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Doc Rev,

Thanks for all the great posts. Quick question: with kids heading off to summer camps and other summer activities, should parents decide to allow them to participate, do you think giving them the recommended supplements would be a good idea? If so, in what dosage? Thanks again for all your time on this!

lefty2000 said:

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Doc Rev,

Thanks for all the great posts. Quick question: with kids heading off to summer camps and other summer activities, should parents decide to allow them to participate, do you think giving them the recommended supplements would be a good idea? If so, in what dosage? Thanks again for all your time on this!

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Kids are fine! The risk under age 20 is extremely low like almost zero per CDC 0.02%. They are way more likely to die from an accident or in car crash than from Covid-19. So don't live in fear with kids. If you want to give them a vitamin give them a Flintstones multivitamin that covers vitamin D and Zinc. The real risk is to the grandparents when they visit them or some even to the parents if they are over age 50.

Our pediatrician told me that she cannot recommend vaccination for our kids on the current accelerated timeline because the risk from a rushed vaccine is higher than the nearly negligible risk to them from the virus. She thinks kids need to be back in school. Her opinion is also informed by her husband being an infectious disease doctor.

Definitely interested in different opinions from other docs!

I've read a few articles/studies that suggest kids are being infected at an extremely low rate and aren't really spreading it either. We're sending ours back to daycare Monday, have a few friends that never stopped sending and no issues. Would you suggest avoiding grandparents altogether?

DFWTLR said:

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I've read a few articles/studies that suggest kids are being infected at an extremely low rate and aren't really spreading it either. We're sending ours back to daycare Monday, have a few friends that never stopped sending and no issues. Would you suggest avoiding grandparents altogether?

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No I think that will take a huge emotional toll on the kids and grandparents. I think wearing masks and using hand sanitizer prior to seeing grandparents is warranted. If grandparents are in poor health than you may have to keep them away completely but this could have a very negative emotional toll.

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Dr. Coates, could you please include a link to the Yale paper on hydroxy, antibiotic, and zinc? Thanks!

OldArmy71 said:

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Dr. Coates, could you please include a link to the Yale paper on hydroxy, antibiotic, and zinc? Thanks!

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Sorry the link didn't copy over. But I edited it and it's there now. Go to link and download the PDF for the advanced copy.

Reveille said:

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OldArmy71 said:

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Dr. Coates, could you please include a link to the Yale paper on hydroxy, antibiotic, and zinc? Thanks!

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Sorry the link didn't copy over. But I edited it and it's there now. Go to link and download the PDF for the advanced copy.

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Dr. Coates, where is this link posted? I wasn't sure of the reference.

Thanks!

Here is the link:

https://academic.oup.com/aje/advance-article/doi/10.1093/aje/kwaa093/5847586#.Xs7tRjYTCgc.twitter

Thanks! Not sure we'd be able to keep the grandparents away even with ebola.

The grandparents have had the pneumonia vaccine, have you seen that to be effective? Thanks againd Dr.!

DFWTLR said:

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Thanks! Not sure we'd be able to keep the grandparents away even with ebola.

The grandparents have had the pneumonia vaccine, have you seen that to be effective? Thanks againd Dr.!

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Pneumonia vaccine targets particular causes of bacterial pneumonia. It would not be expected to be effective against viral pneumonia or COVID19. It is possible it would prevent a secondary infection of bacterial pneumonia, but I don't feel like that would be of particular benefit.

That said, I'm not that kind of doctor and don't have clinical experience. I will leave it up to the MDs to note if they have seen any significant changes in clinical outcomes, but I would be surprised if they did.

Right, just curious if all covid pneumonias are viral?

DFWTLR said:

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Right, just curious if all covid pneumonias are viral?

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You can get a secondary infection which would be bacterial but that is not common. Most are going to be viral and the majority are actually dry pneumonias. Which is related to blood clots inhibiting blood flow to the lungs not the classical wet pneumonias where the lung is full of fluid. We now believe Covid-19 is more of an endothelial disease. The linings of blood vessels are being attacked and causing damage leading to massive clot formation

Thanks again! I had walking pneumonia a few weeks ago that was mild and was around my parents a lot, they and my wife also developed a dry cough. I had a pretty high fever as well (103), body aches, awful fatigue but tested negative.

All better now but still a lingering cough. No idea how I caught something since I hadn't really left the house unless it was allergies.

What criteria should an employer or a school use to allow a worker or a student back to work or school? It seems that counties aren't requiring a negative test.

What if you have a relative in your home test positive, how long are you out?

Does the 14 days start from their infected relative exhibiting no symptoms? Or is it 14 days from exposure and it doesn't matter if relative is still sick.

If a kid comes to school with a fever, should a school require some note or proof of a negative test?

Willy Wonka said:

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What criteria should an employer or a school use to allow a worker or a student back to work or school? It seems that counties aren't requiring a negative test.

What if you have a relative in your home test positive, how long are you out?

Does the 14 days start from their infected relative exhibiting no symptoms? Or is it 14 days from exposure and it doesn't matter if relative is still sick.

If a kid comes to school with a fever, should a school require some note or proof of a negative test?

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Here is new CDC criteria

Symptomatic HCP with suspected or confirmed COVID-19 (Either strategy is acceptable depending on local circumstances):

• Symptom-based strategy. Exclude from work until:

• • At least 3 days (72 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and,
  • At least 10 days have passed since symptoms first appeared

• Test-based strategy. Exclude from work until:

• • Resolution of fever without the use of fever-reducing medications and
  • Improvement in respiratory symptoms (e.g., cough, shortness of breath), and
  • Negative results of an FDA Emergency Use Authorized COVID-19 molecular assay for detection of SARS-CoV-2 RNA from at least two consecutive respiratory specimens collected 24 hours apart (total of two negative specimens)[url=https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html#f1][1][/url]. See Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens for 2019 Novel Coronavirus (2019-nCoV). Of note, there have been reports of prolonged detection of RNA without direct correlation to viral culture.

Thanks for this, Doc.

What kind of guidance should there be for a school with a kid whose father is positive?

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momlaw said:

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From Doc's Daily updates

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Quercetin from 250mg up to 1g twice per day Remember this is a Zinc ionophore.
Vitamin D3 Take this for sure if you are deficient and I now recommend taking it as long as your values are not too high.
Sleep greater than 8 hours per night
CoQ10 100-300mg per day: a potent antioxidant that potentially helps balance oxidative stress, increase vasodilation, prevent clot formation and decrease vasoconstriction.
Zinc any amount is probably good but take what you can tolerate without making you feel bad up to 40mg. You do not want to be Zinc deficient as it is how many drugs like HCQ work.
Melatonin 1mg to 10mg at night. Take what you can tolerate and what helps you sleep without making you feel drugged or tired in the morning.
N-acetylcysteine (NAC) - 600mg twice per day shown to decrease severity of influenza, improve lung functions, antioxidant properties and help with mental disorders.
Vitamin C 250mg to 500mg twice per day. Effects debatable in oral form but IV did help in China. But is proven to strengthen immune system
Green Tea either drink some or 1 pill per day alternate zinc ionophore

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Bumping the docs supplement recommendations
I think Glutathione was mentioned somewhere

Another question for the good doc: any thoughts on the supplement rutin? Been reading about it's a powerful anti-inflammatory. I think it's related to quercetin so msybe redundant with your advice to take that? TIA.

Have been on the doc's supplement regimen going on 3 weeks; no issues. The melatonin was a pleasant surprise and I'm sleeping better.

I have been taking them all and generally feeling great.

FlyRod said:

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Another question for the good doc: any thoughts on the supplement rutin? Been reading about it's a powerful anti-inflammatory. I think it's related to quercetin so msybe redundant with your advice to take that? TIA.

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Yes it is kind of redundant as it has Quercetin in it. But could be used instead of it if you wanted. Not sure how much Quercetin is in it though.

Been taking the supplement regimen but some days a little jittery. Could that be the Quercetin?

Rev, did you see the MMR thread on the covid forum? Is is possible that this is true and if so would getting that vaccine as an oldster work?

Is there some time limit on how long you can take melatonin?

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3rd Generation Ag said:

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Rev, did you see the MMR thread on the covid forum? Is is possible that this is true and if so would getting that vaccine as an oldster work?

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See my update today it is on it.

LostInLA07 said:

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Is there some time limit on how long you can take melatonin?

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No it is used long term for sleep all the time

AgTech88 said:

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Been taking the supplement regimen but some days a little jittery. Could that be the Quercetin?

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I have not seen that side effect but will have to look further to know for sure.

Doc,

I am 65 and have Type 2 diabetes. Otherwise, I am in very good health. I have had all the measles, mumps, chicken pox , etc. when a child. Could and should I get the MMR vaccine? Would it help prevent getting a bad case of Covid-19?

Thanks in advance!

Very interesting on MMR.

Freckles that is what I want to know and would a walk in pharmacy like CVS have it available? If so I would get it immediately.