SUN HEALTH MEDICAL CLINIC

RESPIRATORY INFECTION

COVID-19 / COLD / SINUS CONGESTION / SORE THROAT / COUGH

COVID-19 STATISTICS

FATALITY

~3% fatality (mostly elderly and sick, but unpredictable)

10x more deadly than the flu despite extreme restrictions

vaccine provides 8x lower fatality rate, vaccine gr8 protection

INFECTIVITY

R0 (Reproduction knot) = 3

for every person infected it will spread to 3 others without precautions

TREATMENT

MOST RESPIRATORY INFECTIONS (ESPECIALLY THOSE VACCINATED FOR COVID) DO NOT REQUIRE TREATMENT FROM A MEDICAL PROFESSIONAL.

Mild respiratory infections require only "supportive" treatment. If you get sick with cold symptoms (and are generally healthy age 2-65 [without moderate-severe symptoms such as persistent fever (temperature >100.4 Fahrenheit), tachycardia (pulse >100 beats/minute), rapid breathing (>24 breaths/minute), moderate-severe fatigue, moderate-severe pain, dizziness, confusion, or vomiting], it is unlikely you will need professional medical treatment. If you have any of these symptoms, otherwise have any problems, or just want to see a doctor, please contact us for a telehealth appointment or see our after after hours instructions.


REST 
Limit school/work/exercise so your body can put it's energy into healing. Do not underestimate the value and healing power of rest.
GERM CONTROL 
Shelter in Place, Maintain Your Space, Cover Your Face

QUARANTINE AND ISOLATION GUIDELINES

NUTRITIONAL REMEDIES

FLUIDS

Stay well hydrated.  We may be able to survive 2-3 weeks without nutrition, but we may not be able to survive 2-3 days without fluids, which are paramount in treating illness.  When dehydrated, fluids with sodium (salt) can help you retain more water.  Pedialyte, Gatorade, and soup are helpful.

NUTRITION

The national guidelines for nutrition still apply.  Do not drink any alcohol while sick.

WATER

hydration

best remedy for cough

3-6+ oz per hour

50+ oz daily

FRUITS

energy + healing

vitamins, minerals, phytonutrients

>=30%

VEGETABLES

energy + healing

vitamins, minerals, and phytonutrients

>=20%

WARM SALT WATER GARGLES

for sore throat

kills germs and soothes

(note: don't gargle mouthwash, only swish and spit)

FRUIT SMOOTHIE

for sore throat

improves swallowing

Janma Juice: Orange C Booster

HONEY

for cough

1 spoon if cough

(avoid if age <1 or diabetic)

GINGER

anti-inflammatory

invigorating

healthy substitute for caffeine

good for digestion

ginger tea

GARLIC

broad spectrum anti-infective

fights virus, bacteria, and fungus

OTC RX TO AVOID

- AVOID DECONGESTANTS! -

Decongestants are alpha-1 agonists.  They  constrict blood vessels to reduce blood flow to the nose. They seem to work in the short-term, but long-term rebound congestion often worse than the original congestion and also causes hypertension (high blood pressure).  AVOID NEOSYNEPRHINE, PHENYLEPHRINE, and PSEUDOEPHEDRINE.

- AVOID DEXTROMETHORPHAN -

(unless you have a dry cough): this is a cough suppressant, not an expectorant, and can prevent mucous from coming out

OVER-THE-COUNTER TREATMENT

VICKS VAPOR RUB

CAMPHOR (Japanese evergreen tree)

EUCALYPTUS (Australian tree)

MENTHOL (mint)

anti-inflammatory

for wet/dry cough

opens airways

works instantly and overnight

reduces need for pills

rub on chest, neck, or below nose)

(keep away from eyes, mouth, nostrils)


also available as Vicks Warm Steam Machine

(keep hot water away from where children can reach)


DIPHENHYDRAMINE

anti-histamine

reduces mucous production

great for allergies

25mg at bedtime as needed

(drowsiness good for sleep)

SALINE NASAL SPRAY

(salt water)

irrigation of nose and sinuses

great for those that don't like taking oral medicines

few sprays each nostril as needed

GUAIFENESIN

do NOT get with a decongestant (see above)

expectorant

loosens mucous to help it drain out

great for sinus congestion or wet cough

100-400mg every 4 hours as needed

ACETAMINOPHEN

reduces pain +/or fever

500-1000mg every 6 hours as needed

VITAMIN C (ascorbic acid)

boosts immune system

present in high doses in citrus fruits

ZINC

boosts immune system

especially good for wound healing

RX TREATMENT

COVID WITH HIGH RISK OF HOSPITALIZATION

anti-viral antibiotic (e.g. Paxlovid $550)

monoclonal antibodies (mAb intravenous infusion available at Scripps Urgent Care in Torrey Pines)

ORIGIN

BBC News indicating COVID origin in Wuhan, China may have been created in virology research laboratory cultivating human-to-human transmission (with inadvertent leak).