+Treatment

  • For progression (motivating treatment), see effects page
  • No CT scans for mild symptoms not requiring oxygen. (like exposing yourselves to 300-400 chest X Ray’s in one go - or 3.6 years of natural exposure. Some have had 2-3 scans in 10 day hospitalisation. life time additional risk of getting a fatal cancer: 1/25k. ) A Chest X ray can tell you all that along with Oxygen saturation.

Protocols

  • FLCCC protocol
  • AIIMS guidelines here 202104.
  • AIIMS & ICMR protocol
  • Maharashtra protocol
  • Karnataka protocol
  • Telengana protocol
  • Kerala protocol
  • Tamil Nadu protocol
  • WHO recommendations 20200902.

Vishvas’s preferred protocol

  • Same as FLCCC protocol.
  • Recall disease progression.
  • Ivermectin at the first symptom. Details here.
  • Immunomodulator, anti-inflammatory fluvoxamine seems useful.
  • In case of slippage to the second phase - steroids and blood-thinners (see Matthew Varghese protocol).

Mathew Varghese protocol

  • YT
  • Understand the expected progression of the disease.
  • Note down the day of the first symptoms (not what troubled them the most). Very critical in determining proper and timely treatment - day or 2 calculation error may result in hospitalisation. Don’t rely on the tests - watch the symptoms.
  • Wait till the first phase is over (3 or 4 days after first symptoms). NO steroids or blood thinners here - lest you foil the immune system even as the viruses are multiplying.
  • If you notice signs of second phase (autoimmune attacks on blood vessels leading to persistent fever, cough, breathing problem) - start steroids and anti-coagulants/ blood thinners (21 day regimen because tendency for clotting remains so long).
    • Don’t wait for blood saturation to drop and loose time being ignorant of severely damanged lungs! (People with one l lung can have 100% blood O2 saturation).
  • If you’re deep into the second phase without timely treatment - bad luck - you need oxygenation - all they way to 16 liters depending on severity. If problem persists, you may need CPAP+++(← constant pressure)+++, BiPAP+++(← differing pressure during inhalation and exhalation)+++, and ventilators.
  • Counter steroid side effects
    • On 4th day fever may return due to opportunistic bacterial infection leading to pneumonia. Only here are antibiotics useful.
    • Deal with diabetes exacerbation.

Symptomatic treatment

  • Multivitamins + Cough Syrup + Anti-allergics + Paracetamol (650 mg for adults). The goal from Day 1 has to be to keep fever low if it is high: Hydrate (High fluid intake) + Steam + Paracetamol.
  • Keep monitoring disease severity (see diagnosis page.)

Oxygen supply

  • Pronal breathing demo here
  • Severe cases:
    • If oxygen levels are falling below 90 and there is access to a concentrator, please use it. If levels are extremely low (<80), high pressure cylinders are needed; if not, concentrators are useful to maintain levels above 90.
    • Prone (face-down) ventilation useful.
    • BengaLUru supply: covid.army site
    • Below 70% doctors usually say 50:50 chances..

Hospitals and help - bengaLUru

  • Beds, ventilators etc. here.

Case severity

  • Non-severe - not the other two levels
  • Severe - Sp2 < .9. Respiratory rate > 30 in adults.
  • See diagnosis page.
  • Critical
    • Life sustaining treatment needed
    • Acute respiratory syndrome
    • Sepsis
    • Septic shock

Natural response

  • The earlier your body makes the antibody response,more likely you will make a recovery and come out at the other end.
  • Those who succumb,make the delayed response with antibodies by the time virus has already gone hiding to various organs.