[Dr. Fell is licensed in the state of Washington and can only provide treatment for people currently residing in Washington--in person or telemedicine.]
There is growing evidence that early care can help prevent COVID-19 from progressing to a more serious disease. (1, 2) Information about repurposed medications and treatment options is developing rapidly. The Delta variant has added to the complexity.
We individualize treatment based on age, presence of comorbidities that increase risk of progressing (such as diabetes, hypertension, obesity, and others). (2, 3) The recommendation for outpatient treatment options change regularly. The Front Line COVID-19 Critical Care Alliance (FLCCC), a group of prominent physicians and scientist, maintains and updates outpatient treatment recommendations. (4)
The FLCCC recommendations form part of our conventional treatment plan. We also extensively use evidence based herbal medicine.(4) At Revive we treat the whole person, not just a disease. Researchers have identified several phases in COVID-19. Each of these phases has has specific treatment requirements. There are many aspects to a treatment plan. Some of these include:
[This is for educational purposes only. This is not specific medical advice or intended to be a treatment plan. It is important to check with your doctor to see which treatment options may most appropriate for your circumstance. The FDA has not approved the below as treatments for COVID-19.]
There is growing evidence that early care can help prevent COVID-19 from progressing to a more serious disease. (1, 2) Information about repurposed medications and treatment options is developing rapidly. The Delta variant has added to the complexity.
We individualize treatment based on age, presence of comorbidities that increase risk of progressing (such as diabetes, hypertension, obesity, and others). (2, 3) The recommendation for outpatient treatment options change regularly. The Front Line COVID-19 Critical Care Alliance (FLCCC), a group of prominent physicians and scientist, maintains and updates outpatient treatment recommendations. (4)
The FLCCC recommendations form part of our conventional treatment plan. We also extensively use evidence based herbal medicine.(4) At Revive we treat the whole person, not just a disease. Researchers have identified several phases in COVID-19. Each of these phases has has specific treatment requirements. There are many aspects to a treatment plan. Some of these include:
[This is for educational purposes only. This is not specific medical advice or intended to be a treatment plan. It is important to check with your doctor to see which treatment options may most appropriate for your circumstance. The FDA has not approved the below as treatments for COVID-19.]
- Repurposed (prescription) medications such as ivermectin, fluvoxamine, dutasteride, spironolactone, and monoclonal antibodies. These recommendations change regularly and vary from individual-to-individual. Current medications, health status, and risk factors are a few considerations in choosing a treatment plan. Sometimes other medications are necessary, such as antibiotic for co-infections.
- Gargle with an antiseptic mouthwash (Do not swallow!) that contains cetylpyridinium chloride (e.g. Scope TM, Act TM, Crest TM), 1% povidone/iodine solution, or Listerine TM with essential oils.
- Steam Inhalation with VapoRub TM or essential oils such as eucalyptus and thyme.
- Nasal spray: such as a 1% povidone/iodine nasal commercially available nasal spray (this can be difficult to find). Xlear TM nasal spray is more accessible.
- Herbal medicine: herbs such as Glycyrrhiza glabra, Allium sativum, Sambucus spp., Astragalus propinquus, Andrographis paniculata, and many other have varying degrees of evidence supporting their use. Some have a role in regulating the immune system. Some have antiviral activity. They studied many of these herbs in vitro (cell culture studies), in vivo (animal and or human studies), and some small clinical trials in SARS-CoV-1 and SARS-CoV-2. (5)
The herbs we use are generally regarded as safe when used in the appropriate dosing and duration. There are some conditions and medications which influence the choice, dosing, and duration of herbs. This is especially true when used at medicinal doses. Herbs can interact with medications and worsen some conditions. Many herbs are contraindicated in pregnancy and lactation. It is important to consult with a qualified healthcare professional before initiating a treatment plan. - Supplements: There is a increasing amount of evidence related to the targeted use of nutritional supplements supporting the treatment of COVID-19. Some recommended supplements include vitamin D3, zinc, magnesium, vitamin C, quercetin, melatonin, and others. The dosing and specific nutrients are in part depended on the needs of the individual.
Prevention:
There is an old saying that, “An ounce of prevention is worth a pound of cure”. Prevention is even more important since we do not have a cure for COVID-19.
Getting ourselves “health” is perhaps the most important aspect that can lead to improved survival. Diabetes, hypertension, obesity, heart disease, and other “lifestyle” related conditions are factors contributing to worse outcomes—including death. This topic deserves its own posting. It starts with eating a diet rich in a wide variety of vegetables, fruits, whole grains, legumes (beans, lentils, and chickpeas), nuts and seeds. Limiting foods that are well established as “proinflammatory” (such as dairy, meat, refined sugar, saturated fats, and white flour) is also critical. Adipose tissue (“fat”, especially abdominal fat) acts as its own endocrine organ. That is it produces hormones and proinflammatory chemical call cytokines. We currently understand that excess cytokines play an important role in late disease severity.
Masks and Social Distancing: There is currently sufficient evidence to support the use of a properly fitting mask of suitable material and social distancing to decrease the chance of spreading the virus.
Vaccine: We understand why many are vaccine hesitant. There is a lot we still do not know about the long-term effects. This information is developing quickly. The current vaccines do not stop the spread of the delta variant. However, there is sound evidence (as of this posting) that it has a significant effect on preventing severe disease and death. In the elderly and those with comorbidity, the risk of not getting the vaccine seems to outweigh the risks of getting it.
Support from Revive Family Medicine:
We are here to support you and your family. If you have a know exposure, develop upper respiration or COVID symptoms, or test positive for COVID-19 we are here to help and support.
If you have any of the underlying risk factors for complications and death, we are here for you. We specialize in help individuals, family, and communities transform their health.
We know how difficult it is to make changes on our own. Starting in October, 2021 we will be offering a 28 day Transformation program based on wholistic and whole-foods approach. This is open to both Revive Family members and the general public.
Dr. Fell is licensed in the state of Washington and can only provide treatment for people currently residing in Washington--in person or telemedicine.
The cost of a COVID-19 only appointment for a non-member is $150.00.
There is an old saying that, “An ounce of prevention is worth a pound of cure”. Prevention is even more important since we do not have a cure for COVID-19.
Getting ourselves “health” is perhaps the most important aspect that can lead to improved survival. Diabetes, hypertension, obesity, heart disease, and other “lifestyle” related conditions are factors contributing to worse outcomes—including death. This topic deserves its own posting. It starts with eating a diet rich in a wide variety of vegetables, fruits, whole grains, legumes (beans, lentils, and chickpeas), nuts and seeds. Limiting foods that are well established as “proinflammatory” (such as dairy, meat, refined sugar, saturated fats, and white flour) is also critical. Adipose tissue (“fat”, especially abdominal fat) acts as its own endocrine organ. That is it produces hormones and proinflammatory chemical call cytokines. We currently understand that excess cytokines play an important role in late disease severity.
Masks and Social Distancing: There is currently sufficient evidence to support the use of a properly fitting mask of suitable material and social distancing to decrease the chance of spreading the virus.
Vaccine: We understand why many are vaccine hesitant. There is a lot we still do not know about the long-term effects. This information is developing quickly. The current vaccines do not stop the spread of the delta variant. However, there is sound evidence (as of this posting) that it has a significant effect on preventing severe disease and death. In the elderly and those with comorbidity, the risk of not getting the vaccine seems to outweigh the risks of getting it.
Support from Revive Family Medicine:
We are here to support you and your family. If you have a know exposure, develop upper respiration or COVID symptoms, or test positive for COVID-19 we are here to help and support.
If you have any of the underlying risk factors for complications and death, we are here for you. We specialize in help individuals, family, and communities transform their health.
We know how difficult it is to make changes on our own. Starting in October, 2021 we will be offering a 28 day Transformation program based on wholistic and whole-foods approach. This is open to both Revive Family members and the general public.
Dr. Fell is licensed in the state of Washington and can only provide treatment for people currently residing in Washington--in person or telemedicine.
The cost of a COVID-19 only appointment for a non-member is $150.00.
(1) McCullough PA, Kelly RJ, Ruocco G, et al. Pathophysiological Basis and Rationale for Early Outpatient Treatment of SARS-CoV-2 (COVID-19) Infection. Am J Med. 2021;134(1):16-22. doi:10.1016/j.amjmed.2020.07.003 [NOTE: Outpatient treatment recommendations have changed significantly since the publication of this article.]
(2) Payne JD, Sims K, Peacock C, Welch T, Berggren RE. Evidence-based approach to early outpatient treatment of SARS-CoV-2 (COVID-19) infection. Proc (Bayl Univ Med Cent). 2021;34(4):464-468. Published 2021 Jun 4. doi:10.1080/08998280.2021.1925049
(3) Zhou Y, Yang Q, Chi J, Dong B, Lv W, Shen L, Wang Y. Comorbidities and the risk of severe or fatal outcomes associated with coronavirus disease 2019: A systematic review and meta-analysis. Int J Infect Dis. 2020 Oct;99:47-56. doi: 10.1016/j.ijid.2020.07.029. Epub 2020 Jul 25. PMID: 32721533; PMCID: PMC7381888.
(4) https://covid19criticalcare.com/
(5) COVID-19 and Herbs (2021 updated regularly)
(2) Payne JD, Sims K, Peacock C, Welch T, Berggren RE. Evidence-based approach to early outpatient treatment of SARS-CoV-2 (COVID-19) infection. Proc (Bayl Univ Med Cent). 2021;34(4):464-468. Published 2021 Jun 4. doi:10.1080/08998280.2021.1925049
(3) Zhou Y, Yang Q, Chi J, Dong B, Lv W, Shen L, Wang Y. Comorbidities and the risk of severe or fatal outcomes associated with coronavirus disease 2019: A systematic review and meta-analysis. Int J Infect Dis. 2020 Oct;99:47-56. doi: 10.1016/j.ijid.2020.07.029. Epub 2020 Jul 25. PMID: 32721533; PMCID: PMC7381888.
(4) https://covid19criticalcare.com/
(5) COVID-19 and Herbs (2021 updated regularly)