The Covid Clinic

(...if your are not sure what to do or don't have a doctor to guide, click The Covid Clinic link on www.herbal411.com)

Before Exposure:

1-vitamin d3 at least 3000 IU daily (unless a recent blood test has revealed low levels and adjustments have already been made)

2-vitamin C at least 1000mg twice a day

3-zinc 50mg daily (glycinate or elemental)

4-quercetin 250mg daily

5-melatonin 6mg at usual bedtime

6-Nose rinsing with a neti pot or neti med sterile saline +/- povidone 3x daily

Gargling 3x daily

Until the lethality of the Omicron varianti s determined from South Africa's data...avoid large unmasked gatherings, work on co-morbid conditions you may have been dealing with, eat to support your immune system, maintain exercise weekly volume and sleep deep!

After exposure while waiting for PCR results:

1-Fever Sweats Chills - tylenol 500-1000 3x daily

2-Headache - tylenol +/- Motrin (back up pain killer low side effect profile

3-Cough/SOB - NAC, Delsym, Benzonatate, budesonide neb/inhaler, albuterol neb/inhaler

(Xray zpak)

4-Gut - Ondansetron, NUUN, airborne, pellegrino BRAT diet

5-Energy - Steroid burst, NR (daytime) / Melatonin, L theanine, Benadryl, Ambien

My Video on 4 Symptom "Fixes"

Personalized options for non vaccinated or high risk:

1-Monoclonal infusions (but institutions like Northwestern Medicine have paused all infusions for the time being)

2-Longer higher dosing for “After exposure”

-prednisone daily with taper

-budesonide steroid inhaled treatment

-stronger pain meds if imaging tests are normal (ct brain, chest ct, abdominal ct)

-IV hydration in an ER

-antibiotics if considering secondary bacterial infection (sinus chest throat bronchus)

3-repurposed drugs:

-Ivermectin from a Compounding pharmacy 0.4mg/kg/d x 5d

-Fluvoxamine from regular pharmacy 50-100mg 1-2xd x 14d

-Spironolactone 100mg 2xd

-Nitazoxanide 600mg 2xd x 5d

-vasepa

-famotidine

-atorvastatin

-cholchicine

-enoxaparin

-cyproheptadine

Long Hauler Syndrome / Post Covid Syndrome:

1-Immediate day to day improvement of “activities of daily living” 

2-Reset of sleep wake cycle

3-Re-plan nutritional daily tolerance

4-Re-start activity tolerance

5-Re-entry into work force

6-Back to planing lifestyle change for future co-morbid conditions  (Go to www.herbal411.com New Patient Consult)

Quarantine Guidance from the CDC:

Quarantine:

Quarantine if you have been in close contact (within 6 feet of someone for a cumulative total of 15 minutes or more over a 24-hour period) with someone who has COVID-19, unless you have been fully vaccinated. People who are fully vaccinated do NOT need to quarantine after contact with someone who had COVID-19 unless they have symptoms. However, fully vaccinated people should get tested 5-7 days after their exposure, even if they don’t have symptoms and wear a mask indoors in public for 14 days following exposure or until their test result is negative.

What to do:

• Stay home for 14 days after your last contact with a person who has COVID-19.
• Watch for fever (100.4◦F), cough, shortness of breath, or other symptoms of COVID-19.
• If possible, stay away from people you live with, especially people who are at higher risk for getting very sick from COVID-19.

After quarantine:

• Watch for symptoms until 14 days after exposure.
• If you have symptoms, immediately self-isolate and contact your local public health authority or healthcare provider.

You may be able to shorten your quarantine:

Your local public health authorities make the final decisions about how long quarantine should last, based on local conditions and needs. Follow the recommendations of your local public health department if you need to quarantine. Options they will consider include stopping quarantine

• After day 10 without testing
• After day 7 after receiving a negative test result (test must occur on day 5 or later)

In areas using options to reduce quarantine times, people who are asymptomatic can use a negative test result collected on day five (5) after exposure to exit quarantine on day seven (7), with additional self-monitoring. The day of exposure is considered day zero (0).

Isolation:

Isolation is used to separate people infected with COVID-19 from those who are not infected.

People who are in isolation should stay home until it’s safe for them to be around others. At home, anyone sick or infected should separate from others, stay in a specific “sick room” or area, and use a separate bathroom (if available). 

To calculate your 10 full day isolation period, day 0 is your first day of symptoms. Day 1 is the first full day after your symptoms developed.

If you test positive for COVID-19 and never develop symptoms, day 0 is the day of your positive viral test (based on the date you were tested) and day 1 is the first full day after your positive test. If you develop symptoms after testing positive, your 10-day isolation period must start over. Day 0 is your first day of symptoms. Day 1 is the first full day after your symptoms developed.

What to do:

• Monitor your symptoms. If you have an emergency warning sign (including trouble breathing), seek emergency medical care immediately.
• Stay in a separate room from other household members, if possible.
• Use a separate bathroom, if possible.
• Avoid contact with other members of the household and pets.
• Don’t share personal household items, like cups, towels, and utensils.
• Wear a mask when around other people if able.

Learn more about what to do if you are sick and how to notify your contacts.

Someone who tested positive for COVID-19 with a viral test within the previous 90 days and has subsequently recovered and remains without COVID-19 symptoms does not need to quarantine. However, close contacts with prior COVID-19 infection in the previous 90 days should:

• Wear a mask indoors in public for 14 days after exposure.
• Monitor for COVID-19 symptoms and isolate immediately if symptoms develop.
• Consult with a healthcare professional for testing recommendations if new symptoms develop.

I think or know I had COVID-19, and I had symptoms:

You can be around others after:

• 10 days since symptoms first appeared and
• 24 hours with no fever without the use of fever-reducing medications and
• Other symptoms of COVID-19 are improving*

*Loss of taste and smell may persist for weeks or months after recovery and need not delay the end of isolation​

Note that these recommendations do not apply to people with severe COVID-19 or with weakened immune systems (immunocompromised).

I tested positive for COVID-19 but had no symptoms:

If you continue to have no symptoms, you can be with others after 10 days have passed since you had a positive viral test for COVID-19 (based on the date you were tested).

If you develop symptoms after testing positive, your 10-day isolation period must start over.   Day 1 is your first day of symptoms. Follow the guidance above for “I think or know I had COVID-19, and I had symptoms.”

I was severely ill with COVID-19 or have a weakened immune system (immunocompromised) caused by a health condition or medication:

People who are severely ill with COVID-19 might need to stay home longer than 10 days and up to 20 days after symptoms first appeared. People with weakened immune systems may require testing to determine when they can be around others. Talk to your healthcare provider for more information. Your healthcare provider will let you know if you can resume being around other people based on the results of your testing.

People who are immunocompromised should be counseled about the potential for reduced immune responses to COVID-19 vaccines and the need to continue to follow current prevention measures (including wearing a mask, staying 6 feet apart from others they don’t live with, and avoiding crowds and poorly ventilated indoor spaces) to protect themselves against COVID-19 until advised otherwise by their healthcare provider. Close contacts of immunocompromised people should also be encouraged to be vaccinated against COVID-19 to help protect these people.