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Wednesday, March 18, 2020

Coronavirus Update

UPDATE: As of 3/18/2020, local health policy has changed to allow only all "essential medical appointments" to be done in-person in our office. As such, Oasis Family Medicine will be offering phone and/or video telemedicine appointments for all non-essential appointments. As of the time of this posting, we are still doing in-office appointments for prolozone injections for pain, most IVs for immune stimulation, and urgent care appointments that can not be done virtually. If you have any questions, please call the office for clarification.

Please watch my new video below and refer to my prior blog on Coronavirus for basic lifestyle and supplement suggestions.

1) A new finding from a small study (https://www.sciencealert.com/who-recommends-to-avoid-taking-ibuprofen-for-covid-19-symptoms) suggests that people with coronavirus do better using acetaminophen (Tylenol) rather than ibuprofen. So until we have more information, we are advising using Tylenol instead of ibuprofen for anyone with colds, coughs, and fevers if you use those meds to begin with.

2) Probably my favorite seemingly unbiased article on COVID-19 that I've read thus far is from Dr. Mark Hyman (amazing doctor and person).  Check it out here: https://drhyman.com/blog/2020/03/17/protect-yourself-from-covid-19



Below is an encore of some very important "To-Do" suggestions from Dr. Elisa Song's blog taken verbatim. Dr. Song is an amazing pediatrician in the Bay Area at her Heathy Happy Kids office.
  • Wash hands frequently, especially before eating or touching your face. Washing hands with warm soap and water for at least 30 seconds is the best option. This study found that washing hands even with plain running water without soap was more effective than ethanol-based hand disinfectants at killing the Influenza A virus!

  • Avoid touching your eyes, nose, and mouth! Do your best to keep those little fingers away! The first step is helping children (and adults) be mindful how often we actually do touch our faces! Varying studies have shown that we touch our faces on average 23-50 times per hours. So help your children notice when they’re touching their faces so they can pay attention to not touching their faces even when you’re not with them

  • Stay home when you’re sick, unless you need urgent medical attention. You may be increasing your possible exposures to COVID-19 if you don’t have it, or exposing others unnecessarily if you do

  • Cover your cough with your elbow or tissues. Teach your kids proper cough etiquette. And if you use a tissue, immediately throw it into the trash and wash your hands

  • Keep your distance. Try to stay at least 6 feet away from anyone who is obviously sick with fever and/or respiratory symptoms

  • Irrigate your nose. While we do not know if nasal irrigation makes a difference for prevention of COVID-19, I believe that one of the MOST preventive things you can do for any viral respiratory illness is to irrigate your, and your children’s, nasal passages with Xlear nasal spray at the end of every day and after any potential exposure (work, school, playgroups, plane travel, etc.). This is a saline nasal spray with xylitol and grapefruit seed extract, both of which have antimicrobial properties. You cannot overdo it, and will not get “addicted” to it. Other options for nasal irrigation are a regular saline spray, Neti pot, and other sinus rinses like Neilmed.
    **Apart from regular hand washing, I believe that daily and frequent nasal irrigation is one of the MOST important things that we can do to prevent influenza and other viral respiratory infections from taking hold.** This is because after exposure to a virus, the influenza virus tries to invade and multiply in your nasal passages for at least 1-2 days before you develop any symptoms. Nasal irrigation can wash away viral particles before they have the opportunity to take hold, and thereby prevent many infections from happening in the first place!

  • Load up on foods and spices with antiviral properties. These include coconut oil, raw garlic, oregano, ginger, kimchi and other fermented foods, walnut, pomegranate, green tea, apple cider vinegar, and medicinal mushrooms (shiitake, maitake, reishi, cordyceps, turkeytail)

  • Eat lots of colorful fruits and vegetables. They are full of antioxidants which will destroy the free radicals that weaken our immune system and are responsible for making us feel sick when we catch a bug. Each color provides different antioxidant power – so be sure to eat a rainbow every day. If you’re kids aren’t the hugest vegetable eaters yet, give them their antioxidant dose with a smoothie packed with fruits AND veggies, use that smoothie to make Jello with grass-fed gelatin or popsicles, sneak pureed vegetables into your spaghetti sauce, soups, chilis, or whatever other way you can think of – be creative

  • Stay well-hydrated. Stick to water, coconut water, herbal teas, and bone broth. No soda or sugary drinks, please! What’s a good estimate for how much water you need at a minimum? Divide your body weight (in pounds) in half and drink that number in ounces! Do you come close

  • Drink your bone broth! Bone broth has amazing immune-supporting properties. See Amazing Bone Broth to get started easily making your own

  • Eat fermented foods. The probiotics contained in fermented foods have tremendous immune boosting powers. In fact, the fermented Korean cabbage, kimchi, was found to have significant effects in preventing and fighting the H1N1 influenza virus! Other examples of delicious fermented foods to try include sauerkraut, pickles (try “real” pickles without added vinegar like Bubbies), miso, kefir, and kombucha
  • Avoid simple sugars and processed/junk food. Did you know that your blood shows lab evidence of a lowered immune system within 30 minutes of eating simple sugars (like glucose, refined sugar, and fructose), and causes a 50% reduction in your white blood cells’ abilities to kill germs? White blood cells are our “army” cells that fight off germs. This effect is most noticeable 2 hours after ingestion, but is still present 5 hours later! Keeping blood sugar levels healthy has been shown to improve immune system activity
  • Get fresh air and moderate daily exercise. Moderate exercise can boost the production of macrophages, the kind of white blood cells that “eat” bacteria and viruses. However, intense exercise can actually temporarily decrease immune function – so don’t overdo it
  • Get adequate sleep. An increase in sleep actually increases the number of your white blood cells. On the other hand, loss of sleep even for a few hours at night, increases inflammation in our body which makes us more susceptible to catching the flu and having more severe symptoms. So make sure your whole family is getting enough zzzz’s. For tips on getting a good night’s sleep, see Eat Yourself to a Good Night’s Sleep and The 3 Things You Need to Know to Get a Good Night’s Sleep
  • Minimize stress
Below are some additional recommendations from yours truly and Oasis Family Medicine.  Please note that almost all supplements sold at Oasis Family Medicine are at least 10% cheaper than can be found elsewhere in stores or online as we try to pass on whatever savings we can to our clients.

#1: Daily Cold Plunges (or showers): it may sound whacky at first, but brown adipose tissue activation (via cold thermogenesis by way of cold showers and/or plunges) has been shown to enhance innate immunity.

#2: Sauna: the research on sauna use and cardiovascular disease protection is impressive. Additionally, sauna therapy stimulates the immune system to a high degree.

#3: Probiotics: although they've been wrongly marketed as 'cure all tummy aids' probiotics actually work by communicating with our immune system.  If you don't ferment your own foods or live on a farm, it's wise to supplement with a strain-specific probiotic with proven immune-supportive strains—especially during times of stress or travel.  Our favorite is Mega Sporebiotic available at Oasis.

#4: Selenium: as Selenomethionine is best.  At Oasis it can be found as Selenium by Pure Encapsulations.  See the attached poorly scanned document called "Studies-Selenium and the Coronavirus" but nevertheless pertinent, so I'm sharing them as they were given to me.

#5: Vitamins A, C, E and Mineral Zinc: all found in Immuplex by Standard Process also available at Oasis.  Numerous clinical studies support supplementation of these to reduce the incidence of acute lower respiratory tract infections.

#6: Mushrooms & Herbs: including echinacea, astragalus, elderberry, andrographis, lauric acid, cordyceps, shiitake, maitake, reishi.  All found in Immunotone Plus by Designs for Health also at Oasis.

#7: Silver: as a spray to use as disinfectant on surfaces, your hands, and even your nose or mouth before and after close contact with a sick person.  Highest quality available at Oasis as ACS200 Silver Spray.

#8: IV Ascorbic Acid: also known as IV Vitamin C.  Impressive against Coronavirus to say the least!  The peer-reviewed Orthomolecular Medicine News Service is a non-profit and non-commercial informational resource and has what I would call a gold mine for Coronavirus protection and/or treatment.  Check out the website here (http://www.orthomolecular.org/resources/omns/index.shtml), and below is a snap shot of the articles since February 2nd.


Volume 16 (2020)

Release #DateSubject
Vol. 16, No. 17March 5, 2020Vitamin C Saves Wuhan Family from COVID-19
Vol. 16, No. 16March 3, 2020Shanghai Government Officially Recommends Vitamin C for COVID-19
Vol. 16, No. 15March 1, 2020News Media Attacks Vitamin C Treatment of COVID-19 Coronavirus: Yet Ascorbate is a Proven, Powerful Antiviral
Vol. 16, No. 14February 28, 2020Vitamin C and COVID-19 Coronavirus
Vol. 16, No. 13February 23, 2020TONS OF VITAMIN C TO WUHAN: China Using Vitamin C against COVID
Vol. 16, No. 12February 21, 2020Three Intravenous Vitamin C Research Studies Approved for Treating COVID-19
Vol. 16, No. 11February 16, 2020Early Large Dose Intravenous Vitamin C is the Treatment of Choice for 2019-nCov Pneumonia
Vol. 16, No. 10February 13, 2020Coronavirus Patients in China to be Treated with High-Dose Vitamin C
Vol. 16, No. 09February 10, 2020VITAMIN C AND ITS APPLICATION TO THE TREATMENT OF nCoV CORONAVIRUS: How Vitamin C Reduces Severity and Deaths from Serious Viral Respiratory Diseases
Vol. 16, No. 08February 4, 2020Fluoridation: The Biggest Public Health Failure of the Twentieth Century
Vol. 16, No. 07February 2, 2020Hospital-based Intravenous Vitamin C Treatment for Coronavirus and Related Illnesses


UPDATED INFO AS OF 3/18/20:

Melatonin, nitric oxide and ascorbic acid (vitamin C) are all inextricably intertwined and deeply involved with ACE2 (which is super important when it comes to coronavirus causing lung tissue damage and even acute respiratory distress syndrome). Melatonin, nitric oxide and ascorbic acid can reduce COVID-19 virulence by inhibiting NLRP3 inflammasomes to stop the perpetuation of cytokine storms. Their critical roles in biochemical reactions and biological pathways that involve ACE2 must be fully explored as part of our fight against COVID-19.

More interesting articles and videos:

Why Melatonin might be beneficial: https://www.evolutamente.it/covid-19-pneumonia-inflammasomes-the-melatonin-connection/

Nitric Oxide Workouthttps://dryoshi.com/video-resources/.  Long version and short version.  Best to do every 4-6 hours ideally.

How stem cells & exosomes might be beneficial if moderate case (severe should go straight to hospital): https://clinicaltrials.gov/ct2/show/NCT04273646?term=stem+cells&cond=Corona+Virus+Infection&draw=2

Great YouTube video of Kim Iverson explaining how weather temperature might be affecting COVID-19 transmission: https://www.youtube.com/watch?v=9w58SYc7JYY&feature=youtu.be

Super great video with Dr. Cowen that isn't so much is applicable to this present COVID-19 situation, but is FANTASTIC at helping us realize why it might have started in the first place and gives us great things to think about for our future healthhttps://www.instagram.com/tv/B9vBfH_npkE/?igshid=ygky24u5yg6q.  

The Bottom Line:

Listen to the CDC and get yourself tested if you have symptoms or a situation that are appropriate for testing. 

Observe strict quarantine protocols if you test positive. 

If you're sick and unsure, just stay home. 

In the meantime, wash your hands lots when out and about and take a deep breath and ask "how can this situation benefit myself, those I love, and the world!"

Have a great week, stay healthy and safe, and feel free to pass this along!



Medical Disclaimer: Information provided in this article is for informational purposes only. The information is a result of years of practice and experience by Yoshi Rahm, DO. However, this information is NOT intended as a substitute for the advice provided by your physician or another healthcare professional, or any information contained on or in any product label or packaging.
Do not use the information provided in this article for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or another healthcare professional before taking any medication or nutritional, herbal or homeopathic supplement, or using any treatment for a health problem. If you have or suspect that you have a medical problem, contact your health care provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read in this email.

Information provided in this article and the use of any products or services related to this article by you DOES NOT create a doctor-patient relationship between you and Yoshi Rahm, DO. or any other physician featured in this article. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.

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