COVID 19 Q&A Live 03.22.2020

All right, welcome. Just getting a few things ready before we start. So tonight, the focus tonight is going to be question and answer session. Answering questions people have been posing to me, both in my office as well as on social media. And then a lot of questions people have been putting to me other locations. The goal of this is just to educate, empowerment, encourage people, take action, let y' all know, get some good information hopefully, and then answer your questions. It's gotten crazier and crazier, especially with a lot of the uncertainty as far as what our local, state and federal governments are going to be doing in reference to isolation quarantine. So just put even more questions out there. So hopefully this will answer those questions for everybody. So just make sure everybody can hear me. So if you can hear me, just say, sure, I can hear you because I can't hear myself. So make sure that everything is working appropriately. Okay. So, so all right, we're going to go ahead and move forward with things. All right. So just a reminder in general that we cannot answer specific medical questions. As a medical facility physician that can only answer specific questions to people I see face to face in the office visit. So these are just general recommendations, answering general questions. Nothing is to be taken as actual medical advice or recommendation. You should always follow up with whoever your primary care practitioner is. That's a given. So one of the first questions with regards to some of the self testing kits, there's actually as of Monday going to be a couple of self testing kits that will be available. One is actually evelywell Everly well, Everly well, a lot of you already know about that. People ask me, you know, how good are these tests? Are they reliable, dependable, should you do those? I have a couple concerns about the test. The first test is that first issue is the test you have to do a nasal swab. There are a couple test options out there. One's a blood test, one's a throat swab. It appears that what's going to be available to most people is going to be a nasal swab. If you ever have had a flu swab before, they are very uncomfortable. It'll make you cry, it'll make you sneeze. I can't quite imagine someone self swabbing themselves at the same time. I can't imagine someone swabbing another person and being comfortable putting someone through pain and discomfort who's never done that before because you are going to hurt the person because it's just a very uncomfortable test. The second concern is just in regards to testing in general if we have a lot of people who just have allergies and do the test ends up being negative, then we're going to shoot up our numbers of tests. But the reality is, if we take the North Korean perspective on things, which was to test, track, quarantine and isolate, then you have to test extensively to find people that you can then quarantine or spread disease and don't know about it. So my biggest concern is more, is it going to be accurate if someone's negative? Is it truly going to be negative? Did you do the test the right way? Did you actually swap yourself appropriately? Which, again, that's unlikely. But the test does appear, it does appear to be a RNA polymerase test. It does appear to be a reasonable test. Unfortunately, I was unable on the website for the lab to find out specifics as far as the test. Like most labs, I can usually pull stuff up, talk with someone. Things are happening so fast, there's not a lot of due diligence being able to be made to happen with this. So. So technical difficulties.

There's a big, big, big delay.

Big delay, yes. So how long does the virus stay on surfaces? This is something that I've talked about in a couple of my other videos, so I'm just going to briefly go through this on cardboard. The virus can stay around for 24 hours. So that means if you get a shipment through Amazon, whatever, if you're really concerned, you can just let sit for 24 hours and you should be fine. Metal and plastic can stay up to three days. The half life is about 6.8 hours, which means every 6.8 hours, about half of the virus that was there when the metal or plastic object was touched will still be there. But it ultimately takes about three days, 72 hours to get most of the virus off of metal and plastic objects. So that's the reason why I recommend wiping things down. That's the reason why you're seeing people wipe and wipe and wipe and wipe. Steel again, 72 hours copper, about 4 hours. One interesting thing is that it can be viable in the aerosollastic form for up to three hours. So what does that mean? The aerosollast form is basically when someone coughs or sneezes, they make small, small particles and those can stay suspended in the air for up to three hours. Hence, if someone sneezes in the air in a room, if you have a close group, this is one of the reasons for social distancing. If you have 50 people, 10 people, 15 people, however many, any one location, and they're all breathing the same air and someone coughs and sneezes, the viral particles can stay suspended in the air for about three hours. Now this might come into play where things like HEPA filters can be very nice. In my office, those who've seen me the last two or three months have seen I have a little white HEPA filter. It also ionizes the air and has a UV light that disinfects the air, cleans the air. Well, the HEPA filter, which you can get at any Costco, any Amazon, if it's available, we move particles down to 0.3 microns and below, and these particles are 0.6 microns. So using a HEPA filter should filter out the majority of the suspended particles in there. Another question people have been asking about is the blood typing. There's an article talking about blood type. If you're type A, supposedly you are more susceptible to the coronavirus. A couple of issues with that, the concept of blood type, whether it's eating right for your blood type, blood type in relationship to autoimmunity. This is not a new concept. People with different blood types have different antigen presentation. They have different proteins on their red blood cells. My quick response to the blood type question is first and foremost, we don't have enough data. The one study is not as clear, as good as I'd like it to be. It's not as. It's just not the quality that I would like. The bigger picture is there's more important things you can do. Ultimately, your blood type, your genes, these are things you cannot change. But there are so many factors you can change, like social isolation, like sleep, stress, a lot of stress going on. Just learning how to de Stress will affect your immune system. Nutrients, food. There's so many things you can do to boost your immune system. I think to focus on something that may have import, but ultimately you can do nothing about. And the import appears if there is something real, it appears to be a minor input. I can talk about blood typing and how it's been transferred to different people groups through wars and et cetera, over the last several thousand years. But the big thing about blood type is you don't have any one ethnic group that has one blood type. There's been so much interracial mixing over the last 10,000 years of human history, it's really hard to find just a blood type in one ethnic group. So those are some of my concerns about that GI symptoms. Another great question that was asking me about GI symptoms. There was an interesting study that came out showing that people with the COVID 19 over 50, I think it was 53% of people would actually have GI symptoms. Just as a quick reminder, when we had H1N1, GS symptoms were actually a significant part of H1N1. For those of you who can have GS symptoms, it just appears to be unique with the COVID 19, that 53%, we'll just say we're 50% of people can have GI symptoms. The one study I was looking at, it wasn't. Again, these are all. Everything is so preliminary. Usually in research you want to study, someone says, hey, look, I found a correlation. Then what you do is another researcher, an independent group, says, let me see if I can reproduce your findings. They do another study to reproduce the findings. And then you have two studies. You're like, wow, look, this actually might be legitimate. That is not happening at all with this virus. So that's where you're working with a clinician, working with someone who has a lot of clinical experience, research experience, and I've seen a lot of patients can help interpret this stuff a little better. My question is if someone has gi, and we've known since probably February that this virus could be spread fecal, oral. So it makes sense that, hey, you might have some GI tract symptoms. The better question is, for me is if someone is for risk stratification, if someone has GI symptoms, are they less likely or more likely to have respiratory complications? Because ultimately, if this disease kills you, it's going to be because of respiratory complications and ARDs, which is that acute respiratory distress syndrome, which causes this immune dysregulation or a secondary bacterial infection like pneumonia. So that's where knowing do the GI tract symptoms increase your risk for that? Again, we don't have enough data for me to conclusively say either way. So testing. Okay, so the one thing about testing as well is over and over again, I'm going to talk about testing, tracking, quarantine and isolation. That's what they've done in South Korea. That's worked very well. I was reading an interesting article this past weekend looking at how the first 30 cases of H1. I'm sorry, of COVID 19 in South Korea. They isolated them and minimized them. There's one individual, patient 31, who actually went to a big mega church, spread it around. They were actually responsible for the multiple seeds that ultimately led to the Korean. The Korean epidemic. When I was reading that article, it just reiterated to me how important isolation is not going. You know, unfortunately, we had a lot of spring breakers this past Week doing their own thing, probably spreading lots of us around. And they're going to go back to parents and grandparents. That's how this stuff spreads. And so the social isolation. That article just reminded me how important social isolation is. Washing your hands for me, I'm still practicing. I'll be in the office tomorrow. I'll be wearing my face mask. I'll have my HEPA filters running, my rooms. I'll be wearing my scrubs that I take off before I get home. I just want to minimize the risk for spread while we wait for more testing. And if we can get more testing and we can find who's positive, isolate them and prevent the spread. And that's actually what they ended up doing in South Korea was actually through extensive testing, which we have not done here yet. Maybe the home testing, which was the first question, will allow us to do extensive testing again. Not quite sure how medical foods and nutraceuticals. How do medical foods and nutraceuticals work? Okay, so how do medical foods and nutraceuticals work? Food is medicine. I mean, literally, how they work is that gives your body what it needs to work appropriately. If you're talking about green tea or the active ingredient in green tea, which is the egcg, it increases zinc into your cells. And that increased level of zinc helps your cells fight off infection better. If you've been paying attention to the hydroxychloroquine and the chloroquine question, those molecules are iron force that work like egcg, that work like quercetin. They help zinc into the cells. So if you're zinc sufficient, they're not going to do a whole lot for you. If you're zinc insufficient and you take zinc with these ironophores, you have an improved response, which if I was to use hydroxychloroquine with a patient, I would give them zinc as well. And that's how those two medical foods, quercetin, which we find in apples and onions, and then the EGCG, green tea. But I think the question there is food is medicine.

Do you have an issue like low blood pressure already is, is it going to make your blood pressure too low?

Green tea is not going to make your blood pressure too low. A lot of these medicinal foods, they're modulating things, which means they don't mess things up too much. You can improve cardiac function with egcg. It's used in some certain cardiometabolic protocols I use with my heart patients from Vanderbilt, from Dr. Houston's work at Vanderbilt and, and I don't see their blood pressures go down. You also have to realize tea has caffeine. So actually maybe if you drink too much, your blood pressure might go up. The nice thing about food is no one ever. Well, if you eat healthy foods, they don't kill you. People don't die from eating healthy foods, but the medicinal foods they basically food is so multimodal. Turmeric or turmeric. There's over 83 different chemical pathways that it does. Whether it's NRF2 modulation, immune modulation, you know, healing, leaky gut does so many things. You know, if you look at.

You.

Know, nettles are another thing. Nettles have quercetin, nettles are mast cell stabilizers. So I use nettle tea during algae season. I think the gist is that food is medicine. And if you've been eating processed food, we know that half of all chronic disease in our country can be directly related to eating processed foods. Half of everything I see in my clinic directly related to eating processed foods. We know that 80% of heart disease and 70% of cancer can be prevented by diet lifestyle alone. I think this is giving us time just to repose on. Food is medicine. And if 80% of what Americans eat is processed, that's not, we're not eating medicine eating things that cause disease. Nutraceuticals. Sorry, I guess my mic fell down. I'm getting a little back feet. Sorry about that. Nutraceuticals, for those who don't know what nutraceuticals are, is Nutraceuticals are basically food extracts. So EGCG is an extract from green tea. So we do, you know, curcumin is an extract from turmeric. So what we do is we take the turmeric root, we extract out what we believe, which it's more than this, but we believe are the active ingredients which is the curcumin and curcuminoids. We standardize that to 500 milligrams, 95% standardized. And that's our nutraceutical. So nutraceuticals are basically just super purified foods. But a lot of our drugs are the same thing. You know, our statins actually originate from a yeast and red rice yeast. A lot of our penicillin originate from yeast as well from aspergerous penicillium. So a lot of our medications we use for drugs actually are just extracts from plants that have been uber concentrated. So those are just things, some interesting concepts to think about. And when I say Food is mess. I'm literally doing what the pharmaceutical drug companies do. They'll find something in nature shoot like it's an anti brain fart shoot. This is what happens when we do these late immune modulator for cyclosporine. There it's going. Cyclosporine. Cyclosporine was used for liver transplant and other transplant patients to suppress people's immune system so they don't reject organs. That was from a yeast discovered in Brazil back in the late 70s and early 80s. So literally a lot of our drugs are or just food, plant, animal, bacterial, fungal extracts, planned dosing, immune support. Okay, so if you get sick. I've already put out a lot of things on social media. If you look back to both Facebook and Instagram, I put some things out there on dosing if your kids are adults, as well as dosing for people over 60 or 65. I also put preventive dosing as well as acute dosing. So those are already there. Just please refer to those, they're on Facebook. I listed what I believe are the main nutraceuticals to boost your immune system which are vitamin C, nac, ranacyl, cysteine, vitamin D. Zinc is an important one. It's becoming more important especially with some of the anti malarial drug research. And then the fifth one is just some kind of herbal combination. I did make a recommendation for Virusid, but usually Eleutherococcus, astragalus, andrographis and Sambucus which is elderberry. Usually you want something that has a combination of those or key antiviral immunodulating herbals but those are all available on social media. If you go there, that stuff can be looked at very and then accessed via our practice website. Stress. Okay, so stress of everything shutting down. Where do we get food? Okay, that's a great question. We personally actually have been ordering a lot of our food through Fall Line farms here in the central Virginia area. On my web, if you're in central Virginia, Falling Farms is a great resource. Your local farm. There's a place called Newcastle Farm in Goochland where you can go to Facebook and order stuff online and literally go pick it up on my. I did a podcast on podcast number three. I actually have a rep website resource which you can download from podcast number three where it actually shows you locally. If you're outside the Richmond or central Virginia area where you can actually find your local consumption, consumer advocate or CSA community supported agriculture for those in the central Virginia area, we'll make a thing make A note. I did talk with one of the people who actually organizes Falling Farms this weekend, and they actually are so backed up, they're kind of holding on new orders for now. Their goal is to actually ramp up and to be able to provide more farmers food. We have plenty of food. It's just the issues. They're overwhelmed with the. With the amount of people asking for stuff for them. My wife is going to. She actually. I was the one who talked with them. She's gonna.

Hopefully Facebook can also hear. I'll try to talk loudly, basically. They are wonderful and have been providing food for over a decade in the Richmond area. Um, but with the influx of extra members, they are just trying to figure out some infrastructure issues. Some of their job sites were restaurants or other places that have had to close down. And so they can't serve as a drop site. So they've got to figure that out. And one thing that I thought was really cool is they are trying to pull in, you know, food service workers, basically, restaurant and people who work in restaurants and things that have had to shut down in the middle of this, who are already trained on, you know, proper procedures for food safety and would. They're basically already trained on all of that and also are displaced from jobs right now. So they're really trying to work hard to get that put into place. They're hoping to have everything fully up and running soon and be able to widen their membership base at this time. But just be patient if I think they maybe have already had to close down for this week and they're really wanting to protect access for people who've supported them for a decade as well. So there's plenty of food. The farmers are out planting and harvesting right now. So it's not an issue of that at all. It's just figuring out, you know, how to get the food to people basically and have enough hands that can do that safely. And one other quick note is when you're ordering from a service like that or local farm, you're looking at probably you're the third set of hands that will actually touch the food. So you've got the producer, like the farmer who's harvesting your food and then whomever is packaging it, if it's not also actually the farmer. And. And then the bag might get handled by one person who's, you know, placing it at the drop site and you get it. So, like you're the. You're the third or maybe fourth person, which is vastly different than something traveling. I don't know what was the Average.

Average food that gets to in your grocery store travels about 1500 miles before it gets to you, before it gets right in front of you in the grocery store.

So, and that's not to disparage, you know, grocery stores obviously not depended on them for a while, but. And local grocery stores aren't really in that category. They're obviously a much, much shorter distribution chain. But we. It's just interesting thing to be thinking about right now because I think people have been getting their food this way for a while or have been a lot. Felt a lot more secure going into a very uncertain set of circumstances. So hopefully that all makes it gotcha.

And we'll be updating as things go on. And again, we don't quite know how long this is going to be going on. You know, anywhere from 14 to 28 days. Right now we're waiting here, I think in Virginia again, maybe April 3rd, 4th, so who knows? So someone else also asked as well, how can you use diet and lifestyle, support mental health and reduce stress? So that's a great question. I actually was doing a podcast series on the foundation of functional medicine that actually got stopped short because of this whole COVID 19 thing, which we'll kind of delve into that. But just to cut to the chase, your brain's 80% fat. So there's literally a prescription DHA product you can buy called Viaren that's used to treat adhd. The military is using EPA capsules to prevent brain trauma when roadside bombs go off along military people. I mean, getting the right kind of fats, the right kind of food, will help brain function. I'm avoiding sugar. Sugar fluctuation, sugar spikes. If you ever given your kids sugar, you see what happens to them. They get a little crazy. Give them red dye. Red dyes and yellow dyes are neuroinflammatory. I mean, I Knew back in 1998 that red dye could actually give you ADHD and make kids have focusing issues. So just getting real food can have massive, massive effects on, on mental health and stress. And then right now is a great time. We're kind of forced to regroup and revamp. Prayer, meditation, things that help you center yourself. And maybe pulling away from all the social media, pulling away from all the news, it can be quite overwhelming right now because we just don't know. And not knowing is actually the biggest thing. And ultimately we can take care of ourselves, take care of family, our friends, but at the state and federal level, we just need to see what happens because we can't really change that currently. And then kids, how to boost their immune system. I mean, kids, one of the best ways, I mean, I don't want to say the same thing over and over and over again, but the diet, you know, for example, if you're a female diagnosed with breast cancer and you do a ketogenic diet, you decrease the risk for recurrence of the breast cancer 25%. So a ketogenic diet, for those who don't know, is basically a low carb, that is low sugar, low carb, low processed food, no processed food diet. You know, it's super, super strong. We personally in our family are using lots of bone broth. Bone broth is great with the trace minerals, the collagen, These are all things that help your white blood cell function as micronutrients. I, I've learned a lot from animal husbandry. We have a little farm, we have cows. And when I was researching cow health, one of the things I learned and then our neighbor has horses, one of the things I learned was micronutrients. Any farmer knows this. They, they supplement their animals with certain micronutrients to prevent. But yet we remove micronutrients from our foods when we process them. And so bone broth is a great way to get back. Kelp is another great way to get back some of these micronutrients that we would typically get if we were eating real food grown on land, caught out the sea. So those are the questions I'll posed on social media. We have a few more minutes left on this live session. So if there are any questions, I wanted to, to answer those as best we can. And just a note, I'm going to continue to try and answer questions. You know, this is a quicker way than Facebook and social media. We have been collecting those questions. Keep them coming, share the stuff with your friends. They can ask their questions. We want to be a resource, but ultimately it's just my wife, myself and I still have my full time job I'm trying to do with my business. So you know, just be patient with us. We appreciate everybody's understanding and this time and hopefully we're doing is helpful.

Okay, so there have been, there have been some articles going around about melatonin potentially being helpful in reducing the severity of the disease. Just I don't think you looked at any of the articles, but I think everything that I'm seeing there are some like just studies, but it seems a little bit hypothetical and even like the papers that have gone out are more like, could this actually help?

Yeah, so I guess just your melatonin. Okay, so melatonin is super awesome. There are actually studies looking at 20 milligrams a day of melatonin to help treat breast cancer. You have to realize melatonin not only is an anti inflammatory, it's an immunomodulator. Yes. It helps helps your sleep wake cycle. But it's interesting how melatonin actually helps suppress cortisol. So cortisol, when you're stressed, it's high in the daytime. It actually slows white blood cell movement. It slows white blood cells going to infection site. Melatonin actually counterbalances that it's used. I use it with actually some of my kids with autism. I'll use melatonin to help with immune brain inflammation in addition to some other nutritionals. So I mean I would. The thing about melatonin as well is your body naturally gets melatonin when you're sleeping. So if you're getting eight hours of sleep a night, guess what, you're going to have better melatonin levels. So I think get your melatonin naturally by sleeping. I'm not going to recommend people take extra melatonin. The other caveat about melatonin is the physiologic dose of melatonin is less than a milligram. And so if you take a standard dose of melatonin, you're taking 2 or 3 or 4 milligrams of melatonin. Up to 10, you're taking a supraphysiologic dose. So theoretically you could suppress melatonin production over time. So I would just, you know, short term it's fine. Ultimately you got to sleep. Sleep's the most important thing. Melatonin could be helpful, but I think sleep and getting your body to spike its melatonin while you're sleeping is going to be better for your immune system. Fine, this than just taking melatonin, but it is great for your immune system though.

Okay. Liposomal vitamin C is out most places, I'm assuming back ordered. I know the one that you recommended is out on Mercola's site as well as on I guess both fullscript and well event. So what would you recommend either instead or just order and should get here soon.

There's been vitamin C. Is vitamin C. I mean I guess you could do what the native Americans did and find an elk on it down and take the adrenal glands out and get your vitamin C that way, which is kind of how they did it back in the day. That's a little extreme I know, but besides that, you have to wait order. I would. I personally had to order some things about a week and a half ago until I just got them back. Got them in this past week. Most things through Elevate and Fullscript are about two weeks out. Unfortunately, there's been a run on not just. So I'll just say be patient. If you do look at Walvate Fullscripts, they do have a lot of the brands I usually recommend. They're all gone. But there are a lot of other brands I would just say do due diligence. If you find something there, just research it to see if it's a decent brand. Just gotta be careful because a lot of these, a lot of vitamin C, it actually comes from corn. And so if you get a buffered seed and you're not getting a good one, for example, and it comes from corn and you have corn issues, you might actually feel kind of crud. It's an anecdote. My wife can't do a lot of those manufacturers for a buffered seed, but she can do Perk. And their source for their vitamin C actually is a South South American root. So there must be some kind of corn thing or something that. With the process that she has or the. Yeah. So I wish I had a better response besides that, but just order it and wait. We're going to be here for a while. We're going to be doing this for a while. According to the British data, they're probably anywhere from nine to 13 weeks out from their peak, which means we're probably about the same time from our peak. So we're going to be doing this for, for some, for some time. So.

Okay. There's a lot, there's a lot of questions that we've covered in past videos, which I know I, I really understand how hard it is to go back and try to find them because that's why I haven't gone back and rewatched everything and then itemized the lists. But I think we're going to try to get to a couple questions that haven't been answered before. Just since we know we've already put a couple of things have been covered like three, three or four times already. Sorry about that. Just really quickly, since I'm talking, I simmer my. If I do the bone broth on the stove, I simmer it. It can be simmered for six to believe it or not. Usually I would do something on the shorter end of that and you have to have a stove that goes down really, really low and Also, like, if you're dealing with gas or something, then you have to obviously factor in that you're, you have like an open flame and you're potentially sleeping when that's happening. So I'm not recommending anything unsafe. But if you can get your, your thing down low enough, the other thing that you can do is if you have a slow cooker or even an instant pot, you can, you can simmer on there and it's a lot safer because you're just plugging something in that is just going to sit there and it's a little less risky and probably cheaper because you're not burning up a bunch of gas.

A lot of these questions I'm looking at here that have been asked, we've. Yeah, you know, we've. This is probably on the 12th or 14th video we've done going back to beginning of February when we start tracking this. So if you want more information, a lot of times hearing things give you information you never thought about and you can ask other questions. So just feel free to look back. Those, those are resources for everybody to look at.

So you mentioned there's another round of COVID 19 that would be coming in the fall. Can you just explain?

So typically what happens with a infection like this is it goes in the community like we're seeing. It's spread throughout. So what happens is you have init round and then something like COVID 19 or H1N1 or H2N3 or H2N whatever the flu virus strain is, or the coronavirus, because ultimately COVID 19 is a, is a coronavirus. It becomes a part of the whole worldwide spread the stuff. So usually there's a cycle where the flu season starts in the fall and it's over like mayesh time. But it's a very regional spread. As you all notice with China, they started getting this in December, we started getting it, you know, who knows when, but we'll just the sake of argument say beginning of March. So it spreads and tends to go cyclically around. So it will come back again in the fall. The more people that get it now and get better, the slower the progression will be in the fall. If you all watch, if you all follow the flu, which I follow flu almost like people in Florida who follow hurricanes. I follow the flu every year you'll see it kind of come to the United States, a few states. And what happens if you have 25% of the population for influenza, for example, will get it any given year. So that means is Every, every year 25% of the population is inoculated with the most common strain. So what happens is over years, over three to four to five years, we all have a pretty decent amount of exposure to that. So we don't have any major outbreaks and something novel like the COVID 19 or SARS COV 2 pop up. What happens is, know what we're trying to do with social distancing is slow the progression to minimize basically our hospitals and ICUs being overwhelmed. And so what happened is this will kind of burn out. You know, there's a lot of contrary. I personally, this is my personal opinion. I think this is going to act like a lot of coronavirus. Like this is a coronavirus. I think it's going to act like coronaviruses we've had before. I think it's going to kind of die out in the summertime, it gets warmer. I could be wrong, but that's my professional opinion. And what's going to happen is things cool off, kids go back to school. It'll eventually get reintroduced. It's going to travel down south. It's already going to Central and South America. It'll be in the southern hemisphere. It'll come back around. So it comes back around. The goal is we'll have a vaccine ready by then. There's a lot of research going out on a vaccine for this. Yeah. So. And hopefully there'll be a vaccine available come fall or late winter for it. But that's like the normal thing. These viruses, they basically travel around the world and come back around. And if once you get exposed, you have immunity and they mutate a little bit, but ultimately this will become just the normal seasonal thing in three to four years and it'll just be, hey, everybody's already been exposed in the world. And we'll just kind of move on. Just like H1N1. We've all been exposed to H1N1 by now. Instagram, Paul. So we lost Instagram. All right, we'll probably answer a few more questions. It's getting a little late here to try to make sure we get enough rest. We're going to try to be to bed in time tonight, so. But also keep. Keep interacting with film. Yeah.

So normal on this part, but we have issues with Instagram every.

Yeah, things keep on going. Facebook is still working.

So I'm trying to. There's a lot of repeat questions and I'm trying to figure out if it's.

If we're not. If we're not answering your question right now, it's probably because it's already been answered. This is. Again, we've done a lot of these things, so we can't answer all the questions. All the same questions over and over again. So please refer back to some of the previous videos that we've done. Quinine. So quinine. There are a lot of antimalarial drugs, so I would just stick with the ones that actually have the research, which are hydroxychloroquine and chloroquine. It's interesting looking at some of the doses from China versus South Korea, from 500 a day to 500 twice a day. Some of the studies have actually microgram doses, so it seems to be a pretty wide range dosing. But the quinine, this is not the. Stick with where the literature is. There's lots of antimalarial drugs. I wouldn't use all anti malarial drugs. Not the same. They're all different. I would stick with the research. Okay. Yeah. So we'll probably do one or two more questions and wind down.

Okay. A lot of them are. I don't know what the issue is. We have like a connection issue, I guess. Okay, so you're on live also.

Okay, gotcha.

I'm trying to. Sorry, guys, I'm. Oh, if you have ascorbic acid powder, how would you use it?

If somebody has that ascorbic acid powder can be used. It's acidic and so it can give you some GI upset. That's one of the reasons why you get it buffered. You could use that and do 500 milligrams. A thousand. Two to four thousand. Just gonna have more GI symptoms. So ascorbic acid works well. You can use it. It can give you reflux. If you have interstitial cystitis, it can make that worse. So one of the reasons we just don't use as much ascorbic acid is just. It can cause some more side effects. But you can use it the same way as you use buffered vitamin C. You're just more likely to have some GI upset.

Okay. Someone asked about infrared sauna again, which I kind of typed out an answer.

But the infrared sound this come up. Yeah. So infrared sign thing basically heating your body's. This is one thing about fever. Someone's the fever question we asked answered. If you raise your body's core temperature, it boosts your immune system, increases your innate immune system, boost your natural killer cells. That's one of the reasons why your body responds to infections with a fever. So a far inferred sun actually will boost your. Your, your core body temperature. You know, if you've ever seen those little. There's a cryo freeze places. We have one or two enrichment where you stick in this thing and super, super cold. And that stressed your body actually does boost your innate immune system as well. Would not recommend that though, right now. But the point is that it can be useful. I would not do that if you have a fever because you can give yourself hyperthermia and cause a lot of problems. So you use the far infrared sauna if you're healthy, to boost your immune system. If you're sick, you don't use it.

Okay, so Instagram missed your answer about COVID 19 coming back in the fall. Could you just.

Sorry, the bait. You can look at Facebook for the long answer to that, but the short one is that viruses rotate. They come back around once it dies out. Whoever hasn't gotten. It'll come back around and over about two to three years. About three years. Basically, 89% of the world is going to be exposed to this. So. But it's going to come back just like H1N1 did. Just like. Actually, Spanish influenza basically came back in the fall, and that's when. That's just the natural way viruses cycle. The longer answer would be on Facebook if. Sorry, y' all got cut out.

So, Yeah, I don't know why we always have issues with Instagram. Sorry, Facebook's also hearing this now. Yeah, it's. It's really a pain, but we have such good engagement. We. We just keep trying to use it, but. I'm sorry.

Yeah, so we'll answer one more question and then we're going to call it a night.

I don't know. There are any more questions.

Oh, there may not be any more questions. Okay, well, there. I guess we'll call it a night.

Oh, what should people do? This one's come up like three or four times. What should people do if they have to work outside of home when they get back home?

So I'll tell you what I personally do. I have a set of clothes that I wear to work. They're my scrubs, whatever your clothes are. I have long sleeves that cover my arms. I have a mask that I'm wearing when I interact with patients and so that I don't get exposed to the water droplets. And then when I get home, my wife basically opens. Or actually my son sometimes, if he's paying attention, will open up a side door that I come through. So I'm not around the family. I go into the. Actually opens to our bedroom, take my clothes off. Take a shower and I introduce myself to the family. So again, if this stuff lives for 24 hours on cardboard, that's going to live for 24 hours on your clothing. So if someone coughed on you in the office and you got on your sleeve, your shirt, you know, you don't want to hug your kid when you get back or your spouse or, you know, give grandma a hug and a kiss and then they get it. So thanks a lot for yalls, a.

Lot of thank yous.

Okay. Yeah, yeah, yeah. And share with your friends. Our goal, our goal with this is to give people usable information to answer people's questions. I've been amazed by how much misinformation. I usually personally am not engaged with social media. I'm usually personally not engaged with a lot of the, the standard news media. Usually when I see an article comes out in the media, it's something I've already read. It's usually half a year to year before. So this is the, the first. I'm actually the media from a scientific perspective and it's just been really amazing how much misinformation, how much it's really kind of scary. If you don't know any better, you can be really scared by this stuff. So my goal ultimately is to share useful information to get people the right information. Share with your friends if you enjoyed this, if you think it's helpful, try to get the word out and just useful, useful resource if you think this is a useful resource, if this is helpful, if the other things have been helpful, share with your friends. I think getting people educated is going to be the best thing we can do to help calm some hysteria is give us information that have an action plan to take care of yourself and your family. Because this is going to be going on for a while. We're at the beginning of the beginning. So have a great night, take care and thanks for your trust in following us and we'll, we'll see you later. That's fine.

You have to end this one.

End the vin. Okay, I'll hit it.

No.