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Covid-19

COVID-19 and Mountain Medical Arts

We recognize and extend support for the personal and economic impact that COVID-19 and its international response has caused you. 

  1. Treatment, Testing and Vaccines
  2. If you are sick

COVID-19 Treatment Information

Prevention

The most important aspects of your health and disease prevention include being up to date with your preventative well visit. Get closer to your ideal weight range, incorporate movement into every day, get adequate sleep, improve your coping skill and spiritual well-being. Ask for help. 

Avoid flour, sugar and artificial sugar substitutes. Eat more plants. Having inflammation or being overweight are increased risk factors for the second phase of COVID. The first few days are a typical flu like viral illness, fever, loss of taste or smell, allergic symptoms, headache, nausea – pretty much anything goes! Then you feel a little better and think you kicked it, and then the inflammatory phase can set in – return of fevers, clots that leave you breathless, brain fog, fatigue and digestive issues. It can hit any organ system. 

Testing Options

PCR (polymerase chain reaction) tests are the best option, these are available at most health centers and many pharmacies. The rapid tests are not very helpful as they are only 60% sensitive but if + it helps guide your next steps – I of course recommend calling at your known exposure or first symptom so we can help guide you through more safely.

Treatment

(Always seek personalized advice from a qualified medical professional. This general treatment guideline may not be advised for those who are pregnant, nursing, or with kidney dysfunction or other complicating health conditions.)

Beginning on day 1 of illness, start taking Immune Support Packets by Designs for Health. These packets include the following: Vitamin D Complex with Vitamins K and E, Stellar C with citrus bioflavonoids and acerola; a Zinc Supreme supplement; Taurine, B6, and N-Acetyl-Cysteine; and Immunitone Plus, a unique blend featuring Elderberry extract, Arabinogalactan, Goldenseal, Echinacea, and a variety of mushrooms including Cordyceps and Reishi.

Take 1 packet daily for 3 days to support your immune system and has the potential to decrease severity of all viral infections – not just COVID. However if you know your have COVID stop it at the third day because elderberry can increase the cytokine storm of COVID

If you test positive, proceed with support for Phase II infection (T1 helper cell support) and Phase III (IL6 T2 helper cell balance) with the goal to prevent an overstimulated inflammatory response. 

A general guideline for treating continuing infection reactions is below for symptoms such as fatigue, pain, cough, brain fog, or any constellation of ongoing systemic change. This happens also commonly with Lyme Disease, Mono Epstein Barr Virus, Strep etc. It does not replace antibiotics but can be used as an adjunct

Beginning day 3 of illness, start taking Mitochondrial Renewal Kit by Xymogen (includes Biotin, Alpha-Lipoic Acid, Arginine, Whey Peptide, Quercetin, Trans-Resveratrol, and Trans-Pterostilbene).

Take 1 packet daily for at least 3 days or until symptoms resolve, I have had many people need them for 7-10 days, longer if they started later.

Add Perilla – any brand you trust, taking 3 four times a day for most TCM (Chinese)medicine formulations. 

Add EGCg (epigallocatechin gallate –  polyphenol component in green tea) one daily, again any trusted brand. 

Remember as our patients you get our office discount through both Wholescripts and Fullscripts online supplement distributers.

You make your own packets including the ingredients included above, One form of alpha-lipoic acid I like is from Xymogen called Brain Sustain NeuroActives capsules, or NeuroScience Calm G, but any form is fine. 100-600 mg daily as tolerated.

Other supplements and foods that may be helpful for treatment include:

    • A natural diet with lots of onions, ramps, ginger, garlic, leeks, and berries
      Baby aspirin, 81 mg daily to These clots lead to severe shortness of breath and low oxygen. Call me immediately or 911 if this happens. You may need nebulizers, Zithromax, oxygen, steroids, or hospitalization etc. 
    • Monoclonal antibody infusions can be used to try and keep you out of the hospital within 10 days of the disease. They are offered at both BRRH Spruce Pine and MAHEC, just call us to coordinate an appointment.
    • Melatonin has been shown to have an inhibitory effect on the NLRP3 inflammasome. Take 1-10mg before bed.
    • Vitamin D2 and D3, combined total should be near 60 if you check your blood levels, High doses can be toxic so coordinate with us for your safety.
      Vitamin D3 comes from the sun and animal sources. D2 comes from plants and mushrooms. Many people with inflammation and mental health neurotransmitter imbalance need D2 to balance immunity, healing and mood. Leaving even store-bought mushrooms in the sun for many hours will increase their D2 production. For more info on Vitamin D, see: www.healthline.com
    • Turmeric with black pepper and fenugreek, as a tea or supplement. We carry Standard Process Turmeric Forte at the office complete with everything needed.
    • Ibuprofen, 600 mg every 6 hours as needed for achiness or pain that may be preventing ideal self-care. Or Tylenol, 500 mg every 4 hours as needed. Tylenol may work better at reducing fever. Remember, fevers do help you heal, but if they cause achiness or interfere with well-being then you can take it. 

Aggressive nasopharyngeal hygiene can be effective in combatting COVID-19 and any virus.  Administer many sprays up the nose and blow out. Then tilt the spray bottle and spray many times while inhaling and blocking the other nostril until fluid reaches back of throat. You want to irrigate and clean nasal turbinates down their entire length, past the Eustacian tubes and into the back of the throat. Google an image of “nasopharynx” to help you visualize how to do this.
Sterilize and refill bottles with sterile (boiled) saline, use 1/8 teaspoon non-iodized salt per cup of sterilized or distilled water. 

Optional additions to saline solution:

    1. Dilute colloidal silver to 10-100 ppm (if using 500 ppm as a source). Use 2-4 mL of diluted colloidal silver in a 10 mL bottle. This is a great natural antimicrobial and anti-inflammatory.
    2. Add 3 grams NAC (N-Acetyl Cysteine) to improve mucosa immunity, and thin secretions.

Vaccine

Our experience this fall has been a challenge. We have had to initiate aggressive in home treatment and hospitalize numerous patients. None of them were vaccinated. We always support our patients in their personal and religious beliefs, but we admit, this has been hard for us to 

Booster

At this time studies are showing that vaccinated individuals are still protected from hospitalization and death and the booster does add anything. A booster will be recommended at some point, like the flu, but we don’t know the time frame yet – and will keep you posted.

Third Doses

Additional doses of Moderna or Pfizer ARE recommended for those with chronic illness and those in an immunosuppressed state or on an immunosuppressive medication due to inadequate immune response. Feel free to ask us if we think you fall into this category.

Other Considerations

(Alternative treatments should never be undertaken without a recommendation and continued care from a qualified medical professional.)

Plaquenil may be used as a treatment if patient has any history of autoimmune predisposition or malaria.

Ivermectin Prophylaxis or treatment may be especially helpful if you have travelled to Africa or other tropical areas, but even here in the U.S. parasites can complicate our healing. DO NOT BUY THIS AT AGRICULTURE STORES! Call to discuss safe doses and preparations. There are some preliminary studies that show it may decrease viral activity in the cell but so far the significant response is found only in tropical countries. Call us if you want to discuss this further and see if you should add this to your regimen.

Monoclonal Antibody Infusions may be administered at the hospital for high-risk patients. This is a one-hour infusion, outpatient procedure. You must have a documented positive test before we can register you for this.

Histamine 2 Blockers like cimetidine or famotidine have some antiviral properties that may help.

Video on how the vaccine works in your body – great animated education:

Further Reading and Watching

Article from the Institute of Functional Medicine detailing recommended interventions for Covid-19:

www.ifm.org

Algorithm to reduce complications from Covid-19:

www.ncbi.nlm.nih.gov

Toe River Health District current data on Covid-19 for Avery, Mitchell, and Yancey counties:

trhd.dst.nc.us

If You Are Sick:

Call the office.

We remain available 24 hours a day to help you. If we decide that you need to be seen in person, we will give you a time, and either come out to your car, see you in the back courtyard or on the porch whichever you prefer. Of course we do home visits at an extra charge. We will come out appropriately protected, for your safety, ours and our vulnerable or unvaccinated patients. We have been able to handle many visits on zoon, or by phone.

  1. During regular office hours call 828-678-9352 and a nurse will be answering the phones or responding to your voice messages as usual.
  2. The after-hours number is 828-675-6868. This number is also recorded on our answering machine evenings and week-ends. DO NOT USE THIS NUMBER DURING OFFICE HOURS, IT BYPASSES THE NURSES AND GOES DIRECTLY TO OUR CELL PHONES, INTERRUPTING OTHER PATIENTS.

At home, continue to follow basic precautions:

  1. Vigorous hand washing for a full twenty seconds, including under your nails, with hot water and soap, many times a day, before leaving your home, and after any contact outside your home. Use hand sanitizer if a sink is not available – This is not a replacement for good hand washing!
  2. Clean frequently touched surfaces daily, more often if you have visitors or numerous people living in your home.
  3. Wear a mask if you are sick or caring for someone who is.
  4. Avoid contact with anyone who has been traveling, or otherwise may have had exposure to the virus (health care workers etc.) or self-quarantine your whole family for fourteen days after they arrive home.

If you need to come inside the office, we will follow a stricter protocol:

  1. Use the handrail outside only if you need to.
  2. Use elbows or clean fabric to turn the front door latch (we have strung the screen door open)
  3. Chairs have been removed from the waiting room. Stand until you are directed to a room. If you cannot stand, we should see you in your car, at least until your room is available.
  4. Keep your hands together. You will sit on the exam table which has been cleaned. We will not be using sheets or pillows.
  5. After you are seen, doors will be opened for you. Please refrain from touching anything.
  6. We will be wearing cloth masks only, reserving N95 masks for sick contacts. Cloth masks do not meet guidelines for preventing transmission, but combined with above parameters will help diminish droplet exposure, and nearly two years in, it has worked for us.

We are tripling our efforts at sterilizing the doorknobs, chairs, equipment, surfaces, etc. in the office. We ask your help as well to help us keep the office safe in this uncertain time. In short, help us please by keeping fevers, sneezing, coughs, and mucous outside the building.

The virus enters the nose or mouth through contact and air droplets.

Wash hands and face whenever in public, irrigate nose with saline or colloidal silver spray 50 ppm. To do this effectively, spray up the nose and into the posterior pharynx by inhaling to the back of the throat, then swallow or spit out – this washes viruses and pollens out, to keep the initial entry point healthy and free of disease or inflammation. You can sterilize and refill bottles with colloidal silver 10-100 ppm or saline (1/8 teaspoon non-iodized salt per cup of sterilized or distilled water), you can also mix 2 grams NAC (available at Burnsville Health and Nutrition or through our Fullscripts account) in 10ml to improve the nasal mucosa immunity.

If you have been in a public situation where there may be people who have traveled and been exposed to the virus:

Quarantine Yourself

Even without symptoms. This virus has a 14 day incubation period before symptoms develop. Consider this an opportunity to pray, contemplate, start a creative practice, do self-care, consider new health and wellness goals, read, work from home, write letters etc. Don’t share dishes, towels, bedding. Wipe down touch surfaces like doorknobs, keyboards, counters, toilets and phones. Includes caution with pet contact, it is possible they can get this virus. This also includes going to the doctor – call your doctor to make sure you do not need to be seen, ask their protocol for seeing people at risk, but DO NOT expose medical personal or patients in an office or hospital if you have symptoms or are at risk. If you cannot quarantine yourself, do not touch or hug people or touch surfaces.

80 % of the cases for this coronavirus seem to be mild, according to the World Health Organization, just like the many coronaviruses you have been exposed to every year since you were born, and have caused those annoying colds you know so well.

BUT, may be moderate to severe, especially if you are elderly, have lung disease or other immune compromise, causing pneumonia or inflammatory lung reactions that can be fatal. Inhalers, oxygen, antibiotics for opportunistic co-infections or nebulized medications can help. If these are not adequately controlling shortness of breath, or you have rapid development of severe shortness of breath, you should call EMS or go to the hospital immediately.

We know that other RNA/coronaviruses change- more often than infections we have long immunity vaccines for (polio, pneumococcal) more on par with the flu -which we have to make a new vaccine for annually (and sometimes the vaccine is not fully protective, as you know.) Another example is Pertussis vaccine, which gives you immunity for near five years, like getting the disease, and is also severe in children and elderly.

In addition, zinc lozenges offer some mucosal protection, and medications like chlorpheniramine (antihistamines) have been found to decrease the inflammation leading to more severe symptoms.

We hope you can find the support you need to move away from fear and toward peace and a solidarity in this time of challenge, if not give us a call for ideas.

We encourage each of you to engage in life-affirming activities:

  • Garden
  • Walk
  • Be creative – listen to music, or learn to play an instrument, sing and dance!
    There are many museums doing virtual tours for free, or get a free week trial and watch a Broadway musical.
  • Study something online.
  • Write letters to family or friends, by hand!

Eat fresh, whole foods. Avoid flour and sugar and alcohol. Support our local farmers – just ask if you need to know how to get these local fresh foods, efforts are underway to distribute throughout the county in a safe way.

The challenge of social distancing may also be an opportunity to know ourselves a little better, to know our world a little more intimately and to get closer to nature, or God.

We are hopeful that overcoming this time of crisis together, we will emerge a more unified people of our one world.

Blessings and Love to each of you,

Jeff Polgar, MD
Kelly Rothe, DO
Jonathan Polgar, PA-C

Covid-19

Mountain Medical Arts, PLLC

2 South Main Street
PO Box 1240
Burnsville, North Carolina, 28714

Hours: 8–5 Monday–Friday

Office: 828.678.9352
After Hours/Emergency: 828.678.9352
Fax: 877.505.4516

Email: doctor@mtnmedarts.com

Covid-19

Mountain Medical Arts, PLLC

2 South Main Street
PO Box 1240
Burnsville, North Carolina, 28714

Hours: 8–5 Monday–Friday

Office: 828.678.9352
After Hours/Emergency: 828.678.9352
Fax: 877.505.4516

Email: doctor@mtnmedarts.com

Mountain Medical Arts Staff

Kelly Rothe, DO

Family Physician

Jeffrey Polgar, MD

Family Physician

Jonathan Polgar, PA-C

Physician Assistant