Effective Strategies to Help Patients With COVID-19 Infection
by Adel Eldin, MD FACC FACP, MBA, GGA
Therapeutic anticoagulation ( higher dose), not prophylactic anticoagulation( lower dose) of blood thinners was found to lower mortality by 50% in COVID-19 patients with low bleeding rates ( 2-3%)relative to no anticoagulation according to a recent New England Journal of Medicine published study. There was also a high incidence of thromboembolic disease found in 42% of autopsies.
Similarly, in the RECOVERY trial, Dexamethasone therapy showed that steroids inhibit systemic inflammation in 6 mg IV given daily for 10 days in patients who need supplemental oxygen, ( the Oxygen saturation drops less than 94%. Proning position also helps patient oxygenation by improving lung ventilatory capacity and obviate the need for mechanical ventilation in many cases ( https://www.linkedin.com/pulse/proning-saves-lives-adel-eldin-md-facc-facp-mba-gga/)
Then there are other available therapies such as:
- Immune-based therapy: Convalescent plasma, immunoglobulin products, with ( Monoclonal Antibody therapy.
- Antiviral Drugs: Remedisivir ( IV therapy for 5 days, iv 200 mg for the first day, then 100 mg a day for 4 days., giving for hospitalized patients who need supplemental oxygen. On the other hand routine empiric antibiotics are not recommended, but if needed ( Ceftriaxone 1 gm /day and Doxycycline 100 mg twice a day for 4 days.
- Strengthening the immune system naturally to fight coronavirus and any other pathogens especially where there are simultaneous Flu season with Coronavirus pandemic.
Healthy nutrition, regular exercise, medication, taking supplements such as Zinc, Vitamin C, Vitamin E, getting enough hours of sleep, promote mental wellness as social distancing does not mean social isolation. Stay connected with your friends and family, avoid alcohol, drugs and have a positive attitude, and yes get professional help if symptoms of anxiety/stress are not controlled and are interfering with your daily activities in an adverse way. Again, some natural remedies that have been very helpful for anxiety for centuries with Saffron. https://www.linkedin.com/pulse/saffron-good-you-adel-eldin-md-facc-facp-mba-gga/
Take all precautions which include wearing a mask, social distancing, frequent hand washing, using sanitizers …etc. I know there is pandemic fatigue out there, but we have to be kind and courteous to each other as the coronavirus pandemic is intensifying this fall and winter season and yes, we can save tens of thousands of lives by following these simple measures, self quarantined and do contact tracing to stay ahead not behind of the coronavirus. Yes, we can do this together while staying united as we did it in New York, New Zee land, and South Korea. Stay safe and stay healthy this Holiday Season!