Thanks Reveille! I forgot to mention I am in Colorado, so calling you may/may not be an option in terms of getting an HCQ/Zpak prescription, I'm not sure.
Covid-19 Update Aggie Physician
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Last: 3 yr ago by tamc91
No you have to be in Texas!barney94 said:
Thanks Reveille! I forgot to mention I am in Colorado, so calling you may/may not be an option in terms of getting an HCQ/Zpak prescription, I'm not sure.
Roger that, that is what I figured. I'll work with what I can.. Thanks so much for the help, to me and everybody else.
Hey Doc Rev, where do you think we'll be with this by the holidays (Thanksgiving/Christmas) and summer next year? Any thoughts on herd immunity? Thanks for all you do to bring sanity to an insane situation.
Dr. Coates
Should we be taking baby aspirin daily right now in addition to the other supplements? I keep hearing about aspirin being utilized with covid patients.
Thanks
Should we be taking baby aspirin daily right now in addition to the other supplements? I keep hearing about aspirin being utilized with covid patients.
Thanks
CorpsTerd04 said:
Dr. Coates
Should we be taking baby aspirin daily right now in addition to the other supplements? I keep hearing about aspirin being utilized with covid patients.
Thanks
Aspirin is likely beneficial but you need to be careful because aspirin can be harmful for some people. People with ulcers, bleeding disorders, liver or kidney disease aspirin can potentially harmful. So this is something to discuss with your doctor. If you are healthy a baby aspirin is likely helpful.
Well, my daughter's test came back positive, mine is still out but I'm sure it will be positive too. She's already fever free and seems to be through it (knock on wood).
Was not able to get any HCQ/Zpack, they're not prescribing it up here in CO. Was able to get the budesinide atomized like the Midland doc recommended, so we'll see how that does along with Rev's supplement regimen. I'm on about day 3.5, so far not horrible, no fever, just cough and throat/chest.
Was not able to get any HCQ/Zpack, they're not prescribing it up here in CO. Was able to get the budesinide atomized like the Midland doc recommended, so we'll see how that does along with Rev's supplement regimen. I'm on about day 3.5, so far not horrible, no fever, just cough and throat/chest.
So what's the going rate for HCQ now? My mom just got it prescribed for a rheumatoid issue.
Doc, here is a West Texas doctor (Dr Richard Bartlett) talking about his treatment for COVID. I think it is an interview on DFW television.
He is discussing at the outset of Covid symptoms that he is prescribing Budesonide administered with a nebulizer (sp?) for 5 minute treatment a day. He says that he has been prescribing this since March and has 100% success with many patients telling him they feel better from first treatment.
About $200 if you pay cash for the entire treatment, less with insurance.
I haven't heard this or of this guy before. Sorry if it has been mentioned here, but I don't read everything on here everyday...
30 minute Youtube, but I think you get most of the specifics in first 5-6 minutes...
Thanks so much for what you do. It will be blessed because it is God's work.
David '78
Temple
Jeeze, so sorry if I wasted anyone's time. I just read Barney's post above...
He is discussing at the outset of Covid symptoms that he is prescribing Budesonide administered with a nebulizer (sp?) for 5 minute treatment a day. He says that he has been prescribing this since March and has 100% success with many patients telling him they feel better from first treatment.
About $200 if you pay cash for the entire treatment, less with insurance.
I haven't heard this or of this guy before. Sorry if it has been mentioned here, but I don't read everything on here everyday...
30 minute Youtube, but I think you get most of the specifics in first 5-6 minutes...
Thanks so much for what you do. It will be blessed because it is God's work.
David '78
Temple
Jeeze, so sorry if I wasted anyone's time. I just read Barney's post above...
Hey Doc - Thanks again for all that you're doing. I've unfortunately tested positive and cannot find your prior posts regarding which of the recommended supplements to stop taking, if infected. I've been taking the full regimen that you have posted here and included in your updates; I have no underlying conditions.
Thank you!
Thank you!
beagle2009 said:
Hey Doc - Thanks again for all that you're doing. I've unfortunately tested positive and cannot find your prior posts regarding which of the recommended supplements to stop taking, if infected. I've been taking the full regimen that you have posted here and included in your updates; I have no underlying conditions.
Thank you!
Sorry to hear you tested positive. None of them have to be stopped anymore. We now know more about the disease.
Since you are positive now, I would take Quercetin 1g twice per day, zinc 50mg twice per day, NAC 600mg twice per day for the next 5 days to help keep you from getting worse.
beagle2009 said:
Hey Doc - Thanks again for all that you're doing. I've unfortunately tested positive and cannot find your prior posts regarding which of the recommended supplements to stop taking, if infected. I've been taking the full regimen that you have posted here and included in your updates; I have no underlying conditions.
Thank you!
How are you feeling (Are you having the traditional symptoms)? Get well soon!
Thank you! I'm feeling ok, for the most part. I am on day 10 of having symptoms, which at its worst felt like a minor cold. Started out feeling run down with sinus pressure, headaches, and congestion. Around day 4 I became extremely congested but no headaches or fatigue. Day 5 I completely lost my sense of taste and smell, which I still have not recovered. I've never had a fever, no shortness of breath, no GI issues, etc.
I went to a CareNow on Monday and they thought I had sinusitis trying to become a sinus infection.
I'm 33 years old and very healthy with no other medical issues. I'm hoping I'm on the tail-end of it but still congested and no taste or smell. I've read about that being a long term effect (potentially permanent) so I'm a little freaked out by it.
We're pretty sure my wife has it as she is experiencing the same symptoms as I am but also no fever, shortness of breath, no cough, etc. We also have a 3yo and a 2yo who are completely fine, as of now. Gonna be a long ~2 weeks...
I went to a CareNow on Monday and they thought I had sinusitis trying to become a sinus infection.
I'm 33 years old and very healthy with no other medical issues. I'm hoping I'm on the tail-end of it but still congested and no taste or smell. I've read about that being a long term effect (potentially permanent) so I'm a little freaked out by it.
We're pretty sure my wife has it as she is experiencing the same symptoms as I am but also no fever, shortness of breath, no cough, etc. We also have a 3yo and a 2yo who are completely fine, as of now. Gonna be a long ~2 weeks...
Good luck man! How has it been trying to take care of the kids? Still manageable? This is the thing that worries me the most having 2 kids under 4.
Honestly, it's impossible to completely isolate from these spider monkeys so I've just tried my best to not touch their faces, am washing my hands if handling their food, trying not to wrestle around, etc. Especially now that we think my wife has it there's no way to stay away from them completely.
Would definitely be open/interested to hear from others on this if there are any specific risks for little kids being exposed to immediate family who have tested positive.
Would definitely be open/interested to hear from others on this if there are any specific risks for little kids being exposed to immediate family who have tested positive.
I popped hot yesterday. We hve 4 kids under 6. My wife is an RN, and she said well, we were exposed for at least 4-6 days (Presymptoms and during initial symptoms)before we even suspected COVID.
So we are just watching and I wear a mask at all times inside, wash hands religiously and I don't touch "clean" items. (Dishes, clothes, etc) but get to wash all the dirty stuff.
We spoke to our pediatrician and she said just monitor, and unless they get short breath or have some kind of bruise like skin rash, no worries on the kids.
So we are just watching and I wear a mask at all times inside, wash hands religiously and I don't touch "clean" items. (Dishes, clothes, etc) but get to wash all the dirty stuff.
We spoke to our pediatrician and she said just monitor, and unless they get short breath or have some kind of bruise like skin rash, no worries on the kids.
Hey, Doc, thanks for answering all these questions.
I have dealt with statistics a lot in my profession - I am an Electronic Engineer in the semiconductor industry. Six Sigma is really big in determining yields, reliability, etc. So I might have a different interpretation from what was intended by medical profession.
When they have been saying, "flatten the curve", I interpret that the curve doesn't diminish but just stretches out with a lower magnitude, but the area under the curve remains the same. Therefore, the number of people infected enough to go to a hospital is the same, but the lower magnitude prevents overloading the hospitals. Just a FEW less people die, unless better treatment is developed due to elongation of the time of the curve. But the better treatment might be offset by the sedentary effects of the shutdown, as well as mental depression, suicide, and violence.
If this is correct, then the shutdown mentality overlooks this: the same number of people are going to get this virus and the same number of people are going to die from it, unless herd immunity happens by either vaccine or number of cases. Herd immunity is when the number of people who have had the virus, and thus are immune, limit the number of actively infected carriers.
If hospitals aren't overloaded, then medical treatment might reduce the number of deaths, but NOT the number of cases. We should execute the accepted protocol for avoiding overloading the hospitals, but don't get hung up on number of cases - that number is inevitable for herd immunity to happen. So we need to GET ON WITH LIFE.
Is this correct partly or wholly?
I have dealt with statistics a lot in my profession - I am an Electronic Engineer in the semiconductor industry. Six Sigma is really big in determining yields, reliability, etc. So I might have a different interpretation from what was intended by medical profession.
When they have been saying, "flatten the curve", I interpret that the curve doesn't diminish but just stretches out with a lower magnitude, but the area under the curve remains the same. Therefore, the number of people infected enough to go to a hospital is the same, but the lower magnitude prevents overloading the hospitals. Just a FEW less people die, unless better treatment is developed due to elongation of the time of the curve. But the better treatment might be offset by the sedentary effects of the shutdown, as well as mental depression, suicide, and violence.
If this is correct, then the shutdown mentality overlooks this: the same number of people are going to get this virus and the same number of people are going to die from it, unless herd immunity happens by either vaccine or number of cases. Herd immunity is when the number of people who have had the virus, and thus are immune, limit the number of actively infected carriers.
If hospitals aren't overloaded, then medical treatment might reduce the number of deaths, but NOT the number of cases. We should execute the accepted protocol for avoiding overloading the hospitals, but don't get hung up on number of cases - that number is inevitable for herd immunity to happen. So we need to GET ON WITH LIFE.
Is this correct partly or wholly?
SiValleyAg68 said:
Hey, Doc, thanks for answering all these questions.
I have dealt with statistics a lot in my profession - I am an Electronic Engineer in the semiconductor industry. Six Sigma is really big in determining yields, reliability, etc. So I might have a different interpretation from what was intended by medical profession.
When they have been saying, "flatten the curve", I interpret that the curve doesn't diminish but just stretches out with a lower magnitude, but the area under the curve remains the same. Therefore, the number of people infected enough to go to a hospital is the same, but the lower magnitude prevents overloading the hospitals. Just a FEW less people die, unless better treatment is developed due to elongation of the time of the curve. But the better treatment might be offset by the sedentary effects of the shutdown, as well as mental depression, suicide, and violence.
If this is correct, then the shutdown mentality overlooks this: the same number of people are going to get this virus and the same number of people are going to die from it, unless herd immunity happens by either vaccine or number of cases. Herd immunity is when the number of people who have had the virus, and thus are immune, limit the number of actively infected carriers.
If hospitals aren't overloaded, then medical treatment might reduce the number of deaths, but NOT the number of cases. We should execute the accepted protocol for avoiding overloading the hospitals, but don't get hung up on number of cases - that number is inevitable for herd immunity to happen. So we need to GET ON WITH LIFE.
Is this correct partly or wholly?
Yes that is pretty much correct. However, with the increased time we have definitely gotten much better at treating this disease so that lowers the fatalities considerably.
You are correct that some of that is offset by suicides and overdose from the stresses of sheltering in place. As long as hospitals are not completely overwhelmed the area under the curve doesn't change drastically.
Hey Doc, thanks again for all you do,
Got one that's a little different and think it can be of interest to others. I've got a SIL who's being put on a biological for PA. He said the side effects in the first few weeks can be nausea, diarrhea, and, of all things, upper respiratory infection. Given how these are all Covid symptoms, how would someone navigate the system where the timing would likely indicate side effects of the medicine but obviously he could likely be handled at first like a potential Covid case? He's likely also in a more high risk classification so wouldn't want to just assume it's not Covid.
Got one that's a little different and think it can be of interest to others. I've got a SIL who's being put on a biological for PA. He said the side effects in the first few weeks can be nausea, diarrhea, and, of all things, upper respiratory infection. Given how these are all Covid symptoms, how would someone navigate the system where the timing would likely indicate side effects of the medicine but obviously he could likely be handled at first like a potential Covid case? He's likely also in a more high risk classification so wouldn't want to just assume it's not Covid.
Old RV Ag said:
Hey Doc, thanks again for all you do,
Got one that's a little different and think it can be of interest to others. I've got a SIL who's being put on a biological for PA. He said the side effects in the first few weeks can be nausea, diarrhea, and, of all things, upper respiratory infection. Given how these are all Covid symptoms, how would someone navigate the system where the timing would likely indicate side effects of the medicine but obviously he could likely be handled at first like a potential Covid case? He's likely also in a more high risk classification so wouldn't want to just assume it's not Covid.
Look for fever, cough, shortness of breath and loss of taste or smell.
Doctor Coates, Thank you for doing this.I have read your updates every day. It has been the best source of information on the virus.My wife and I are 72 and symptom free. Thank the Lord !We do not think our doctor will prescribe the meds you recommend.We live in NRH Texas.Can we call you if we develop symptoms.
AGatTCU said:
Doctor Coates, Thank you for doing this.I have read your updates every day. It has been the best source of information on the virus.My wife and I are 72 and symptom free. Thank the Lord !We do not think our doctor will prescribe the meds you recommend.We live in NRH Texas.Can we call you if we develop symptoms.
Yes if you are in Texas that should be fine!
Reveille said:AGatTCU said:
Doctor Coates, Thank you for doing this.I have read your updates every day. It has been the best source of information on the virus.My wife and I are 72 and symptom free. Thank the Lord !We do not think our doctor will prescribe the meds you recommend.We live in NRH Texas.Can we call you if we develop symptoms.
Yes if you are in Texas that should be fine!
Love this. Aggie network strikes again.
More random trials for remdesivir? Didn't they do an RCT before the FDA authorization?Reveille said:
Today's update!
https://www.facebook.com/1998386763777604/posts/2751583085124631/?sfnsn=mo
With evidence of effectiveness from both RCT and retrospective analysis, would it be ethical to give a placebo to a test group?
BiochemAg97 said:More random trials for remdesivir? Didn't they do an RCT before the FDA authorization?Reveille said:
Today's update!
https://www.facebook.com/1998386763777604/posts/2751583085124631/?sfnsn=mo
With evidence of effectiveness from both RCT and retrospective analysis, would it be ethical to give a placebo to a test group?
I would agree that I think we have enough evidence now. As I stated at the beginning of this pandemic I think randomized trials are kind of unethical in a pandemic. Use the control group as people who choose not to be treated. While might not be as good as a randomized selection since parties know who is in each group it is closer and certainly more ethical.
I personally view this Pandemic as a "War" in all aspects of what is considered "Modern Medicine". What I mean by that is that what the medical profession has been experiencing since this virus began is similar to being on the front lines of a raging war. There has not been the luxury of time, trial, or for that matter a wait and see attitude. Doctors of all medical disciplines have had to rely on each other, on the medicine that they have studied, and sometimes on their own intuitions. Nurses have been called upon to minister in so many ways besides medicine and their training. My hat is off to all of you! I am so very proud of the AGGIE doctors and nurses on this forum. It is indeed humbling to see how all of you have persevered and continue to do so under such duress. In the beginning no one had any idea what this virus was and is capable of doing. All of this whole thing has reminded me of what history has recorded about WWI and how the doctors and nurses fought through everything. I have posted this before, but it's Sunday, the Lord's Day, and I felt compelled to post my "THANKS" once again.
Gig'em, Ole Army Class of '70
SIAP.....But how long does the lack of taste and smell typically last after infection?
For me, I lost it 4 days after symptoms began and lasted 7 days until I regained some form of taste and smell. I'm on day 13 and I'm probably still only at 75% of my normal senses.
I think it is highly variable. I know someone who lost theirs for 4 weeks before it started coming back slowly.
I lost smell/taste on day 2-3 ish.
Started getting taste back around day 5, and smell started back day 7ish.
Still not 100% on smell. Internalist that called me with results said smell is usually last thing to come back.
Started getting taste back around day 5, and smell started back day 7ish.
Still not 100% on smell. Internalist that called me with results said smell is usually last thing to come back.
I couldn't agree more, thanks for such well deserved acknowledgement of people giving their all.Mark Fairchild said:
I personally view this Pandemic as a "War" in all aspects of what is considered "Modern Medicine". What I mean by that is that what the medical profession has been experiencing since this virus began is similar to being on the front lines of a raging war. There has not been the luxury of time, trial, or for that matter a wait and see attitude. Doctors of all medical disciplines have had to rely on each other, on the medicine that they have studied, and sometimes on their own intuitions. Nurses have been called upon to minister in so many ways besides medicine and their training. My hat is off to all of you! I am so very proud of the AGGIE doctors and nurses on this forum. It is indeed humbling to see how all of you have persevered and continue to do so under such duress. In the beginning no one had any idea what this virus was and is capable of doing. All of this whole thing has reminded me of what history has recorded about WWI and how the doctors and nurses fought through everything. I have posted this before, but it's Sunday, the Lord's Day, and I felt compelled to post my "THANKS" once again.
I wanted to check here for a neutral party opinion and because I value the information I've learned from this thread.
I'm 2 days post hospital stay for ulcerative colitis. I'm 29, no pre-existings, fit and healthy except my colon hates me. I've been on prednisone to some degree for 13 of the weeks so far this year (3-4wk tapers and a one week taper). After the hospital stay, I'm on a biologic, imuran(50mg/day) and currently taking 60mg/day prednisone on a 6wk taper.
How cautious do I need to be with what I do? One doc told me kinda "just be mindful, wash hands, etc." The other had more of "don't leave the house" approach. I went from not super worried about COVID to now in a higher risk category, but I don't know where these meds really put me right now or how long after I get to drop the prednisone.
Edit: my main concern is how much steroid I've taken this year, and how high the dose is now.
I'm 2 days post hospital stay for ulcerative colitis. I'm 29, no pre-existings, fit and healthy except my colon hates me. I've been on prednisone to some degree for 13 of the weeks so far this year (3-4wk tapers and a one week taper). After the hospital stay, I'm on a biologic, imuran(50mg/day) and currently taking 60mg/day prednisone on a 6wk taper.
How cautious do I need to be with what I do? One doc told me kinda "just be mindful, wash hands, etc." The other had more of "don't leave the house" approach. I went from not super worried about COVID to now in a higher risk category, but I don't know where these meds really put me right now or how long after I get to drop the prednisone.
Edit: my main concern is how much steroid I've taken this year, and how high the dose is now.
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