The University of Kansas Health System is treating a total of 61 COVID patients today, 68 Wednesday. Other significant numbers:

•  31 with the active virus today, 37 Wednesday
•  5 in ICU, 5 Wednesday
•  2 on a ventilator, 4 Wednesday

Key points from today’s guests:

Morning Rounds – Recap of National Health Headlines

Dr. Jesalyn Tate, director of dermatologic surgery and Mohs micrographic surgery, The University of Kansas Health System

• First Lady Dr. Jill Biden underwent surgery this week after doctors found a small lesion above her right eye during a routine skin cancer exam. The procedure is known as Mohs surgery.
• Mohs surgery is a specialized skin cancer removal technique. It's really for those cancers in the cosmetically sensitive areas where we don't have a lot of extra skin.
• Patients are numbed before we remove that skin cancer and we take a very narrow margin of skin.
• Basal cell carcinoma is a type of skin cancer. It's actually the most common type of skin cancer we see.
• The good thing about basal cell carcinoma is it's a low risk cancer, however, it can be locally invasive, so we want to make sure we get that skin cancer out with clear margins just to make sure it doesn't cause the patient long term problems.
• If you're in your 20s 30s and you haven't had a baseline skin check, it is highly recommended to have one with a board certified dermatologist.

Featured Content Summary

Ian Grillot, injured in 2017 Olathe shooting

• In a story that made international headlines, Ian spent six days at The University of Kansas Health System after being shot at a bar trying to save the life of a man who was targeted because of his race.
• A bullet barely missed Ian’s carotid artery and it led to a collapsed lung and a fractured vertebra. It also went through Ian’s hand and ended his career as a construction worker. The bullet is still in Ian’s body.
• Mental health is becoming more of an acceptable thing, especially for men, he said. It took about five years for Ian to really acknowledge he needed some help in dealing with such a traumatic event.
• Ian received the highest award the FBI gives to citizens for his heroism, but he said the real heroes were the people who tried to save his life and the lives of others that night.
• The prayers and well-wishes from everyone meant a lot and really helped him.
• “As a community, we really did come together, and it was it was a beautiful thing. Unfortunately, it was caused by tragedy, but just the way everybody united, it seemed like everybody kind of linked hands and came together as a community. We just don't see that anymore these days. And unfortunately when we do it's always after a tragedy. Why can’t that happen just out of the good of everybody's hard to come together? I don't know, but hopefully we can get there someday.”

Dr. Cameron McCoy, trauma surgeon and associate trauma medical director, The University of Kansas Health System

• Part of trauma care is learning how to provide care after the trauma and health professionals need to consider that.
• The trauma team is comprised of many specialties, emergency department providers or providers, ICU providers and all the support staff and other service lines that go into supporting us as a level one trauma center.
• We have significant resource availability with regard some blood bank capabilities, radiology capabilities, and they're basically ready on the spot within 10 to 15 minutes of an ER code being called out by EMS, where they're ready to receive the patient -- which is not true of many standard ERs in this area.
• It's a common misconception in the popular media and film that removal of the bullet is the step in someone's trauma care that somehow miraculously gets them better. In fact, it's actually the damage repair of all the injured tissue through which the bullet has traversed that in fact gets the patient better – a stable ballistic is in fact a very low risk thing.
• What people don't realize is the vast majority of retained bullets are left in place for years at a time with no ill effect.

Wednesday, January 18 is the next Open Mics with Dr. Stites.  Is10-thousand steps a day really the magic number? We know walking improves cardiovascular health and reduces the risk of dementia, but how many steps do you really need to feel the benefits? Our experts weigh in on a recent study.

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