CORONA What to Do If You Get COVID – from an ER Doctor & Former Special Forces Medic

Peter

Veteran Member

What to Do If You Get COVID – from an ER Doctor & Former Special Forces Medic

Disclaimer: This is not as a substitute for going to the hospital, especially if you’re in the highest risk category. These are firsthand tips on how to improve your situation at home if you get COVID-19.
Dr-Angel_Coronavirus.jpg

Greetings GORUCK family,
My name is Dr. Richard Angel, an ER Doctor & Former Special Forces Medic, and I want to help as many people as possible get through having Coronavirus and keep them well enough to stay out of the hospital. I have Coronavirus and am recovering after 2 weeks of symptoms. Here is what I have done to stay relatively well and recommend these measures to you.
Dr. Angel’s Coronavirus Care:
1. Hydration: drink plenty of fluids, water, tea, warm beverages. Especially important for the elderly who are often dehydrated. This flushes the kidneys of toxins, keeps plenty of fluid in the body to keep secretions as liquid as possible- not allowing thick mucous to fill the lungs. An occasional toddy or hot herb tea with honey and lemon is great. (If unable to take much, sip small amounts of regular Gatorade or sports drinks and water. This will give you potassium, sodium and glucose, vital nutrients.)
2. Immune support: I like Zicam zinc throat lozenges 4 x a day, especially at night before going to bed to keep viral loads low. Also maybe Emergen-C, other supplements like Vitamin D 5000 U per day, perhaps some immune supporting mushrooms. Gargle and drink diluted apple cider vinegar may help, you may warm and add honey if needed.
3. Diet: Plenty of fresh fruits and vegetables and quality proteins. Oranges daily are great! Lemons and honey for your tea. This is not a time for a minimal diet: you want to be well fed with nutritious foods to prepare your body for potential loss of appetite. If you get sick enough to require hospital respiratory support, your body needs to be fueled up to “run a marathon”.
4. Medications: Zicam lozenges for prevention and treatment of symptoms. Plenty of cough drops. Vicks Vaporub is excellent and a must have item to decrease cough, open and soothe bronchial passages. Delsym 12 hr dextromethorphan extended release (the flat bottle) is a great baseline cough suppressant. You may add day and night cold and cough medicines, Tylenol (acetaminophen) as needed. NyQuil is good to help sleep with Vaporub and warm tea. Afrin or neti pot may help clear your nose as will over the counter sinus medications. There is an excellent old cough syrup that you can generally take with other medications, it is like liquid menthol, called “Buckley’s Original Mixture”. I highly recommend having some available—can be found on Amazon.
5. Equipment: Vaporizer machine and Vaposteam. Get the old school one that heats up not cool mist. This is a lifesaver. I would also recommend a simple nebulizer machine ($50) and saline ampules (the pink ones). These are available on Amazon. You may need an albuterol ampule prescription as well. In addition to a thermometer, a fingertip pulse oximeter can be very useful. A general “cutoff” for being sick is about 94%—below this you may need to see a doctor. Shortness of breath and work of breathing are signs you are getting sicker and need to see a physician. (Or call in!)
6. Exercise: sunshine, light walking if you are ill is always great. If not symptomatic, keep workouts relatively light. Now is not a great time to suppress your immune system using energy recovering from a hardcore workout. However keeping fitness—especially cardiovascular at optimum levels which may pay big dividends if you get really sick.
7. Hot baths, hot tub soaks for 15 minutes twice a day may help with an “artificially induced fever” that makes you a less hospitable host for the virus among other benefits.
8. Hygiene: Shower/bath daily with clean clothes daily, brush teeth, etc. This cannot be underestimated—decreases the virus and the morale boost is very important.
In summary, the goal is to keep your body and immune system functioning at optimal levels, stay hydrated and make yourself unattractive to the virus!
So make some homemade chicken soup, do all the right things to avoid spread and we will get through this difficult time.
Wishing all of you good health and a speedy recovery. Thanks to Jason and the GORUCK Team for their support!
Rich Angel
About the Author: Lt Col (ret) Richard Angel is a former Special Forces Medic (18D), 7th SFG(A) Surgeon and currently practices Emergency Medicine in Texas.
by GORUCK
 

Shep

Contributing Member

What to Do If You Get COVID – from an ER Doctor & Former Special Forces Medic

Disclaimer: This is not as a substitute for going to the hospital, especially if you’re in the highest risk category. These are firsthand tips on how to improve your situation at home if you get COVID-19.
Dr-Angel_Coronavirus.jpg

Greetings GORUCK family,
My name is Dr. Richard Angel, an ER Doctor & Former Special Forces Medic, and I want to help as many people as possible get through having Coronavirus and keep them well enough to stay out of the hospital. I have Coronavirus and am recovering after 2 weeks of symptoms. Here is what I have done to stay relatively well and recommend these measures to you.
Dr. Angel’s Coronavirus Care:
1. Hydration: drink plenty of fluids, water, tea, warm beverages. Especially important for the elderly who are often dehydrated. This flushes the kidneys of toxins, keeps plenty of fluid in the body to keep secretions as liquid as possible- not allowing thick mucous to fill the lungs. An occasional toddy or hot herb tea with honey and lemon is great. (If unable to take much, sip small amounts of regular Gatorade or sports drinks and water. This will give you potassium, sodium and glucose, vital nutrients.)
2. Immune support: I like Zicam zinc throat lozenges 4 x a day, especially at night before going to bed to keep viral loads low. Also maybe Emergen-C, other supplements like Vitamin D 5000 U per day, perhaps some immune supporting mushrooms. Gargle and drink diluted apple cider vinegar may help, you may warm and add honey if needed.
3. Diet: Plenty of fresh fruits and vegetables and quality proteins. Oranges daily are great! Lemons and honey for your tea. This is not a time for a minimal diet: you want to be well fed with nutritious foods to prepare your body for potential loss of appetite. If you get sick enough to require hospital respiratory support, your body needs to be fueled up to “run a marathon”.
4. Medications: Zicam lozenges for prevention and treatment of symptoms. Plenty of cough drops. Vicks Vaporub is excellent and a must have item to decrease cough, open and soothe bronchial passages. Delsym 12 hr dextromethorphan extended release (the flat bottle) is a great baseline cough suppressant. You may add day and night cold and cough medicines, Tylenol (acetaminophen) as needed. NyQuil is good to help sleep with Vaporub and warm tea. Afrin or neti pot may help clear your nose as will over the counter sinus medications. There is an excellent old cough syrup that you can generally take with other medications, it is like liquid menthol, called “Buckley’s Original Mixture”. I highly recommend having some available—can be found on Amazon.
5. Equipment: Vaporizer machine and Vaposteam. Get the old school one that heats up not cool mist. This is a lifesaver. I would also recommend a simple nebulizer machine ($50) and saline ampules (the pink ones). These are available on Amazon. You may need an albuterol ampule prescription as well. In addition to a thermometer, a fingertip pulse oximeter can be very useful. A general “cutoff” for being sick is about 94%—below this you may need to see a doctor. Shortness of breath and work of breathing are signs you are getting sicker and need to see a physician. (Or call in!)
6. Exercise: sunshine, light walking if you are ill is always great. If not symptomatic, keep workouts relatively light. Now is not a great time to suppress your immune system using energy recovering from a hardcore workout. However keeping fitness—especially cardiovascular at optimum levels which may pay big dividends if you get really sick.
7. Hot baths, hot tub soaks for 15 minutes twice a day may help with an “artificially induced fever” that makes you a less hospitable host for the virus among other benefits.
8. Hygiene: Shower/bath daily with clean clothes daily, brush teeth, etc. This cannot be underestimated—decreases the virus and the morale boost is very important.
In summary, the goal is to keep your body and immune system functioning at optimal levels, stay hydrated and make yourself unattractive to the virus!
So make some homemade chicken soup, do all the right things to avoid spread and we will get through this difficult time.
Wishing all of you good health and a speedy recovery. Thanks to Jason and the GORUCK Team for their support!
Rich Angel
About the Author: Lt Col (ret) Richard Angel is a former Special Forces Medic (18D), 7th SFG(A) Surgeon and currently practices Emergency Medicine in Texas.
by GORUCK
We’ve used Buckley’s cough syrup. It if doesn’t kill you it will cure you . Be sure to have your nose closed while taking it and a spoonful of honey to take right after.
 

Dozdoats

On TB every waking moment
The things I miss most about work are my goats. I didn't know Angel, he probably came along after I got gone. I'd rather have a good goat than many MDs.

(goat = slang for SF medics, because they get their hands-on training on goats. Another one of those things I Am Not Supposed To Say....)
 

Meemur

Voice on the Prairie / FJB!
I finally got around to reading "The Men Who Stare at Goats" last summer. Fun!
 

Dozdoats

On TB every waking moment
Or remote SF training...

I never knew of anything but hands on training for 18Ds and USN corpsmen. May be happening now, may have been happening when I was still working and it just evaded me, I don't know.

JSOMTC – Home if you want to fact check ...
 

FREEBIRD

Has No Life - Lives on TB
One question: how is a patient supposed to go for walks when on quarantine? Thought if ill with this, patient needs to be isolated, even from others living in the same house.
 

bluelady

Veteran Member
One question: how is a patient supposed to go for walks when on quarantine? Thought if ill with this, patient needs to be isolated, even from others living in the same house.
I think it's fine to walk if no one else is around; we live in town but almost never see anyone walking.
Too late to isolate from dh, unfortunately; whatever one of us has, we're in this together.
 
The things I miss most about work are my goats. I didn't know Angel, he probably came along after I got gone. I'd rather have a good goat than many MDs.

(goat = slang for SF medics, because they get their hands-on training on goats. Another one of those things I Am Not Supposed To Say....)

It's the worst kept secret in the .mil....... ;)
 

TammyinWI

Talk is cheap
This is a great read. I have been using no. 7 often these days. As for walks, and getting sun for Vitamin D, that helps to combat this virus. It is very easy to cross the street or change course when someone is approaching the perimeter of the personal zone. Been "physically distancing" myself way before they get too close

Saw my first Robin yesterday, glad I was looking at a squirrel and there was that added bonus about two feet away.
 

Blacknarwhal

Let's Go Brandon!
This is a great read. I have been using no. 7 often these days. As for walks, and getting sun for Vitamin D, that helps to combat this virus. It is very easy to cross the street or change course when someone is approaching the perimeter of the personal zone. Been "physically distancing" myself way before they get too close

Saw my first Robin yesterday, glad I was looking at a squirrel and there was that added bonus about two feet away.


The weather's warming up. I was outside without a jacket twice this week! I can hear birds and there's a nice smell of spring in the air. Pretty soon I'll be able to open the windows again; look forward to that every year.
 

Outlaw-16

Contributing Member
While Doc Angel might have used some or all of these methods to treat himself, we, the readers, have no idea of his personal health or his medical history. Some of the methods he mentions are in contradiction to what other specialists in the virology field who are actively treating this have to say. I forwarded the link of the original article to a friend who has spent the last 20 years studying viruses on the government's dime. He retired and went into private practice because as he told me 'viruses freak him the **** out.'

What he had to say about the described treatment methodology is this:

Zicam can cause permanent loss of sense of smell. There is no proof it works and this virus has already shown damage to your sense of smell. Zicam could seriously worsen the loss.

Vinegar contains acetic acid. Never a good idea to drink it, gargle it, or ingest it even if its diluted. Can cause all kinds of health issues.

Do not take Zicam lozenges. see above. Vick's Vaporub - known to increase lung inflammation. The use of it is extremely outdated but there are some that swear by it.

Nyquil? for real? Contains NSAIDs and in some cases, alcohol, something, NSAIDS, the other doctors have said not to take or use if you have this virus.

Afrin can cause severe hypertension if used for more than 2 days.

The use of a nebulizer was met with a Dear God, No!

Nebulizers are not to be used with highly infectious organisms or even someone with the flu especially not with this virus. Every exhaled breath contains very high viral loads that will infect the room and anyone inside the room if they are not properly wearing PPE, of which there is a shortage of and a shortage of personnel trained in the proper usage of PPE. Potentially using a nebulizer could infect everyone within the building if the room is connected to A/C and other ventilation systems.


While Doc Angel might have had success with his methods, some of them are wtf to a lot of medical professionals that are in the virology field or have just recently left it.
 

Ractivist

Pride comes before the fall.....Pride month ended.
Interesting response to the article oulaw. Nothing seems to be cut and dried. I'll stick with six thousand mg of vit c a day, and a bit of D3. If I get it, I'll up the VC to 10000 and go from there.
 

Meemur

Voice on the Prairie / FJB!
I'm getting really confused. It sounds like Tylenol is the preferred painkiller, correct? I know that can lead to kidney problems, but I would take it for several days with a lot of water if I needed sleep.

What's the problem with Vicks? When I'm totally stopped up, breathing some in steam (face over pot with a towel over my head) has quickly helped my breathing when I have a head cold. A little on the soles of my feet help when I have major coughing at night (along with a good humidifer!)

The pollen count is medium high today, so I've got itchy eyes and a runny nose. No fever. No body aches. I'm chalking this up to spring allergies but checking my temperature daily.
 
I used to go to a 7th Day Adventist church. They do a "fever bath". You get into a very hot tub of water and try to cover up most of your body. You keep a thermonitor in mouth and wait until it gets to 102. Stay there for ten minutes. Also you NEED to have an ice pack on your head to keep the brain cool. I did it a few times many years ago.
 

China Connection

TB Fanatic
Home Made Zinc

Honey Lemon Throat Drops

2 C. sugar
1/2 C. honey
3/4 C. water
juice of 1/2 lemon
1-2 Zinc tablets, crushed (optional)
1-2 Vitamin C tablets, crushed (optional)


 

auxman

Ad eundum quo nemo ante iit...
The things I miss most about work are my goats. I didn't know Angel, he probably came along after I got gone. I'd rather have a good goat than many MDs.

(goat = slang for SF medics, because they get their hands-on training on goats. Another one of those things I Am Not Supposed To Say....)

Ahhh... the goat farm (or was it the dog farm?). For the unknowing, please disregard... and don't ask. ;)
 
Last edited:
Top