathing or walking around.
In an evening health update, Conley said Trump had been up and moving around his medical

remembrance-chairs-on-ellipse – The Washington Post

But despite all their precautions, Walter and his father, John, both contracted the novel coronavirus, and after a 19-day battle in the hospital, John Walter died May 10.

On Sunday, Walter was one of nearly two dozen people directly affected by the novel coronavirus to mourn the more than 200,000 American who have been killed by the disease and push for a national plan for recovery.

They gathered on the grassy Ellipse just south of the White House and in proximity to the Rose Garden, where those attending President Trump’s announcement of his Supreme Court nominee flouted recommendations on wearing masks and social distancing. Trump and at least seven other people who attended the Sept. 26 ceremony have since tested positive for the coronavirus, and health officials fear even more cases could result from the event.

“It’s very important we get the message across that this is not a hoax or a conspiracy or a fake illness,” Walter said. “Just because it hasn’t affected you personally doesn’t mean it’s not real. The events of last weekend prove that you can be isolated for a while, but if you make one wrong move, the virus could get you.”

Walter looked at 20,000 empty black chairs that had been placed on the Ellipse over the weekend, each representing 10 people in the United States who have died of covid-19. The U.S. coronavirus death toll soared past 200,000 last month, and Covid Survivors for Change, a network aimed at helping those affected by the virus locate support groups and other resources, declared Sunday a national day of remembrance.

The group recruited local volunteers to set up the installation. They began removing the chairs after the event Sunday.

Those who spoke reflected the myriad ways the pandemic has shaken people’s lives: a Virginia teacher who worried for the health of her students. A Black entrepreneur who is struggling to get by. An emergency room nurse who was hospitalized with the virus and lost her brother to covid-19 weeks later.

While each speaker’s story was different, their message was the same: The pandemic is far from over, and a national strategy with cohesive leadership is the only way to prevent another 200,000 deaths.

“When I watched that Rose Garden event I was horrified. I saw children and adults and elderly people all unmasked and not socially distanced, against all recommendations we have,” said Dara Kass, an emergency medicine physician and associate professor of emergency medicine at Columbia University Medical Center.

“When I think of the 200,000 who have died, and all the people who will be infected because of how his administration behaved, it continues to disappoint me not only as a doctor, but as an American,” she said.

Kass, who spoke Sunday, said she was especially concerned about those who went to the Rose Garden ceremony and didn’t immediately self-quarantine, even after it became apparent someone in attendance was infected. Attorney General William P. Barr decided not to self-quarantine even though he was exposed

Infectious Trump briefly leaves Walter Reed to greet fans as confusion continues over his health

Adding to the confusion about his status, Trump briefly left Walter Reed National Military Medical Center in Bethesda to wave to supporters from a motorcade, after releasing a video on Twitter thanking people who had gathered outside the facility.

“We’re getting great reports from the doctors,” Trump said in the video before promising a “little surprise” to his supporters. “It’s been a very interesting journey. I learned a lot about covid.”

At a news conference earlier Sunday, Trump’s medical team tried to clear up muddled picture it had created the previous day when White House doctor Sean Conley falsely suggested that Trump had not been given supplemental oxygen.

But Conley continued to evade directly answering specific questions about Trump’s health Sunday, even as he revealed that the president had been given dexamethasone, a steroid that is typically reserved for severely ill coronavirus patients needing oxygen. Conley openly admitted to withholding truthful information about Trump’s plummeting blood-oxygen levels Friday, indicating he did so to put a positive spin on the president’s improving condition.

“I was trying to reflect the upbeat attitude that the team, the president, that his course of illness, has had,” Conley said Sunday, explaining why he told reporters Saturday that Trump had not been given oxygen Friday. “I didn’t want to give any information that might steer the course of illness in another direction. And in doing so, you know, it came off that we were trying to hide something, which wasn’t necessarily true.”

Conley also announced that Trump’s oxygen levels had dropped again on Saturday. Asked if Trump had been administered supplemental oxygen as a result, Conley said that he did not know and would have to check with the nursing staff.

The episode continued what has been a days-long torrent of falsehoods, obfuscation, evasion, misdirection and imprecision from those surrounding Trump as he faces the greatest threat to a president’s health in decades. From the chief White House doctor to the president’s chief of staff, the inability to provide clear, direct and consistent information about Trump’s condition has been widespread since the coronavirus began rapidly circulating in the West Wing.

Trump, his doctors and White House aides sought to portray him as improving and largely unencumbered by the virus that has killed more than 209,000 Americans. White House aides emphasized that Trump was continuing to work while at Walter Reed, casting him as a triumphant warrior.

In the Twitter video, Trump said that he has spent part of his time at Walter Reed visiting wounded warriors and first responders without providing details about how those patients were protected against the president infecting them with covid-19. He also indicated that he understood the coronavirus better than medical experts after having contracted it.

“I learned it by really going to school — this is the real school. This isn’t the let’s-read-the-book school,” he said. “And I get it, and I understand it.”

The president donned a mask as he waved to a crowd of fans from inside a

Pairing service dogs with disabled veterans is goal of fitness challenge event this month | Local News

Hi! My name is Zero Suit Samus (or Samus for short), and I’m an energetic pitbull mix who needs some love. And I really mean that. I need a family who will cuddle with me because your penalty for not giving me cuddles is to hear the cry of my people. My foster dad says that based on my crying, I must have descended from pterodactyls, but that’s silly because pterodactyls don’t even like peanut butter. And I looove peanut butter. And treats. And strawberries. And watermelon. And anything, really. Honestly kid, if you give me your salad, I’ll eat it. Don’t want your broccoli? I’ll take care of your problem. See that toy? It’s in my stomach now. See that puke? Well, you can have your toy back.

Like all superdogs, I have an origin story: I ran across the highway and caused a 4-car pileup that I ended up underneath. It wasn’t my best choice, but it’s still a better love story than “Twilight.” I have to take daily medication now, or else I have pretty severe seizures. But I like to think of my epilepsy as my unbridled superpower that the world just isn’t ready for yet.

I’m a Tulsa native, but I’m still not a fan of the Bermuda grass around here – I get allergies in the summer, so that’s something you should know. Despite this, I still love running and rolling in the grass, and if you toss me a ball, I can jump and catch it in mid-air even when it’s 6-feet high. I’m not exaggerating. (Pterodactyl dogs never exaggerate.) And would you mind spraying me with a hose once in a while? I love playing in water, especially when it’s coming out of a tiny hose at jet-like speeds.

But if you have another dog in the home, then forget about it because I’m a single-dog dog. A lone wolf. A rebel. I will not share my toys, I will not share my food, and I will not share my family. I do just fine around other dogs in general, but once you introduce toys or food, then I get very territorial. Can we agree that I’ll be your only one?

By the way, I love kids. I don’t have these problems with other humans, so don’t worry about bringing me home to your young ones. I am loyal to the bone. Don’t believe me? Try going for a jog with me. I will keep pace with you the entire time, just running by your hip. Need me to lick the sweat off your face after an especially hot run? Baby, that’s what I’m about. I’m a good dog. My foster family says so, too. I will take care of you if you let me. I’m eager to learn, I don’t catch coronaviruses, and I’m housebroken. I won’t poop in your Cheerios. Unless that’s one of your commands, but why would it be? Don’t want your Cheerios? Just let me have them

Doctors Say Trump Case of COVID-19 Likely Severe | Top News

By Deena Beasley and Michael Erman

(Reuters) – Doctors not involved in treating President Donald Trump for COVID-19 said the fact that he has been started on dexamethasone – a generic steroid widely used in other diseases to reduce inflammation – is evidence his case is severe.

Trump’s medical team on Sunday said the president was started on the steroid after experiencing low oxygen levels, but his condition was improving and he could be discharged from the hospital on Monday.

“What I heard in the news conference description suggested the President has more severe illness than the generally upbeat picture painted,” said Dr. Daniel McQuillen, an infectious disease specialist at Lahey Hospital & Medical Center in Burlington, Massachusetts.

The Infectious Disease Society of America says dexamethasone is beneficial in people with critical or severe COVID-19 who require extra oxygen. But studies show that the drug is not helpful – and may even be harmful – in people with a milder case of the illness.

Doctors who have been treating COVID-19 patients for months said Trump, who surprised cheering supporters outside the hospital by riding past in a motorcade Sunday evening, could still be discharged from the hospital. Trump returned to Walter Reed National Military Medical Center after the short trip. [L1N2GV0B3]

“He’s not going to go to a home where there’s no medical care. There’s basically a hospital in the White House,” said Dr. Walid Gellad, professor of medicine at University of Pittsburgh.

Trump, 74, was flown to the hospital on Friday hours after announcing that he had tested positive for coronavirus infection. While at the White House, the president was given an infusion of an experimental antibody treatment from Regeneron Pharmaceuticals that is being studied for early infections. On Saturday, the president was started on a five-day course of intravenous antiviral drug remdesivir, which is sold by Gilead Sciences.

If Trump no longer requires supplemental oxygen and is able to return to his normal activities, his doctors could discharge him from the hospital, said Dr. Amesh Adalja, an infectious disease specialist at Johns Hopkins University.

“The biggest question would be is there a risk of deterioration, or is he on a good trajectory?” he said.

COVID-19 is often characterized as having two phases – the viral infection itself and in some cases an overreaction of the body’s immune system that can cause organ damage. “People sort of putter along for up to a week …then everything goes downhill very quickly,” said Dr. Stuart Cohen, chief of infectious disease at California’s UC Davis Health. “It is always hard to predict who that is going to happen in.”

Doctors said COVID-19 patients who have had a good response to treatment can leave the hospital relatively quickly, but they will still need to be closely monitored.

“Some people with COVID-19 develop worsening symptoms, shortness of breath and other complications about a week after they first develop symptoms,” said Dr. Rajesh Gandhi, an infectious disease physician at Massachusetts General Hospital in Boston.

Dr.

Palliative medicine and dying with dignity

Sir, – As individuals and members of the Irish Palliative Medicine Consultants’ Association (IPMCA), we are gravely concerned by any proposal to legislate for assisted suicide and euthanasia in Ireland.

Based on our collective experience over many decades of providing specialist care to thousands of individuals in Ireland and their families each year, we have closely observed the experiences of people who have lived and are living with serious illness.

The threats of the proposed Bill to healthcare in Ireland, to the true meaning of the doctor-patient relationship and to the future of what we know compassionate and supportive specialist palliative care to be are many. We worry about the impact on people who already struggle to have their voices heard in our society – older adults, the disabled, those with mental illness and others. We worry that the most vulnerable are those who may be made to feel a burden to their families and come under pressure to end their lives prematurely.

Our experiences tell us that many in our society don’t really know what dying is like, or how rare it is that severe pain cannot be controlled. Most people do not see that within the easing of physical, psychological or spiritual distress and addressing people’s fears, hopes, sadness and loss, the goal of palliative care remains to enhance the living of each life which often transforms the experiences of living, dying and bereavement for individual patients and their families.

We are convinced that as dying with dignity is already present within healthcare in Ireland, no change to our current laws is required. – Yours, etc,

FEARGAL TWOMEY,

Consultant Physician

in Palliative Medicine,

Limerick and

Chairman of the Irish

Palliative Medicine

Consultants’ Association;

Prof TONY O’BRIEN,

Clinical Professor

of Palliative Medicine,

University College Cork;

Dr MARIE TWOMEY,

Consultant in Palliative

Medicine,

St Luke’s Hospital,

Dublin 6;

Dr NORMA O’LEARY,

Consultant Physician

in Palliative Medicine,

Our Lady’s Hospice

and Care Services and

St James’s Hospital,

Dublin 8,

Dr VAL O’REILLY,

Consultant in Palliative

Medicine,

Limerick;

Prof KAREN RYAN,

UCD Clinical Professor,

Consultant in Palliative

Medicine;

Dr DENISE HAYES,

Consultant in Palliative

Medicine,

University Hospital

Waterford;

FAITH CRANFIELD,

Consultant in Palliative

Medicine,

St Francis Hospice

Blanchardstown and

Connolly Hospital,

Dublin 15;

MARIAN CONROY,

Consultant Physician in Palliative Medicine,

UL Hospitals Group and

Milford Care Centre, Limerick;

Dr MAGS CLIFFORD,

Consultant in Palliative Medicine

Cork Kerry Community Healthcare,

Kerry Specialist

Palliative Care Services,

University Hospital Kerry;

Dr CATHRYN BOGAN,

Consultant in Palliative Medicine

North West Hospice,

Sligo University Hospital;

Dr AISLING O’GORMAN,

Consultant Physician

in Palliative Medicine,

Honorary Clinical Senior Lecturer,

Royal College of Surgeons in Ireland,

Louth & Meath Specialist Palliative

Care Services,

Dóchas Centre,

Our Lady of Lourdes Hospital,

Drogheda;

Dr CLARE MCALEER,

Consultant in Palliative Medicine ,

Beaumont Hospital,

and St Francis Hospice, Raheny;

Dr BARBARA

SHEEHY-SKEFFINGTON,

Locum Consultant

in Palliative Medicine,

Our Lady’s Hospice and Care Services,

and St James’s Hospital, Dublin;

Dr. BERNADETTE BRADY,

Consultant in Palliative Medicine,

Tallaght University Hospital;

Dr EILEEN MANNION,

Clinical Lecturer

New Cases Above 1,000 For Second Straight Day In Virginia

VIRGINIA — On Sunday, the Virginia Department of Health reported 1,067 new coronavirus cases, the second day of cases being above 1,000 since Sept. 18. The seven-day average of new cases has been below 1,000 since Sept. 18 and now stands at 818. The cumulative numbers of the COVID-19 pandemic in Virginia stand at 151,870 cases, 11,221 hospitalizations and 3,273 deaths.

The northern region led the state Sunday with 268 new cases, followed by the southwest region with 242 cases, eastern region with 237, central region with 184, and northwest region with 136.

However, data on positive rates of tests shows Northern Virginia has the lowest average. The seven-day averages of PCR tests by region are 6.2 percent in the southwest region, 5 percent in the northwest region, 4.7 percent in the eastern region, 4.4 percent in the central region. 4.2 percent in the northern region. Statewide, the positive average is 4.8 percent and 2,127,394 PCR tests have been completed, up 13,516 tests from Saturday.

Looking at VDH’s new Pandemic Metrics dashboard, Northern Virginia’s community transmission extent for the week ending on Sept. 26 was low with a decreasing trend. In the near southwest region, the community transmission is considered “substantial” but also with a decreasing trend. The far southwest, central, northwest and eastern regions have moderate community transmission, according to the weekly data.

COVID-19 hospitalizations stand at 877 statewide. That includes 229 in the central region, 197 in the eastern region, 189 in the northern region, 161 in the southwest region, and 101 in the northwest region. According to the Virginia Hospital & Healthcare Association, 17,848 COVID-19 patients have been discharged from hospitals.

The current hospitalizations, as of Sunday, include 197 in the intensive care units and 98 on ventilators. Ventilator use stands at 20 percent among all Virginia hospital patients, and ICU occupancy is at 73 percent. There are no hospitals reporting difficulty obtaining personal protective equipment in the next 72 hours.

Here are the latest coronavirus data updates for our coverage area between Saturday and Sunday:

  • Alexandria: 3,912 cases, 326 hospitalizations, 70 deaths; increase of 19 cases

  • Arlington County: 4,045 cases, 505 hospitalizations, 151 deaths; increase of 19 cases

  • Fairfax County: 21,282 cases, 2,178 hospitalizations, 590 deaths; increase of 106 cases and two hospitalizations

  • Fairfax City: 139 cases, 14 hospitalizations, eight deaths; increase of two cases

  • Falls Church: 72 cases, 13 hospitalizations, seven deaths; no changes

  • Loudoun County: 6,985 cases, 437 hospitalizations, 126 deaths; increase of 31 cases

  • Manassas: 1,947 cases, 130 hospitalizations, 24 deaths; increase of 11 cases

  • Manassas Park: 616 cases, 55 hospitalizations, eight deaths; increase of three cases

  • Prince William County: 12,744 cases, 924 hospitalizations, 209 deaths; increase of 77 cases and one hospitalization

  • Fredericksburg: 552 cases, 49 hospitalizations, five deaths; increase of two cases

  • Spotsylvania County: 2,187 cases, 136 hospitalizations, 46 deaths; increase of 10 cases

  • Stafford County: 2,065 cases, 161 hospitalizations, 17 deaths; increase of seven cases

RELATED:

This article originally appeared on the Old Town Alexandria Patch

Source

What is Trump’s medicine Remdesivir and is the drug used in the UK?

President Donald Trump has been taken to a military hospital after his coronavirus symptoms worsened and is being treated with the anti-viral drug Remdesivir.



a man wearing a suit and tie


© Provided by The Independent


Trump revealed via Twitter yesterday that he and first-lady Melania Trump had both tested positive for the virus after they took a test following the announcement that senior aid Hope Hicks had contracted covid.

On Friday night, he communicated on Twitter for the first time while in hospital, saying: “Going well, i think! Thank you to all. LOVE!!!”

Commentators have noted that it remains rare for a president to stay overnight in hospital, given the extensive medical facilities available in The White House.

White House physician, Dr Sean Conley, said that the president was “fatigued but in good spirits.”

In a follow up, Mr Conley said that Trump was “doing very well [and] not requiring any supplemental oxygen.”

He added that the president is being treated with the anti-viral drug Remdesivir, used in the US to shorten patient’s hospital stays.

The drug was created in 2009 by Gilead Sciences Inc and was originally proposed for treating hepatitis C, however scientists incidentally discovered that Remdesivir was effective for treating many other viral infections.

In 2014, the drug was studied as a possible treatment for ebola and found to be useful against Severe Acute Respiratory Syndrome (SARS) as well as the Middle East Respiratory Syndrome (MERS). Both viruses are structurally similar to Covid-19.

However, studies on the drug have only been carried on test tubes and animals and no human trials have ever taken place with Gilead maintaining that Remdesivir is an “experimental medicine that does not have established safety or efficacy for the treatment of any condition.”

Subsequently, scientific experts have warned that Remdesivir is no “silver bullet” and its effectiveness is widely debated.

A Chinese study, recently published in The Lancet, found the drug did not improve recover time or reduce mortality risk when it was tested on patients in comparison with a placebo.

However, a report published in The New England Journal of Medicine in April, found that the drug shortened recovery time by four days, from 15 to 11.

The drug was first approved as an effective means to treat covid symptoms in May 2020 and in the US Remdesivir is given to patients with severe and prolonged symptoms, from 10 days onwards.

Meanwhile in the UK, health officials announced that it would only be available to “selected NHS patients.”

The Department of Health said in a statement: “The drug will be used in adults and adolescents hospitalised with severe Covid-19 infection who meet clinical criteria suggesting they have the greatest likelihood of benefitting.”

Other countries that have approved the drug for use against Covid-19 include Japan, South Korea, Taiwan, India, Singapore and Australia.

Earlier this month, it was reported that India and Pakisran have ramped up their Remdesivir production after signing licensing agreements with Gilead.

The Trump administration stockpiled the drug in July, buying up 500,000 doses from

Local doctor named Texas Dentist of the Year

HARLINGEN — Early on, Dr. Gary M. Schwarz was originally inspired to become a farmer like his father.

However, after his parents recommended he become a doctor or a dentist because of his love for biology, he became inspired to pursue a career in dentistry and oral surgery.

Schwarz grew up in the Rio Grande Valley and now has offices in Brownsville, Harlingen, Weslaco and McAllen.

To him, being a dentist and oral surgeon is a very rewarding career that helps make a difference in people’s lives.

On Sept. 17, Schwarz was selected as the 2020 Texas Dentist of the Year at the Texas Academy Awards celebration.

“Upon being announced the 2020 Texas Dentist of the Year, I am so shocked and I am so touched,” Schwarz stated. “I want to extend my thanks to the Rio Grande Valley Dental Society, Rio Grande Valley AGD, Rio Grande Valley Study Club and the Academy of General Dentistry. Most importantly, thank you to my staff, my beautiful wife and thank God. God is good.”

According to a news release from the Texas Academy of General Dentistry (AGD), this award is considered the most prestigious honor a Texas dentist can earn.

He was nominated by the Rio Grande Valley AGD and chosen from among 14 nominees by a panel of judges.

Nominations are received from local components of the Texas AGD and district dental societies from all areas of Texas.

The winner is determined based on contributions to dentistry, service to the community, dedication to principles of continuing education and other activities that indicate character and excellence.

The Texas AGD selects a dentist every year to honor as the Texas Dentist of the Year.

According to the release, judges believed two dentists were deserving of the award this year and presented it to both Schwarz and Dr. C. Roger Macias of San Antonio.

“Schwarz has been deeply involved in organized dentistry for as long as he has been in practice and has served on all levels — local, statewide and national,” the release states.

Schwarz received his Doctor of Dental Surgery degree from the Texas A&M Health Science Center Baylor College of Dentistry in 1978.

Early in his career, Schwarz met and studied with Dr. P.I. Brannemark.

The release further states that this opportunity allowed Schwarz to open an implant center and begin mentoring dentists by providing a platform for regular and frequent continuing education programs.

“From the time he first started his practice, Schwarz’s mission has always been to take good care of anyone who came through the door,” the release states.

According to the press release, Schwarz has been profoundly influenced by his mentor, Dr. D. Lamar Byrd who believed oral surgery was an essential service to the community, and with that came added responsibility.

“To this day, I believe it was sage advice and I have always conducted my practice with this core ethic in mind,” Schwarz stated.

Most recently, he served as president of the Rio Grande Valley AGD