Covid-19 Education

Dr. Southwell’s

Immunity Formula!

Preface:

Southwellness, before COVID-19 and currently, is a concierge medical practice.  We founded ProtectAZ.org to fight COVID and we have transitioned to add an entire division of the business to continue the effort: Southwellness COVID Solutions.  We have a very experienced team of providers, nurses, paramedics.  We have now tested over 6,000 people all over the country and treated hundreds of positives in the outpatient and in-home setting.  We open our doors to the community, if you need testing or are sick and needing support, please call us.

While we have been reading every study on COVID we can find to base our strategy here, none of it is properly FDA approved and so you can’t say what follows is “treatment or prevention.”  That being said, I think you can say this is “support,” and we have seen it work time and again.

Lastly, if we have seen you here in the clinic for COVID19 support or testing but we are not your primary care doctor, please keep that doctor in the loop.

Prevention: 

  • Always wear a mask of some kind in public.
  • I recommend the N95 mask that someone qualified has helped ensure fits you anywhere groups of people are gathered or have been recently: elevators, pharmacy, grocery, ANY STORE.
  • Hand-sanitize after touching any shared surface EVERY TIME -IE carry it with you always.
  • Consider supplements as below to boost and prepare your immune system
  • Frequent testing based on your risk of exposures:
    • 48-72 hours from exposures
    • High risk (teachers, front line workers, cashiers, parents of kids in daycare or school, etc.).
      • 1/week
    • Moderate risk (frequent grocery stores or groups/places where not everyone is wearing a mask without an N95 on religiously).

Symptoms:

  • Can be 1-2 or all the following. If they occur, notify your doctor, and initiate the vitamin regimen as below.  70% of people infected never develop symptoms
  1. Cough
  2. Runny nose
  3. Headache
  4. Fatigue
  5. Losing sense of smell/taste
  6. Sore throat
  7. Nausea, vomiting
  8. Loose stools, belly pain
  9. Muscle aches
  10. Whole body pain
  11. Fevers (temp greater or equal to 100.4 degrees F).
  12. Chest tightness, shortness of breath

Natural History of COVID19 Infection:

  • Phase 1: From onset of symptoms until days 5-8:
    • 80% develop symptoms within 4-5 days after infection contracted.
    • 5-10% develop symptoms 14 days+
    • Cough in 50 percent
    • Fever (subjective or >100.4°F/38°C) in 43 percent *MANY NEVER GET THIS
    • Myalgia in 36 percent
    • Headache in 34 percent
    • Dyspnea in 29 percent
    • Sore throat in 20 percent
    • Diarrhea in 19 percent
    • Nausea/vomiting in 12 percent
    • Loss of smell or taste, abdominal pain, and rhinorrhea in fewer than 10 percent each
    • Phase 1 in ELDERS >80: 
      • Falls, confusion, sleeping more than normal, delirium,

 

  • Phase 2: Usually occurs days 5-8 from initial symptoms.
    • The initial symptoms may worsen OR IMPROVE.
    • Involves COVID Pneumonia which develops causing:
      • Cough (not always)
      • Chest pressure/tightness (central, substernal)
      • Dyspnea of varying degrees
      • Dyspnea at rest usually requires over 80% lung involvement.
      • Dyspnea with exertion, >50%.

 

  • Phase 3: Respiratory Failure.

 

TESTING: choosing the right test for the scenario can be tough, we can help.

Southwellness COVID-19 Testing Options Guide

Chart KEY N=Nasal, swab only goes a little way up your nose. NP=Nasopharyngeal, goes through the nasal passage into the nasopharynx (where the nose and throat meet S=Saliva Collection

Southwellness difference: included with every test is pretest counseling, education on our therapeutic and preventive programs, and all positives get a free consultation with a COVID-specialist medical professional.

Groups, corporations, gatherings: also included at no charge is risk mitigation consultation services at need.

We are licensed to assist you in multiple states, please call to inquire

Name Specifications When it is appropriate Time for results Insurance Info Needed

Sofia 2 SARS Antigen Test

BD Veritor Antigen Test

Nasal swab (only goes halfway up).

Uses technology that identifies the proteins the virus makes.

Best test when symptomatic and speed is needed.

We recommend at earliest 48-72 hours from an exposure, and or should have some symptom.

Asymptomatic patients: much less sensitive, but we do offer it.  Having fast results can alleviate the anxiety COVID causes.

False Negatives are possible.  We always recommend nasal PCR as a backup if you get a negative result -50% off the price if added.

False positives are possible but very rare (I have not seen one).

Sofia:

<24 hours

BD: 15 minutes in the office

No. Fee covers the cost of the collection and processing at the lab

TRAVEL RAPID PCR

GOLD STANDARD

Thermo Fisher

Prorenata

NP

Uses molecular testing with highest sensitivity and specificity available.

Anytime you want the fastest, most reliable result.  You should wait 48-72hours from an exposure event to get the most out of this.  Keep in mind also that this test is so sensitive it will stay positive for up to 8 weeks after your infection and contagious period ends. 24 hours No, insurance is not accepted for this test, cash only.

Hawaii

Quest Lab

Same as above Requires certain lab companies to be used, we use Quest Lab which has a variable turnaround. Call for more information as things are constantly changing. 48-72 hours. For $50 we will register you with Hawaiian government and upload the needed documentation.

Standard PCR

GOLD STANDARD

N or NP

Uses very sensitive technology to prove if COVID19 RNA is present.

Test 48-72 hours from an exposure, or as soon as symptoms develop for all.

False Negatives are possible but rare.

False Positives are an issue as it may detect dead viral RNA 6+ weeks after your symptoms resolve.

N/NP:

2-4 days

Yes.

** Patients insured pay no lab processing bills, and the federal government pays for the uninsured as well.  SEE BELOW.

The fee charged by Southwellness covers collection, we do not bill insurance.

PCR Saliva Test Same technology as above, but collected without swab, just spit Same as above 72hrs Same as above

COVID-19 IGM/IGG antibody test.

Healgen Scientific LLC

FDA EUA Approved

Using a drop of blood taken from your finger we can use this test to look for early and long-term antibodies (source of immunity) to COVID-19

This test has a high false negative rate until you are 7 plus days from infection.

At 10 plus days it becomes sensitive. False positives are possible, but this is one of the only EUA approved tests because it has high accuracy.

If you were exposed 7-10 days ago and do not want to wait, do it.

If you think you may have had COVID-19 weeks ago, it’s a great test to use to confirm this.

10 minutes No. The collection fee for this test includes the cost of the kit itself.
INSURANCE AND THE CARES ACT: For the gold standard nasal PCR swab test, this act by congress directs insurance companies to pay for your test at no cost to you (even if you have not met your deductible) UNLESS your state’s regulations require symptoms to pay for testing (California, for example).  It also allows labs also to bill a program called HRSA for the cost of running this test if you are UNINSURED as long as you provide your driver’s license or social security number -IE you should also have no lab fees to pay.  What we charge at Southwellness, where we do not take insurance, is a collection fee and in some cases the fee includes the lab kits cost.  For examples: we buy our rapid antigen test from Arcpoint, who does not participate with any insurance or HRSA, so this test includes the lab processing fee, the collection, all of it; we purchase the rapid antibody tests and the collection fee includes that cost plus the collection service.  If you have insurance and do not give us that information for the nasal PCR, the lab will try to bill HRSA presuming you are uninsured.  HRSA will investigate every claim, and they can determine if you have insurance coverage and then will deny the claim.  This may lead to you getting billed by the lab, but you will be able to call them to then give your insurance information.  If anything goes wrong with this, or you get a bill in error for the nasal PCR test, Southwellness will be there to help advocate for you -please call us.

Getting Your Results:

As soon as positives are identified you will be notified.  We will not only notify you first, but public health.  If you believe you have not been contacted and need your results, please call the number above to our office.  We will make three attempts to call you, and leave voicemails if you’ve allowed that in your consent.  We can email you your results securely at your request.  With your consent, if applicable, we can also transmit the results to your primary doctor or employer.

Contact tracing: 

If you are infected, you should sit down and write out a list of every person you have contacted in the previous 2 week period that could be at risk.  Specifically, all those people that could have contracted the virus by breathing close to you, touching what you’ve been touching, or any close contacts should all be tested ASAP and consider strengthening their quarantine measures until that testing is back.  If you are seen at IHS we will be reporting your positives to them for contact tracing.

Therapies we recommend based on currently available research and our clinical experience supporting people infected with

COVID-19. Much to our great relief, an evidence-based, low-risk approach using supplements has been working great

General Adult Immune Support:

  • Glutathione 500mg per day with food.
  • Vitamin C 1,000mg three times per day with food.
  • Vitamin A 5,000 IU per day with food.  Should get blood levels in 6 months.
  • Vitamin D 5,000IU per day with food, should also check this level if you continue after 6 months
  • Zinc 20 mg per day
  • Selenium 100mcg per day
  • NAC 600mg per day
  • Click Here to an easy solution Dr. Southwell’ Immune Boost Formula.

Newly diagnosed asymptomatic or mildly symptomatic, or exposed and awaiting results from testing:

  • Glutathione 1000mg per day with food.
  • Vitamin C 1,000mg three times per day with food.
  • Vitamin A 10,000 IU per day with food.  Should get blood levels in 6 months.
  • Vitamin D 10,000IU per day with food.
  • Zinc 40 mg per day
  • Selenium 200mcg per day
  • NAC 600mg twice per day

Click Here to an easy solution, Dr. Southwell’ Immune Boost Formula.  In this scenario we recommend doubling the capsules per day from the standard and dividing them through the day with meals.  For more serious symptoms even more vitamin C should be added as below.

Moderate or more severe symptoms:

  • VITAMIN C: if you have previously not tolerated vitamin C, do not do this protocol.  If you take the vitamin C and it makes you feel more ill (very rare) then STOP and see a doctor to guide you. The following is meant to be an adjunct to the above vitamins, but focuses on additional vitamin C.
  • 3,000mg three times per day with meals if possible.
  • Fever, or more severe aches and pains, chest tightness (see a doctor please) but you can also try:
  • 6,000 mg in one dose, followed by 1 g every 60 mins for the following 3 hours. Then return 3,000mg three times per day.  Repeat this cycle until symptoms subside or if they resurge.
  • L-Citrulline: not included in the formula because of cost, is better to get it on amazon, 1,500mg twice per day.
  • Other things we’ve been using with success:
    • IV THERAPY: we have seen amazing improvement in symptoms using the above vitamin C regimen complimented by IV therapy with simple high doses of vitamin C, glutathione, B vitamins, Engystol (homeopathic antiviral), Zinc, L-Arginine.  We tailor this to your needs and can also provide IV medications in severe cases like dexamethasone, etc.
    • Inhalation Therapy: Nebulized N-Acetylcysteine 20% mixed with normal saline 3-4 times per day depending on the severity.
  • Mushroom Extracts: these have innumerable research studies showing benefit in prevention and treatment of viruses of all different kinds.  I recommend for everyone except those allergic to the ingredients throughout the course of the pandemic.
    • At Southwellness we made a blend when there was a shortage of the following which we still have at a very affordable price.
    • Host Defense MyCommunity (click here to get on amazon) is the best one on the market and is also now available.
  • MMR Vaccine.  Research is showing a definite correlation between MMR vaccination and decreased death rates.
    • If you are over 40 years old, and you have not had MMR in >10 years, consider getting this.
    • If you are currently sick with COVID, or have immune suppression, are pregnant, or have had an adverse reaction in the past you are not a candidate (or should speak to our medical staff or your doctor first).

GO TO THE ER IF:

  • You are normally healthy, know that mild shortness of breath when walking is common along with all the other symptoms as above listed.  HOWEVER, if you feel like you cannot get enough air while you are resting, or the shortness of breath feels like it is getting worse fast SEEK IMMEDIATE HELP.
  • You develop confusion, numbness or weakness in limbs, memory problems.
  • If you are 60 years or older, and/or have diabetes, high blood pressure, lung problems (asthma, COPD are examples), stroke or heart attack history, autoimmune disease or immune deficiency, call your doctor at the onset of fevers/cough/shortness of breath for guidance.
  • If you have lung disease (asthma) and any shortness of breath you should go in or be seen by your PCP at least.
  • Frequently doctors’ offices and urgent care will not see you, so feel free to call us if needed, or go to the ER and demand to be examined.

480-991-9271

manager@southwellness.com

10599 N Tatum Blvd, Suite F151 Paradise Valley, AZ 85253

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