There Are 

Things That Can Be Done

  • We all need to do the right thing - which exists somewhere between over-reacting (panicking) and under-reacting (ignoring). Please stay positive and hopeful - we will get through this together and come out the other side even stronger and healthier!

  • Some recent information that supports having a positive outlook - old drugs like Chloroquine (used for malaria) and Hydroxychloroquine (used for rheumatoid arthritis and lupus) may potentially prove effective for this illness. A recent French study of around 36 Covid-19 patients combining Hydroxychloroquine 200 mg three times a day for 10 days with Azithromycin (very commonly prescribed antibiotic - agent in a "Z-Pack") 250 mg 2 pills a day for 1 day then 1 pill a day for 5 days showed that 100% of treated patients had no detectable Covid-19 in their nasal secretions after 5 days (compared to only 20% of controls at 7 days). Based on this study, a doctor in New York state has treated about 350 Covid-19 patients with Hydroxychloroquine 200 mg twice a day for 5 days, Azithromycin 250 mg once a day for 5 days and Zinc sulfate 220 mg once a day for 5 days and evidently has had 0 deaths, 0 hospitalizations and 0 intubations with rapid resolution of lower respiratory symptoms. We'll know a lot more in the next few weeks as a combination of these drugs is used wide-scale in hot spots like New York City.

  • We’re beginning to learn more about the morbidity and lethality of this virus. It seems about 80% of people exposed to the Chinese coronavirus have either no symptoms or only mild symptoms whereas the remaining 20% have moderate to severe symptoms. The mortality rate appears to be 0 percent for those 0 to 19 years of age, 0.1 percent for those 20 to 44 years of age, 0.5 percent for those 45 to 54 years of age, 1.4 percent for those 55 to 64 years of age, 2.7 percent for those 65 to 74 years of age, 4.3 percent for those 75 to 84 years of age, and 10.4 percent for those aged 85 years or more.

  • Coronaviruses are one of the major viruses that cause what we call the common cold. However, this Wuhan variant seems unique in that it targets the lower respiratory tract (the lungs) rather than the upper respiratory tract (the nose, sinuses and upper throat). Also, it seems to survive much longer outside the human body. A study just published in the New England Journal of Medicine suggests Covid-19 can survive up to 3 hours airborne, 24 hours on cardboard, and up to 3 days on plastic or stainless steel. At my office, I'm doing my part to minimize possible transmission by having only one patient in the office at any given time (thus giving myself and staff plenty of time to clean and sterilize surfaces between patients) and taking care of those with any "colds" over the phone when possible.

  • Policy makers have their role to minimize transmission and exposure with travel bans and quarantines but we must all do our part as well. 

  • To limit exposure, minimize travel outside your house to only what you have to do. Don’t go to places where a lot of people congregate. Especially indoors places.

  • Most people obviously won’t let someone cough or sneeze in their face. But since the Chinese coronavirus might be able to remain viable as an aerosol for up to 3 hours, try your best to breathe through your nose and not your mouth when at an indoors place outside your home. Stay at least six feet from other people since this is the extent of any potentially contagious aerosol that might be hovering around them. Also, please remember to cough and sneeze into your sleeve. At the very least, you'll lower the chance of people around you getting upset and panicking. Another main way the virus gets to your lower respiratory tract is that you (unknowingly) have to help bring it there. Touching surfaces contaminated by the virus then touching your face is what allows this. The virus can enter your body to then travel to the lower respiratory tract by entering around your eyes, nostrils, mouth or ears. So try not to touch surfaces, remember at all times to not touch your face and please wash your hands frequently and thoroughly.

  • Most of us understand these common-sense points of limiting exposure but there are some other things that can be done.

  • Since it’s arguable that the primary way the virus gets to the lower respiratory tract is via the upper respiratory tract, nasal and sinus irrigation with salinated distilled water, perhaps assisted by liquid colloidal silver, could be used as soon as one gets home. If you have interest in this, please contact our office for more details and assistance.

  • A whole other technique to combat the Wuhan coronavirus outside of minimizing exposure would involve making sure you own immune system is as strong as possible. Maximizing your own host defenses, so to say. Simple common-sense things to accomplish this would include being appropriately hydrated, getting sufficient sleep, not being stressed out (another reason not to panic), and having proper nutrition. 

  • More in-depth things to bolster your immunity would be to make sure your gut-and mucosal-based immune system is healthy with a microbiome consisting of lots of good bugs and very few bad bugs. Appropriate probiotics and prebiotics have an important role here. Ensuring the levels of crucial micronutrients (such as vitamin A, vitamin C, active vitamin D, vitamin E, selenium and zinc) involved with proper immune system functioning are optimal also makes a lot of sense. Again, if you have interest in this, please contact our office for more details and assistance.

Michael P. Varveris, M.D.

2590 Northbrooke Plaza Drive #207

Naples, FL 34119

Tel: (239) 598-4274

Fax: (239) 598-1022


© Ariana Varveris, 2019