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Dr. Patrick Nesbitt M.D. Family Physician, Vancouver B.C. ..................................Medicine and Fun .........drpat@ live . ca ................NOW BOOKING PATIENTS AT CAULFEILD 604 922 1544

What about ibuprofen?

Picture
Background:
Ibuprofen interferes with the bodies basic response to inflammation
That is how it decreases fever and muscle aches
But inflammation is the first stage of :
- healing
- fighting off infection

There are some animal studies that suggest ibuprofen might slow virus growth
But in humans it probably is a bad idea
It will decrease the fever, but fever is what helps fight the virus
It will decrease muscle aches, but possibly at the expense of making you sicker overall

Recommendation:
I would recommend not taking ibuprofen  ( unless you really don't need it ) 

What about masks?

Picture
Masks are always good - they are just like life jackets
But if you are watching TV at home, by yourself, you don't need to wear a mask.  (Or a life jacket)
​
If you go outside to somewhere that has a lot of people, a mask might be a good idea
But even better - don't go there!

Health care workers are always going to need masks
Don't hoard them if you don't need them - that makes you a jerk

Who is most at risk?

What drugs might help?

Risk factors are :
 - obesity
- hypertension
- asthma/chronic lung disease/ smoking
​- maybe vaping
- diabetes
- heart failure
- chronic kidney disease
- cancers
- immune suppressing drugs, like prednisone
​- sleep deprivation
hydroxychloroquine ( Plaquenil)
azithromycin  ( Z - pac )
Zinc
​Losarten ( or it might make it worse ) 
Remdesivir

Goofy stuff that might help

Saunas 
​Hot tubs

Should I go to the doctors office/hospital/lab?

Picture
Hell no !  That is where all the germy people go.  Stay away unless you are really really sick! 
Hide out at home unless you are really sick, or have an essential job and are feeling great
Do telemedicine if you can
Pharmacists can give you a week of drugs in emergencies

How can you tell if you have Covid 19, or allergies/colds/flu etc?

Picture
You can't - the only way to know is to get a test
And those are in short supply, so don't even bother
​unless there is a special reason you need one
And - from your point of view - it doesn't really make a difference
We can't give any specific treatment for any of those that does much
​So lie low and don't worry about it

How long can the virus hand around?

Picture
Droplets ( like the picture above ) - seconds
Aerosol ( teeny droplets - under 5 microns, which is 1/200 of a mm.  - think of cigarette smoke )  - minutes
​On surfaces -  hours / days

What can you use to clean things?

Picture
Soap - any kind
Bleach etc  - dilute 1/10
Lots of water - the solution to pollution is dilution
​Alcohol - officially needs to be 70%, but I am pretty sure vodka would work well

Why is flattening the curve so important?

Picture
Imagine you have to evacuate 100 people off a sinking ship
You have a rowboat that can hold 10 people at a time
If you can do 10 people at a time, you will all make it
If all 100 people need a boat at the same time, 90 are going to drown.
​You don't know which group you are going to be in

​Dr. Patrick  Nesbitt, Vancouver, Canada ....www.drpat.ca ........ drpat@live.ca