303-390-1245
     2355 Canyon Blvd.   |   Suite 102   |   Boulder, CO 80302

Author: Terri Fox and Amy Reidhead

The Latest COVID-19 Updates from Boulder Holistic

On Friday November 20th 2020, Boulder and Denver counties entered the “new red” COVID restriction levels. So what does that mean for us at Boulder Holistic?
 
Due to the current risk of COVID-19 infection, we are trying to do our part in slowing the spread of the coronavirus by limiting the number of face-to-face appointments per state order. We are booking appointments with our doctors via telemedicine through zoom or over the phone over the next few weeks in order to best comply with the new restrictions.
 
We are allowing in-person visits for those patients who want or need to be seen in-person for medical reasons. Please discuss your concerns with the front desk when booking your appointment.  
 
Our goal is to continue to provide the best care possible to all our patients during these uncertain times. More than ever, it is important to stay connected with your doctor in order to maintain optimum immune health, sleep, nutrition and stay as healthy as possible. We are all in this together!
 
Wishing you all a happy and healthy holiday, 
Dr. Fox and Dr. Reidhead
What to do if you have been exposed to someone who tested positive for the coronavirus?
We recommend the following for patients who have been in close contact/exposed to a person who has tested positive for COVID-19. According to the CDC, close contact is defined as being within 6 feet of the infected person for longer than 15 minutes.
 
1. The CDC, Colorado.gov and Boulder County websites recommend that all people who have had exposure to a known positive COVID-19 infected person quarantine for a full 14 days. We are finding that it may take up to 14 days for enough of the virus to grow in the body to know whether you will become symptomatic.
 
2. You should quarantine, even if you do not have symptoms. During your 14-day quarantine, you are to monitor for the development of signs and symptoms of coronavirus infection.
  • These symptoms include fever, shortness of breath, chills, loss of smell/taste, fatigue, headache and gastrointestinal symptoms like diarrhea or nausea. 
  • If mild to moderate symptoms develop, please contact your doctor and we can help you to get tested for COVID-19 and assist you with supporting your body during initial infection phase.
  • If severe symptoms develop, like difficulty breathing, blue lips or skin, or changes in mental status, please call ahead to the emergency room and let them know you or your loved one has been exposed to the virus and is experiencing severe symptoms and needs to be seen immediately.
3. People may wish to be tested for COVID-19 during their quarantine, even if they do not develop symptoms. In this case, it is recommended that you wait a full 5-7 days after being exposed to the coronavirus before you get tested so that we get accurate results. Testing too early may lead to a false negative result.
 
There is a list of testing facilities on Boulder County’s website. https://www.bouldercounty.org/families/disease/covid-19/testing/
 
For a list of Denver county testing sites, please visit:
Follow Our Doctors on Facebook and Instagram

Boulder Holistic will be offering antibody testing

Boulder Holistic will be offering antibody testing beginning this week
 
At Boulder Holistic, we believe accurate and widespread testing for the coronavirus SARS-CoV-2 is essential to stopping the spread of this virus. Testing is vital from both a public and personal health perspective. It helps to identify individuals who have already been infected and whose bodies have mounted an immune response, as well as to recognize and protect those who are still at risk for developing the disease.
 
After talking to multiple labs and doing extensive research, we have ordered specialty laboratory test kits for measuring SARS-CoV-2 antibodies that we feel good about. These are IgG/IgM tests that are 97% sensitive and 98% specific (which is great accuracy for any test). In other words, the false negative rate is 3% and the false positive rate is 2%. These numbers are based on a study of 200 COVID-19 patients in China who tested positive on nasopharyngeal PCR tests. It’s a small study, but it was the best one found thus far.

This is a blood draw test. We will reserve them for our patients on a first come, first serve basis. We also ask that only well patients, not currently experiencing symptoms, use this kind of testing. 

Because this virus is so new to all of us, there are no clear cut answers. In order to understand antibody testing, we need to dive into the science a bit, so try to stay with us on this one, it’s important!  
What is IgG and IgM antibody testing?
 
IgG is a type of immune cell called an antibody that your body produces once it has seen a new pathogen. When you develop IgG antibodies, it means your body has been exposed to or infected with this coronavirus/SARS-CoV-2 in the past. When your body produces IgM antibodies, it means that your body is fighting the virus currently (even if you are asymptomatic.) If you are IgM is positive, you are likely contagious. Once your antibodies are IgG positive and your IgM is negative, it means that you have been exposed and have recovered and are not currently fighting the virus. Therefore, it would be very unlikely for you to be contagious. 
 
That brings us to another big assumption here: that being IgG positive implies you have immunity. This assumption could have a great impact on public health decisions and how to move forward.  
 
Unfortunately, this virus is too new for us to know for sure if being IgG positive and IgM negative means you have immunity to coronavirus/SARS-CoV-2. There is one small study that looks promising for exposure and recovery conferring immunity (meaning if you’ve had the virus, you are unlikely to get it again.) This study was done on primates who were infected with coronavirus and became symptomatic for COVID-19. Scientists found that after they recovered, and were re-infected with the virus, none of the monkeys got sick the second time. This is encouraging but not conclusive, as we have not had time to do similar human studies yet. 

What else do you need to know about viral and antibody testing?

  • Typically, the time of exposure to the virus and the onset of symptoms is approximately 2-21 days, however >90% of people who develop symptoms to coronavirus will do so within 14 days of exposure
  • Viral testing: This type of testing requires swabbing the nasal or oral cavity or obtaining oral secretion to test for the presence virus by PCR. This method is best used during an active infection to identify a sick individual. We have been referring patients to have these done in urgent care and hospital settings as well as through drive up testing centers. This type of testing has been very difficult to get so far. National Jewish may be a good resource now for this type of drive-up testing. All testing requires a requisition from your healthcare provider. Click here for complete information.
  • Antibody testing: Using serum or blood testing, this type of testing may be used to identify whether a person has been exposed to the virus currently or in the past by testing for immune cells called antibodies
  • Antibody production can occur within that 2-14 day incubation window of an infection
  • Oral or Nasal swab testing is recommended during an active infection, when a patient is symptomatic
  • Antibody testing is recommended 3+ weeks after symptoms begin to ensure accuracy of this type of test results
  • Many people exposed to coronavirus are asymptomatic, and therefore can get an antibody test at any time

Available testing at LabCorp and Quest

Traditional testing companies like LabCorp and Quest are now offering antibody testing as well. LabCorp will only do SARS-CoV-2 IgG testing in their facilities; they will not draw for the IgM portion of the test. You can ask that your provider order an IgG/IgM test and your blood can be sent to LabCorp for results, but the blood itself must be drawn at a different facility (like at a doctors’ office, urgent care or hospital). It is our understanding that Quest is currently only offering SARS-CoV-2 IgG testing. LabCorp and Quest have not yet released pricing for this testing, nor do we know whether or not it will be covered by insurance. LabCorp and Quest have also not published the accuracy of their results. Both companies will bill patients and/or insurance directly.

What we think matters most

The deep concern and worry we have with IgG only antibody testing is that you may be getting an incomplete picture. Meaning, you could be an asymptomatic carrier and not know it. If you know your IgM is negative in the presence of an IgG positive result, it’s reassuring that you’ve already had coronavirus and don’t have it now, and importantly, you are very unlikely to be contagious. But if you only know your IgG result, you could still be actively contagious for up to three weeks. It feels to us that getting only an IgG is a potential public health risk. People could assume they are safe because they have already had it, however, we would not know if they are still contagious and actively shedding the virus without the IgM result.
Our recommendation
 
Whatever lab you use, please ask to get both the IgG and IgM tested. Understanding whether you’ve had the disease or currently have it is critical and we believe this could save lives and help to prevent the spread.
 
Finally, also understand none of the tests currently available are FDA approved. In this pandemic, we simply have not had the time to wait for rigorous FDA testing. These private-label testing companies are providing early testing approved under the Emergency Use Authorization (EUA).
 

If you made it this far, good work!

Please let us know how we can help. We will be providing testing 1 day/ week this week and then hopefully 2-3 days per week after that. We are happy to give our patents lab requisitions for LabCorp and Quest, or feel free to pick up the test kits to get it drawn elsewhere if that works best for you.
 
Email the office and let us know if you want to get tested and we can guide you from there.
 
Stay home, and take your Vit C, D, Zinc, Quercitin and melatonin at the very least.
 
May this information give us accurate information and help guide us to a healthier future for all.
 
We are here to help,
 
Drs. Terri Fox, Amy Reidhead, Melissa, Sara and Ame
Follow Our Doctors on Facebook and Instagram

COVID-19: What to do if you get sick!

Ok, so you’ve stayed home, limited your contact, washed your hands like crazy, disinfected everything and still, you or someone you love gets sick. What can you do?
 
FIRST THINGS FIRST — STAY CALM. Remain at home, do your best to hydrate and take good care of yourself while avoiding others. Call our office for an assessment. Our goal is to keep you out of the hospital, so paying close attention to the illness and its progression is essential. Make a list of your symptoms and note any new symptoms should they arise.
 
What to do now
 
Use these tips as a potential means for reducing the severity of the infection should you become sick. You can view and print a pdf of these recommendations by clicking here.
 
Immediately do your best to isolate from your family or other members of your household. It is best to have an isolation strategy beforehand to limit the number of sick people in your home. According to the NIH, the average COVID-19 patient infects 2.2 other people. Many of those are close family members. It’s essential that you have a plan to mitigate transmission within your household. 
 
Change your dosages of antivirals from a prevention strategy to active treatment. This means picking at least one of the anti-viral herbal combinations and tripling your dose. These antivirals include: Allimed, Cat’s Claw Elite, Olivirex, Viragraphis, Sinatrol, Samento, our custom herbal tincture based on the Buhner Protocol, and Beyond Balance IMN V and IMN V III.
 
Start taking natural anti-inflammatories — as many as you can stomach. This includes Quercetin, Curcumax Pro, Meriva, Cyflacalm II, Nrf2 activators, Melatonin and ResveraCel. Part of this disease ramps up the pro-inflammatory processes in the body called cytokines. Supplementing with natural anti-inflammatories may help by reducing these substances in the body. 
 
Continue to take your basic immune support.
 
a. Vitamin C: 1000-3000mg throughout the day in divided doses.
 
b. Vitamin D3: 50,000 IU for 3 days then return to regular dose of
5,000 IU daily
 
c. Zinc: 30-60 mg daily with food
 
d. Probiotics: High dose 100 + billion CFU daily
 
e. Immunoglobulins: SBI Protect, Mega IgG
 
Add in additional lung support. This bug seems to have a special affinity for the lungs, so lung support is essential. 
 
a. N-acetyl cysteine or NAC 1000mg 2X’s/day. Thins mucus secretions 
 
b. Bromelain 2-6 caps on empty stomach to try to help dry out the lungs
 
c. Diamine Oxidase is good for runny nose, and excess histamine response
 
d. Honey or “Ivy Calm” for cough suppressant.
 
e. Melatonin has also been found to be useful in reducing inflammation in the lungs. Doses vary depending on your previous experience with melatonin. Start with 3 mg at night and slowly increase as tolerated. Max sick dose is 20 mg twice daily. 

Try to be equipped with the proper home supplies

If at all possible, consider having some basic equipment to weather this illness at home.

  1. Thermometer. Use the thermometer to monitor and keep track of your temperature. 88% of COVID-19 patients run a fever.
  2. Home nebulizer. Nebulizers can be used to help if you become short of breath. It is possible to nebulize saline, or hypertonic Quinton water to help. Omron is a good brand, but there are others. You can try to find one on Amazon or we have had luck with justnebulizers.com. If you cannot find one, placing a towel over you head while breathing in a pot of steaming water can also be an effective tool. **Other nebulized solutions may be necessary during treatment: Nebulized Glutathione, NAC and/or albuterol can be very effective–all require a prescription from one of our doctors.  
  3. Finger clip pulse oximeter. An oximeter monitors your blood oxygen levels. Oxygen monitoring is critical in knowing when it is time to get to the hospital if that becomes necessary. 
  4. Spirometer. Some of you may have this piece of equipment from a previous hospitalization or surgery. An incentive spirometer helps to improve lung function. You can typically find them at a drug store on online.
Other ways to support the lungs naturally
 
There are some amazing practices that can help to support your lungs should you become sick. These methods can also be used to strengthen the lungs and prevent illness.
  1. Click here for some home osteopathic exercises to acute lung infection by Dr. Eva Shay
  2. Lymphatic self massage
  3. Try dry skin brushing
  4. Break a sweat. Viruses die at elevated temperature. Sweating can happen with a home sauna or you can even just take a hot steam shower or bath with essential oils.
  5. Qigong exercises for lungs
Buhner’s Ginger Tea Recipe & Recommendations for Dosing
  • Two thumb sized pieces of raw ginger
  • Roughly chop or grate into 1 quart of filtered water
  • Place in a pot on the stove and bring to a boil
  • Simmer for 1 hour. 
  • Drink one cup twice daily for prevention
  • Drink one cup per hour for treatment
  • Can add Manuka honey or a small amount of local honey for sweetness. 
Potential Pharmaceutical Treatments
Some early studies are showing potential promise for hydrochloroquine and azithromycin. Consult with your provider to determine whether this is a good option for you.
 
References on Hydroxychloroquine and Azithromycin Treatment:
  1. https://www.ncbi.nlm.nih.gov/pubmed/32150618
  2. http://www.zjujournals.com/med/EN/10.3785/j.issn.1008-9292.2020.03.03
  3. https://www.mediterranee-infection.com/wp-content/uploads/2020/03/Hydroxychloroquine_final_DOI_IJAA.pdf
 
Follow Our Doctors on Facebook and Instagram
Boulder Holistic Logo
303-390-1245

2355 canyon blvd.   |   suite 102   |   boulder, co 80302

Map Marker get directions

find us here: