Dear Patient,

COVID-19 Patient information

The medical community is still learning about this virus and recommendations are likely to change. The following information is based on what we know today.

2-11 days after exposure (day 5 on average) flu like symptoms start. Common are fever, headache, dry cough, myalgias(back pain), nausea without vomiting, abdominal discomfort with some diarrhea, loss of smell, anorexia, fatigue.

Recommended treatment: Tylenol for fever, headache and body aches. Do not take Motrin or other NSAIDS. Do not take steroids. Take Mucinex (guafenicine) for congestion and runny nose. Take robitussin (dextromorphan) for Cough. Combination cold and flu products like NyQuil /DayQuil are good. Please be aware of how much acetaminophen you take in a day (no more than 3000mg). Use inhalers as needed.

Day 5 of symptoms- increased shortness of breath, and bilateral viral pneumonia (lungs have fluid in them)

Recommendations: Seek medical treatment for chest x-ray to evaluate for pneumonia and to check your oxygen saturation.

Day 10- Symptoms include fever, fatigue, loss of appetite, muscle and joint pain, nausea, vomiting, diarrhea, rashes, fast breathing, rapid heartbeat, low blood pressure, seizures, headache, confusion, delirium, hallucinations, tremor, shortness of breath, rapid breathing, and bluish skin discoloration.

Recommendations: Go to ER for severe symptoms. If you have difficulty walking across the room due to dizziness or shortness of breath please call 911. You do not need to be tested. Please assume that if you have the symptoms, you are positive. Although there are 7 proposed medications that might help, as if now there is no approved treatment. The best you can do is manage the symptoms and stay home to prevent spreading this virus. 80% of the population will not need hospitalization and can recover from home.

I pray you are part of that 80%

Candice L. Addison, M.D..
EcCare Health Centers