The McHenry County, Illinois, Health Department (MCHD) had refused to provide the names of all coronavirus (COVID-19) patients to police – but, on Friday, Judge Michael Chmiel ruled the MCHD must do so.
The McHenry County state’s attorney’s office had sued MCHD to force it to begin supplying patients’ names to local law enforcement, prompting the judge’s ruling, The Chicago Tribune reports:
“On Friday, McHenry County Judge Michael Chmiel entered a temporary restraining order mandating that the Health Department disclose to police the names of those actively infected with COVID-19.”
“The Health Department refused to reveal the names, prosecutors stated in a news release. Health departments have typically cited privacy concern in withholding such information, specifically the federal Health Insurance Portability and Accountability Act.”
“While we are compelled to provide the information,” MCDH said in a statement released Saturday, it remains the health department’s “professional health opinion” that providing patients’ identities to police is excessive:
“In MCDH’s professional public health opinion, given what we know about how this disease spreads, the general lack of testing, epidemiological data and the stay-at-home order, providing the personal names of cases exceeds the minimum information needed to protect law enforcement.
“Five law enforcement agencies disagreed and filed suit, demanding the names of patients having tested positive. Friday evening, the court issued a temporary order to release the names. While we are compelled to provide this information, MCDH has requested the tightest control of this private medical information, whereby it will be provided only to the Emergency Telephone System Board (ETSB-911) for dissemination on a call-by-call basis.”
On April 2, 2020 McHenry County posted a video to its YouTube page featuring police officers and other public servants telling residents to “Stay Home McHenry County.”
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The future of medicine as we know it is evolving, whether we like it or not. You may have even heard the term “telemedicine” in recent talks about healthcare.
With the introduction of internet and technology, a world of possibilities could open up; from access to top medical professionals all over the world, to medical assessments conducted from the comfort of your home.
The ability to diagnose (and in some cases, treat) remotely are made possible. For obvious reasons, this new technology could have some positive implications for rural communities like ours.
As healthcare as we know it evolves, the same rings true for oral health. The dental field is adopting Tele-dentistry which involves “the exchange of clinical information and images over remote distances for dental consultation and treatment planning.” .
What does this mean for patients?
For you, the patient, this could mean access to better oral healthcare, online consultations, and in some cases lower costs. For example, you can now get a professional opinion from your dentist without taking time off work or pulling your kid out of school.
Here locally, Rendezvous Dental is embracing the future of dentistry.
Forward-thinking dentists, like Dr. Colton Crane at Rendezvous Dental are already using this cutting-edge technology to improve the patient experience.
Let’s try it! Tele-dentistry with Rendezvous Dental is easy. Visit their website and follow the instructions. Fill out the online form, describe your concern in detail, and attach two images from different angles. For just $25, you can have a response from Dr. Crane within 2-3 hours (during business hours)!
In most cases this is enough for Crane to decide if your problem is cause for immediate concern or something that can wait until your next cleaning. In a pinch, antibiotics could be prescribed too. Should an x-ray or further exam be in order, Rendezvous Dental will apply your $25 as a credit.
This new service is currently available online at rendezvousdental.com/tele-dentistry. For more information, call Rendezvous Dental at or stop by their office at 312 N 8th St. W. in Riverton.
As a critical care doctor in New York City, Monica is used to dealing with high-octane situations and treating severely ill patients. But she says the COVID-19 outbreak is unlike anything she’s seen before. Over the past few weeks, operating rooms have been transformed into ICUs, physicians of all backgrounds have been drafted into emergency room work, and two of her colleagues became ICU patients. While Monica is proud of her coworkers for rising to the challenge, she says it’s been hard for them to fight a prolonged battle against a deadly, highly contagious illness with no known cure.
To make matters worse, Monica recently tested positive for COVID-19, and she believes she brought the virus home to her husband. Both have gotten sick and are improving, but he had a much harder time with the disease than she did. Monica says that, while she’s used the inherent risk of her job, she feels her hospital failed to protect her and her family — and she blames herself, in part, for her husband’s illness. “There’s this sinking feeling that you have,” says Monica, who requested anonymity because she feared professional repercussions for speaking candidly, “not only, like, the hospital let you down, and that the system let us down as doctors and didn’t protect us, but then I didn’t protect my own family.”
In hospitals around the world, doctors, nurses and other healthcare workers like Monica are fighting an enemy that has already killed more than 95,000 people, including over 16,000 in the United States. And as with any war, the fight against COVID-19 will result not just in direct casualties, but also take a terrible toll on the minds of many of those who survive.
It will be years before the mental health toll of the COVID-19 pandemic is fully understood, but some early data already paints a bleak picture. A study published March 23 in the medical journal JAMA found that, among 1,257 healthcare workers working with COVID-19 patients in China, 50.4% reported symptoms of depression, 44.6% symptoms of anxiety, 34% insomnia, and 71.5% reported distress. Nurses and other frontline workers were among those with the most severe symptoms.
In interviews with TIME, several doctors and nurses said that fighting COVID-19 is making them feel more dedicated to their profession, and determined to push through and help their patients. However, many also admitted to harboring darker feelings. They’re afraid of spreading the disease to their families, frustrated about a lack of adequate protective gear and a sense they can’t do enough for their patients, exhausted as hours have stretched longer without a clear end in sight, and, most of all, deeply sad for their dying patients, many of whom are slipping away without their loved ones at their side.
It’s those lonely deaths that have hit the hardest for some. Natalie Jones, an ICU-registered nurse at Robert Wood Johnson University Hospital Hamilton in New Jersey, says it’s been agonizing to have to turn away people who want to visit their loved ones one last time. She’s trying to find ways to be compassionate where she can — last week, she passed on a message from a patient’s wife just before he died: “That they love him, and it’s O.K. to go.” But even simply carrying a message of such emotional weight can take a toll.
“We carry that burden for the families, too,” says Jones, who’s having difficultly sleeping without nightmares. “And we understand it’s so difficult that they can’t be there. And that hurts us too. As nurses, we’re healers, and we’re compassionate. It hits very close to home for us as well.”
“We’re all affected,” adds Jones, whose already hectic schedule has gotten even more intense amid the outbreak, costing her the sleep that might otherwise help her cope with what she’s experiencing. “To say that we’re not would be a lie.”
The coronavirus is taking a mental toll even on those medical experts who aren’t on the front lines. Since the start of the outbreak, Dr. Morgan Katz, an infectious disease expert at Johns Hopkins University, has been advising nursing homes and long-term care centers on dealing with the coronavirus. But she’s struggling with the gap between what she believes to be the proper procedures and what’s actually possible in this crisis. Many of the facilities she’s advising are suffering from a lack of protective equipment, limited staffing and insufficient testing, and a sense of helplessness is taking hold.
“We didn’t have the resources before this that we needed, and this has completely strapped them beyond anything feasible,” says Katz. “It’s so sad. I really feel for these nursing homes and the staff of these nursing homes, because I truly believe that they’re trying to do the right thing. But I really don’t feel like they’re being protected the way that we need to protect them.”
Finding ways to support medical workers’ mental health could be a key component in the fight against COVID-19. Dr. Albert Wu, professor of health policy and management and medicine at the Johns Hopkins Bloomberg School of Public Health, says that evidence from the 2003 SARS outbreak suggests that failing to support healthcare workers in a crisis, including by not providing enough protective gear, can erode their “wellbeing and resilience,” ultimately leading to chronic burnout. Some healthcare workers could leave the profession, be absent more often from work, or develop PTSD, and any preexisting mental health conditions could be exacerbated. Furthermore, healthcare workers are human like the rest of us, and under extreme stress, they could be prone to making mistakes — which could lead to worse outcomes for patients, and further erode doctors’ and nurses’ mental health. “We can’t get away from our physiology,” says Wu.
If healthcare workers can’t provide the care they typically believe is medically necessary for their patients, they may experience a phenomenon known as “moral injury,” says Dr. Wendy Dean, a psychiatrist and the co-founder of the nonprofit Fix Moral Injury. Dean says that American healthcare providers are used to doing anything and everything to help their patients, but inadequate protective gear and triage procedures will force them to make “exquisitely painful” decisions, such as choosing whether or not to risk infecting themselves, their family and other patients in order to help everyone in their care.
Still, Dean says the scope of the mental health crisis among healthcare workers won’t come into focus until the more immediate problem has ebbed.
“When I think the real challenge is going to come is when the pandemic eases up and people start having time to process,” she says. “All that they’ve seen, all that they’ve done, all that they’ve felt and pushed away.”
Several healthcare workers said that, amid all the uncertainty and horrors, they have found some relief in drawing upon support from their families, communities, and one another. Monica, for one, says her friends brought food to her and her husband after they got sick, and she deeply appreciated the support. She’s also proud of the way her colleagues have come together as a team to fight the virus. “There has been a real feeling of, everybody’s in the trenches together,” she says. “What I’ve been most amazed about is people have really risen to that call.”
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Florian Hillen, the chief executive officer of a new startup called VideaHealth, first started researching the problems with dentistry about three years ago.
The Massachusetts Institute of Technology and Harvard educated researcher had been doing research in machine learning and image recognition for years and wanted to apply that research in a field that desperately needed the technology.
Dentistry, while an unlikely initial target, proved to be a market that the young entrepreneur could really sink his teeth into.
“Everyone goes to the dentist [and] in the dentist’s office, x-rays are the major diagnostic tool,” Hillen says. “But there is a lack of standard quality in dentistry. If you go to three different dentists you might get three different opinions.”
With VideaHealth (and competitors like Pearl) the machine learning technologies the company has developed can introduce a standard of care across dental practices, say Hillen. That’s especially attractive as dental businesses become rolled up into large service provider plays in much of the U.S.
Image courtesy of VideaHealth
Dental practitioners also present a more receptive audience to the benefits of automation than some other medical health professionals (ahem… radiologists). Because dentists have more than one role in the clinic they can see enabling technologies like image recognition as something that will help their practices operate more efficiently rather than potentially put people out of a job.
“AI in radiology competes with the radiologist,” says Hillen. “In dentistry we support the dentist to detect diseases more reliably, more accurately, and earlier.”
The ability to see more patients and catch problems earlier without the need for more time consuming and invasive procedures for a dentist actually presents a better outcome for both practitioners and patients, Hillen says.
It’s been a year since Hillen launched the company and he’s already attracted investors including Zetta Venture Partners, Pillar and MIT’s Delta V, who invested in the company’s most recent $5.4 million seed financing.
Already the company has collaborations with dental clinics across the U.S. through partnerships with organizations like Heartland Dental, which operates over 950 clinics in the Midwest. The company has seven employees currently and will use its cash to hire broadly and for further research and development.
RUSH: I wanted to update you on my health. And the first thing to tell you is I’m fine. I’m sitting here at my official home library desk, and I am fine. Now, here’s where my problems began. The cancer I have, the lung cancer I have involves the mutation of a gene that occurs in 1 to 5% of lung cancer patients. Now, ordinarily that would be very bad news because it would be something that maybe there’s no medicine for or that there’s no targeted treatment for.
It turns out it’s the exact opposite. It turns out it was good news because there is a clinical trial of a combination of chemo drugs that has been very successful in attacking this particular gene mutation in melanoma cancers. So the clinical trial that I’m in — and I went into it with full knowledge that it was a trial, a stage 2 trial. I had every option every cancer patient’s ever had presented to me by numerous doctors, numerous places, I chose what happened here.
The stage 2 trial I’m in involves targeting with two different drugs the mutation that has caused my stage 4 lung cancer. By the way, my voice is weak only because I haven’t used it much. There’s nothing wrong there. And everything was going along fine. The first four weeks we were all feeling great because they warned us that the side effects of this drug could be pretty bad. Normal things like nausea, vomiting, fatigue, none of that happened to me. So the first four weeks went by, we’re kicking butt, we’re thinking this was great. And we have some indications that it’s working as well.
Well, late last week I began to find it very difficult to walk. My muscles in both legs, from the waist down, began to retain fluid and swell up incredibly to the point that ten days ago, Monday of last week when we were away for treatment, I could barely walk in the hotel room and needed a wheelchair to get where I was going. I kept taking the chemo drugs, thinking that it would be something that I could get past. I didn’t get past it and developed fevers of 102 to 103, which were also part of the list of side effects that could happen.
The point is, after about five weeks on this stuff, it all just hit me. And all of last week I was unable to get out of bed. Primarily because I couldn’t walk. The degree of pain and the swelling in both joints and legs — and I’ll give you an idea of the pain. ‘Cause they asked me to describe it. I said, “Imagine you have been sedentary for a year and then one day you go to the gym or you go practice football or you do a two-hour, strenuous workout. You know how you feel the next day, your muscles are filled up with lactic acid, you can barely move?” I said, “That’s what it’s like times five for me.”
“Oh, okay,” and they start writing it down, making notes. But I was not given anything for it. We just kept going with the treatment hoping that it would be something my system would metabolize and move beyond, but it didn’t. So it got bad enough on — losing track of the days here. I guess it got bad enough last Monday or whatever that we had to pull the treatment. We had to pull the treatment, and it was going to be just temporary for a week or two to see what would happen. I’m now taking drugs, steroids, to reverse the effects of the chemo drug.
Here’s the irony, folks. The chemo drugs are working. They were… I’m not gonna go into detail about how we know because I don’t want to provide too much target area for media to go searching on the internet what I’m dealing with. But, trust me, it was working — and it’s working so well, the doctors want me to continue doing this and put up with the leg pain.
“I can’t do this,” I told them. “I can’t do this. I can’t work, I can’t think, I can’t… There’s just no way. It’s the same old question that cancer patients have. You have to balance quality of life versus length. So there are other alternatives that we’re looking into. I’ve currently suspended the treatment and we’re looking at alternatives, and there are plenty of those. But I’ve gotta get the swelling down and get this pain taking care of.
Otherwise, I won’t be able to do anything but talk to you from this desk on a phone. So that’s the status of that. I’m feeling much better physically having gotten off the chemo drugs. I think we dropped them Monday or Tuesday. (As I say, the days are running together.) So I wanted to share all this with you because there had been a lot of people concerned at the ongoing, extended absence, which is unlike me.
And I’ve made it very clear that the only place I really want to be during all of this — aside from at the side of my lovely wife, Kathryn — is in the radio studio. And the fact that you can’t do that is frustrating, and it was something everybody was noticing. So I started getting little emails from people. You read between the lines, they’re saying, “What the hell is going on! Where are you?”
So I thought it’d be wise and prudent to come in and share some of these details with you. I’m looking at the clock. Let’s take a break here and we’ll come back after the break and we’ll get back into some of the observations I’ve had about what’s going on with the coronavirus and what is happening to our country. It’s the Rush Limbaugh program. I made it past the call screener. As far as I know, I’m still on the air. I have not gotten myself thrown off yet.
Henry Ford Health officials confirm letter outlining life and death protocols for COVID-19
Phoebe Wall Howard Detroit Free Press
Published 2:39 AM EDT Mar 27, 2020
Henry Ford Health System has officially confirmed the accuracy of a detailed letter being circulated by doctors and others on social media outlining life and death guidelines for use during the pandemic.
The @HenryFordNews Twitter account responded at 11:22 p.m. Thursday to Nicholas Bagley, a University of Michigan law professor, who shared content that appeared to be on hospital letterhead outlining how doctors would make decisions at the Michigan hospital network about who gets treated during the COVID-19 crisis with limited resources.
People had immediately replied with shock and sadness and challenged the authenticity of the letter.
Henry Ford Health System responded directly to Bagley as the response to his tweet grew more heated.
“With a pandemic, we must be prepared for worst case,” the tweet said. “With collective wisdom from our industry, we crafted a policy to provide guidance for making difficult patient care decisions. We hope never to have to apply them. We will always utilize every resource to care for our patients.”
The original Henry Ford Health System letter that triggered discussion said:
“To our patients, families and community:
Please know that we care deeply about you and your family’s health and are doing our best to protect and serve you and our community. We currently have a public health emergency that is making our supply of some medical resources hard to find. Because of shortages, we will need to be careful with resources. Patients who have the best chance of getting better are our first priority. Patients will be evaluated for the best plan of care and dying patients will be provided comfort care.
What this means for you and your family:
1. Alert staff during triage of any current medical conditions or if you have a Do Not Resuscitate (DNR)/Do Not Attempt Resuscitation (DNAR) or other important medical information.
2. If you (or a family member) becomes ill and your medical doctor believes that you need extra care in an Intensive Care Unit (ICU) or Mechanical Ventilation (breathing machine) you will be assessed for eligibility based only on your specific condition.
3. Some patients will be extremely sick and very unlikely to survive their illness even with critical treatment. Treating these patients would take away resources for patients who might survive.
4. Patients who are not eligible for ICU or ventilator care will receive treatment for pain control and comfort measures. Some conditions that are likely to may make you not eligible include:
5. Patients who have ventilator or ICU care withdrawn will receive pain control and comfort measures:
6. Patients who are treated with a ventilator or ICU care may have these treatments stopped if they do not improve over time. If they do not improve this means that the patient has a poor chance of surviving the illness — even if the care was continued. This decision will be based on medical condition and likelihood of getting better. It will not be based on other reasons such as race, gender, health insurance status, ability to pay for care, sexual orientation, employment status or immigration status. All patients are evaluated for survival using the same measures.
7. If the treatment team has determined that you or your family members does not meet criteria to receive critical care or that ICU treatments will be stopped, talk to your doctor. Your doctor can ask for a review by a team of medical experts (a Clinical Review Committee evaluation.)
In recent days, the CEO of Beaumont Health described the current crisis as “our worst nightmare” and the novel coronavirus health crisis as a “biological tsunami.” He warned the public of limited supplies and the need to stay at home to limit the spread. Gov. Gretchen Whitmer issued an executive order on March 23 requiring residents to stay in place until April 13.
On Thursday, President Trump discussed providing medical aid with military assistance in New York.
More: Beaumont Health CEO describes coronavirus pandemic as ‘our worst nightmare’
More: President Trump slams Gov. Whitmer as he weighs disaster request for Michigan
More: Beaumont Hospital in Wayne closing ER, non-coronavirus patients to be moved as cases surge
Before Henry Ford Health System provided public confirmation on Twitter, Bagley, the Ann Arbor professor with more than 26,000 Twitter followers, removed the letter and wrote at 11:30 p.m., “I’m going to take this down until it can be independently verified. The memo is circulating among doctors, but Henry Ford apparently can neither confirm nor deny it yet.”
Minutes later, Henry Ford Health System responded to Bagley.
The hospital network responded directly to a Free Press request for confirmation, providing a statement explaining that the Henry Ford Health System letter is part of a larger policy document developed for an absolute worst case scenario. It is not an active policy within Henry Ford, but a part of emergency response planning, as is standard with most reputable health systems.
The hospital network provided the following statement after midnight Thursday from Dr. Adnan Munkarah, executive vice president and chief clinical officer of Henry Ford Health System:
“With a pandemic of this nature, health systems must be prepared for a worst case scenario. Gathering the collective wisdom from across our industry, we carefully crafted our policy to provide critical guidance to healthcare workers for making difficult patient care decisions during an unprecedented emergency. These guidelines are deeply patient focused, intended to be honoring to patients and families. We shared our policy with our colleagues across Michigan to help others develop similar, compassionate approaches. It is our hope we never have to apply them and we will always do everything we can to care for our patients, utilizing every resource we have to make that happen.”
Contact Phoebe Wall Howard at 313-222-6512 or firstname.lastname@example.org. Follow her on Twitter @phoebesaid.
A Florida pastor was arrested on Monday for holding services at a Tampa megachurch in violation of a public health order prohibiting large gatherings to stem the spread of the coronavirus.
Pastor Rodney Howard-Browne was charged with misdemeanor counts of unlawful assembly and violation of the public health rules, according to Fox 13, Tampa Bay’s local affiliate.
Howard-Browne’s apprehension came after he held two Sunday services with up to 500 attendees, even offering bus service to the church.
“His reckless disregard for human life put hundreds of people in his congregation and thousands of residents who may interact with them this week in danger,” said Hillsborough County Sheriff Chad Chronister, who issued an arrest warrant earlier Monday.
Despite social distancing measures to curb person-to-person transmission of the coronavirus, the River at Tampa Bay Church announced earlier this month that it intended to remain open to comfort those in need, even as the number of confirmed coronavirus cases rose across the country.
“In a time of national crisis, we expect certain institutions to be open and certain people to be on duty. We expect hospitals to have their doors open 24/7 to receive and treat patients. We expect our police and firefighters to be ready and available to rescue and to help and to keep the peace. The Church is another one of those essential services. It is a place where people turn for help and for comfort in a climate of fear and uncertainty,” the church said in a statement.
The River at Tampa Bay Church was one of several regional churches that drew hundreds of worshipers recently despite bans on public gatherings amid the coronavirus pandemic.
Earlier in March, a Louisiana church held a service attended by about 300 people despite a ban on gatherings of more than 50 people by Gov. John Bel Edwards (D). The Rev. Tony Spell of Life Tabernacle Church in East Baton Rouge Parish said at the time that the virus was “not a concern.”
Judy, I will tell you that we’re — we’re going to get to the bottom of what happened with the World Health Organization and why the world wasn’t informed by China about what was happening on the ground in Wuhan with the coronavirus.
There’ll be time for that in the days ahead. And the president has made it clear that we’re going to hold the World Health Organization and — and China accountable for that.
But I have to tell you, having — having been asked by the president to lead the White House Coronavirus Task Force in late February, that the actions that our president took in January, where he suspended all travel from China, the first time any American president had ever done that, bought us an invaluable amount of time to stand up the national response that has us here today, at a time when our health care system has not been overwhelmed.
And while — while you — you cite statistics from Europe, the reality is, when you look at the European Union as a whole, which is roughly the size of the United States, thanks to the commitment of our health care workers, thanks to the response of the American people, while we grieve the loss of more than 33,000 Americans today, the truth is, the mortality rate in the United States today is — is far less than half of that in Europe.
It’s a tribute to our — our system. It’s a tribute to the American response. And, frankly, it’s a tribute to the fact that President Trump suspended all travel from China, initiated efforts to get our CDC into China by mid-February.
And so, by the time we — we learned of the first community spread in late February in the United States, we were able to surge the resources and — and raise up the kind of countermeasures that have us in the place that we are today.
You can’t make this stuff up. Nevada governor says health food stores are not essential, but liquor stores are.
It may sound like something out of the Twilight Zone, but it’s real:
The Governor of Nevada has ordered small health food stores (excluding Amazon-owned Whole Foods) to close, calling them “non-essential businesses,” according to a press release by the Natural Products Association.
“Governor Sisolak’s decision is shortsighted and inconsistent with the federal government and other states and amounts to an assault on small businesses,” writes CEO of the NPA Daniel Fabricant.
“Amidst the recent COVID-19 outbreak, we’ve seen firsthand the importance of supporting a healthy immune system. Proper nutrition is a cornerstone of a ‘health-first’ strategy and essential vitamins and minerals, like Vitamin C, are highly efficient ways to support your daily health and wellness…Don’t let Governor Sisolak and his accomplices take away health choices away from your family.”
A health food store called Stay Healthy of Las Vegas shared on its website that the store was forced to close as of April 7.
“Due to a Mandate issued by Governor Sisolak we are considered NON-Essential, contrary to Federal Guidelines, and had to temporarily CLOSE our doors. We need your help! Please call Governor Sisolak at (775) 684-5670 or to State of Nevada Homepage to at least allow Curbside Pick Up for us.”
Please click here to sign the Natural Products Association’s petition to the governor to let these essential businesses open back up.
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Y’all…please do not microwave your face masks. I guess somewhere on the internet there was a post telling people to do this. No. Do not do this!
There are people that are showing images of their burnt masks because they followed this advice that someone gave on the internet.
Health Departments are speaking up and asking you to not do this.
Fabric/home made masks are to be marked as to which side you will wear as inside to be consistent. These masks are to be…
You wash your face mask. If you microwave it you will burn it. You could even catch your house on fire!
DO NOT TRY TO STERILIZE FABRIC MASK IN THE MICROWAVE as directed on facebook. This is what happened to mine this morning.This was at 2 minutes in an unsealed Ziploc bag.
You can wash your face masks in your clothes washing machine. Mine has a sanitizing setting, so that is what I would use. But even if you don’t have that setting you can still do a hot water wash with laundry soap.
People are saying you can sterilize a face mask by placing it in a plastic baggy and microwaving it for 2 to 3 minutes. NO!
Do not put your face mask in the microwave to sanitize it , my house stinks bad ! My favorite mask to . Bummer
Thankfully, those that tried it are speaking up so that others do not make the same mistake. Masks are hard to get, even if you are making your own, you don’t want to ruin it.
Do Not put cloth face mask in microwave!! This is mine on 1 1/2 minutes!!!!!
I did a very quick search and came across many posts with the same results. Burnt, ruined face masks.
Don’t microwave the mask￼
So do yourself a favor and skip the microwave. Just wash them in the washing machine or you can even hand wash them if needed. Give them a good soak and scrub, rinse and hang them to dry.