Tuesday, July 7, 2020

COVID AS WE KNOW IT AND PREPARED FOR IT




From Brandon and me

Hello everyone.  Although Brandon and I have tested negative for coronavirus through the nasal swab test we have been diagnosed as “presumed COVID”.  I have never had anything like this.  It is no fun and it is scary as it takes it twists and turns.  We are now on day 22.  This past weekend was scary.  I thought we both were getting better but Brandon’s oxygen rates went to 88 and his fever came back.  I listened to his lungs and I could hear a ton of sounds which is good and bad.  He didn’t look good.  I also was having a hard time breathing with my oxygen rates holding at 90.  This virus was fighting us.  Luckily, I am on speed dial with Brandon’s integral medicine doctor.  She called in Prednisone to break up Brandon’s lung congestion and we added Mucinex for both of us and we made it through the weekend.  I was so tired and out of it.  I took my car to get gas because we were going to see Brandon’s doctor on Monday but I couldn’t figure out what side of the car to insert the gas and apparently, I left there with the gas door open.  Next time I will ask for help.  But today Brandon is fever free and his lungs sound much better.  I am awake and functioning still sleeping 12 hours a day but I feel much better.  My lungs feel a little heavy.  I think that will take a long time to improve as I am hearing from others who have had this illness.  Please I know this is controversial but you don’t want this – wear a mask, wash your hands, and keep a good distance from others. 

My biggest fear in all of this is that either Brandon or I would end up in the hospital.  The mortality rate for persons with intellectual disabilities is
16 times higher than for a person without intellectual disabilities.  There are some genetic factors as a cause, but there are also some factors that apply at the hospital.  I have always been with Brandon for every hospital stay he has ever had for many reasons but mainly because he does not and cannot advocate for himself and his needs like you and I can.  He may not be able to breath well, but he wont tell you, he may be in pain and I mean significant pain, but he wont tell you, he may have 104 fever but he wont tell you.  He will do whatever you ask him to do as treatment and will not question why.  And I hate to even say this out loud, but there are people who do not value his life over others.  I have lived it, I have heard it, and I am well aware of it, he is not.  I am there as his best advocate.  As we are hearing about choices hospitals are making on who gets treatment and who does not, that makes me fearful.  Hospitals are not allowing families to be with their loved ones with IDD.  There has been a lawsuit concerning this and it was won by the family.  But it was not in Texas.  Believe me, if Brandon needed to go to the hospital, I would have brought a copy of the judge’s order.  If I had to go to the hospital and leave Brandon at home, I worried that no one knows the entire medicine routine, the treatments I was doing with Brandon, the smoothies and mixes I have been doing, the hugs ad kisses, tucking him in under all his blankets and the fact that he is still contagious.  That is a heavy load for anyone to take on and I would be worried If I wasn’t here. It is even hard for me. I made this chart to help Brandon tell me how he is doing.  It has helped.  

Today is a long post.  If it helps one person through COVID it would make us happy.  This post is not about our COVID story, but about our COVID survival.  I knew Brandon and I were high risk when I first started hearing about coronavirus.  I started reading about this illness, who it targets and outcomes.  It attacks those older (which I am close to the top risk), but I focused on those with underlying health risks.  This CDC list was updated June 24, 2020.  I added it below. 

HIGH RISK
People of any age with the following conditions are at increased risk of severe illness from COVID-19:
Children (I am adding adults who meet this as well based on 2 other studies) who are medically complex, who have neurologic, genetic, metabolic conditions, or who have congenital heart disease are at higher risk for severe illness from COVID-19 than other children.

POSSIBLE HIGH RISK
people with the following conditions might be at an increased risk for severe illness from COVID-19:

I already knew lung conditions were at very high risk and diabetes was a very high risk.  I decided it was time for me to pay attention to my own health as well as Brandon.  Brandon had so much to deal with the last few years I let my own health decline.  My diabetes levels were out of control, my weight too high.  This was the perfect time to really work on losing weight, working on the diet and keeping my blood sugar levels daily at 110 or below.  I met with my endocrinologist and we changed up my medications.  I began exercising, walking, working outside and diet.  I lost 15 pounds and my blood sugar levels are now rarely over 110.  For Brandon, I wanted his lungs to be the best they could be.  We met with his pulmonologist and began using an aerobika for Brandon to use daily and nebulizer treatments twice a day.  The virus also seems to focus on those with low vitamin D levels and Brandon has struggled with this.  But we had already been using supplements and diet to boost vitamin D.  My other concern was if our immune systems able to fight off a bad virus.  I would say no they were not.  We met with Brandon’s integral medicine doctor and she designed a COVID program for her patients.  We modified this slightly because Brandon was already on some supplements included in the list.  I decided I needed to start using the immune boosting supplements as well.  I am including what Brandon and I did to prepare for possibly getting this virus.  I am not a medical doctor so please take this as what worked for us. Brandon and I chose to go with supplements before prescription drugs in most instances. Always talk to your doctor before adding any supplements or medications.  Brandon and I began using these supplements recommended below:

SUPPLEMENTS FOR PREVENTION:
  • ZINC 30 - 50mg (Zinc piconolate or Zinc sulfate) Dose: Take 30 mg (1 tab).  Zinc complement over-activation (inflammation) which may cause lung injury in COVID-19. Zinc helps the body stop growth of invading viruses.   
  • QUERCETIN: typical dosing 250-500mg Daily and compliments Zinc. Take with FAT for absorption.
    • ISOQUERCETIN is the Active form of Quercetin and much stronger so typical dose is around 35 mg – 75 mg daily.  Has a variety of antiviral properties as well as anti-inflammatory and works well with Zinc.  
  • EGCG OR BETTER KNOWN AS GREEN TEA: from green tea. Usual dose of 750 mg.  
  • SAMBUCUS (Elderberry extract). Great antiviral studies in influenza and many other types of viruses. Decreases infectivity of viruses by many means. Stop taking this once you begin varicid – see below.
  • MELATONIN: May explain why kids are less susceptible. Melatonin levels go down with age. Taking low dose melatonin if over age 30 may be beneficial for boosting the immune system. IF sick, HIGHER dose 10-20mg of Extended Release daily may be beneficial.
  • SULFORAPHANE with Maitake mushrooms for beta glucans (Avmacol extra strength) for immune boosting. Brandon uses Avmacol I am using Maitake Mushrooms.
  • BETA GLUCANS can come from yeast or mushrooms.  Some people get “spacy” with mushroom derivatives so can use separate yeast-based beta glucans with plain sulforaphane (Avmacol) to create the equivalent of above or just use the beta glucans.  Safe immune booster.
  • VITAMIN D is also very important for fighting infections. At the onset of an illness, take 50,000 IU of vitamin D3/day a week (for 2 months max) if haven’t been on vitamin D you can take 5000 a day. If you know your vitamin D level is good stay on usual dose.  Brandon was already taking a high dose.  I added regular vitamin D to my diet. A low vitamin D level is high risk for COVID.

We started the above immune boosting treatment in early March.  I cant say for sure that this saved us from severe illness but I am sure it helped. 

A little over three weeks ago Brandon had a melt down at his house, insisting he needed to come to my house (he lives next door with roommates).  On the drive over he said he may need to head to the hospital.  I had no idea what was wrong, but I bought him back to the house and he headed to bed.  He didn’t get out of bed.  I decided to take his temp and he was running around 100.6 fever. I asked him what were his symptoms and he said chest congestion, sore scratchy throat and a headache.  Sometimes Brandon can run a fever when he is stressed and he is stressed right now.  The next day I checked him and he said he still had the same. So far he has had fever for 20 days.  We are hoping it is now gone. That day I started to have a scratchy throat, headache (that doesn’t go away) and it felt like someone was grabbing my chest up high and holding it.  Very tight.  I wasn’t coughing.  The next day Brandon and I started having diarrhea (it was pretty darn bad) for several day.  Brandon continued with this, mine got better.  One symptom I am not sure about, but may be as a result of COVID is the skin rash.  I don’t know where we got this, but we were at MD Anderson at the end of May.  A little over a week later Brandon developed an awful rash on his back.  It covered his entire back.  It was something I had not seen before on him although he has rashes, but not this bad.  It is listed as a symptom. I also had a rash later in the illness and then I had COVID toes.  Here is a link to a description of COVID rashes (COVID Rash)  

In the 22 days we have been dealing with this, here are our symptoms.  They have not all been at once. 

COVID 19 SYMPTOMS
Symptoms
Brandon
Leah
Fever or chills
X
Mild
Cough
some
X
Shortness of breath or difficulty breathing
X
X
Fatigue
X
X
Muscle or body aches
?
X
Headache
X
X
New loss of taste or smell
?
X
Sore throat
X
X
Congestion or runny nose
X
X
Nausea or vomiting
?
X
Diarrhea
X
X
These less known - COVID Skin issues
Rash
All over back
On hands
COVID Toes

X


ONCE I REALIZED WE MAY HAVE COVID – WE STARTED THESE TREATMENT OPTIONS:
  • Viracid: I cant tell you how much this saved us.  2 viracid three times a day. Viracid includes a powerful combination of key nutrients and botanical extracts that provide immediate support for immune challenges. We are still taking it. Look for the upper strength for this.

 
      • Astralagus: In viracid. Will not need if taking viracid. If not taking viracid, take at onset of Illness. 250mg two times per day while sick. Decreases fibrosis (Scarring).
      • Andrographis: Will not need if taking viracid. If not taking viracid, 2-4 tablet 3 times daily for the first 5 days. Dampens the Chemokine response. They are what cause the excessive tissue damage with coronavirus.  
  • L-glutamine. 1 scoop two to three times a day. L-Glutamine is one of the most important nutrients for a healthy digestive tract because of its ability to maintain the integrity of the intestinal wall. This amino acid heals all tissue in the body. 
  • Omega SPMs: (Metagenics) Definitely for use at onset of illness. Can use higher dose of 3-4 tablets two times per day for more severe lung symptoms to stop lung inflammation (contains fish oil and stinky.) 
  • Vitamin C: 
  • NAC N-Acetyl Cysteine: 600mg -1200 one or two times per day for cough/congestion. Two times per day for significant infection. Breaks up congestion. Brandon has been taking this for 2 years.
Other key things for COVID treatment 

Pulse Oximeters - We are monitoring with a pulse oximeter several times a day.  You should go ahead and have one handy even if you don’t get this.  They are cheap.  This is for Brandon but a guide - Less than 95 call doctor. Less than 88- 90 for the oxygen level might need to head to the hospital.

Humidifier - We ordered humidifiers for both of us and those helped as well. 

Water - Drink a ton of water to keep the virus from being too dry on the lungs and loosen mucus.

Keep the lungs elevated - Everyone is telling us to not lay down too much.  Try to walk around or sit up to keep the lungs from filling up.  And I have been doing chest physical therapy (CPT) on Brandon to loosen mucus.

The Lungs - Because Brandon is so medically fragile he also started on Symbicort to keep his airway open and after a week of running fever he started on Z-Pac for possible underlying pneumonia. On this last weekend we added Prednisone. All of this is to keep the lungs open and clear as possible. We both started taking Mucinex to keep mucus loose. He is down to 2 times a day for albuterol.

Experimental - I haven’t talked about this but by the first weekend we had the virus I was getting worried for both of us.  Our oxygen levels were between 90-95.  His fever was staying constant all day and I could tell his lungs were worse.  I was afraid we might be headed to the hospital by the end of the weekend.  I talked to Brandon’s doctor and she gave us an option of an experimental drug/supplement to take.  It has been used in Korea with great success.  I decided to buy it and have it on hand if I thought we were worse.  We were worse.  Brandon took 3 doses first as he worse.  He woke up the next day and proclaimed he felt fabulous.  Wow was that possible.  He was up most of the day and his fever was gone for a portion of the day.  The next couple of days he was almost fever free, but the 3rd day he started running a fever just at night. I started taking the experimental treatment the day after Brandon as I was worse.  The following day after I started it was the first time in a week I could take a deep breath.  I felt so much better.  Still had lung congestion and within a few days I developed a cough which I considered good.  The drug is called Cell Armour which is basically humic acid.  I am telling you this because Cell Armour may soon come on the market. But also telling you this because I think this drug may have saved our lives.  Brandon went up to 5 tablets a day in hopes to get the fever under control.  I am now off the drug and recovering from the lung congestion.  I sound good but I can feel the damage this virus has done to my lungs, I get tired and I am still coughing some.  Our goal was to stay out of the hospital and we so far have done that.  I think this is one of those illnesses that you don’t recover from quickly.  The above series of medicines has made a major difference for both of us so far.   

Lessons Learned:

  • I knew Brandon has a history on nose swab tests with inaccurate results.  I also knew that even the best of swab tests testing for COVID 19 have a 25% false negative rate.  Recommended take the COVID 19 test on two different days early in the infection. 
  • Brandon’s doctor has been great, but I really don’t have a PCP.  I have an endocrinologist, but this isn’t a doctor who normally does COVID.  Having a solid relationship with a primary care doc is important.  Because of this my test came back way too late, and the only advise I received was take aspirin, and if I am gasping for air as I make my way to the toilet, then go to the ER.  This is knowing I have diabetes. 
  • Of course, the obvious I didn’t talk about so far is it is always better to wear a mask, social distance and lots of hand washing.  As the weeks went on for this I saw less and less of this and started staying in even more.  Although we caught the virus, I still believe this is best approach. 
  • My best friend right now is the Favor App through HEB.  In fact, I would say HEB is the hero in my book for taking on the COVID 19 but trying to keep their own employees and those who shop there safe. 
  • The latest news is that there will not be a vaccine until early next year.  It is only July.  We have at least 6 more months of possibly dealing with this virus unless we are able to significantly lower the rate of infection which so far is not working.  Based on several conversations with doctors, they stated that most of us are all likely to catch this virus because it is so contagious.  I hate being the bummer here.  Perhaps we all should be talking about how to get the best outcomes before we get sick as part of the conversation.  We have 6 months to be as immune strong as possible. I really don’t hear people talking about this. 
  • We are now hearing about other treatment options out there.  Go with the ones you and your doctor feel most comfortable with.  I think the sooner each person, especially those at risk gets some type of treatment once you have symptoms the better the outcome.  There will be others I am sure of it.  A few articles people sent. 
LA Times Article - https://www.latimes.com/world-nation/story/2020-05-15/this-small-texas-hospital-is-finding-ways-to-save-covid-19-patients


Tuesday, May 19, 2020

We will all be back together again

Since Brandon has been isolated beginning in March he has asked almost everyday when can he work again, when can he go to KOOP radio again, when can he see all his friends again, when can he go out to eat again, when will his band play again.  I have to answer either I don't know or as soon as it is safe.  He doesn't love those answers and near the beginning was really having a hard time not doing those things he loves in his good life.  I was getting really worried about him because he was sleeping very long hours, stopped eating solid foods and he lost 6 pounds.  Luckily some great friends have contacted him and have done Facetime gigs for him.  Special thanks to Bill Paige and James Pennebaker and Walter Talley who posts a daily Beatles song.  We are on day 66.  I came into his room this week and the daily post was up on his computer.  He also has many friends sending him Beatle posts.  We managed to keep two of Brandon's support - Mary Buchanan his job coach and Phil Montford the fearless Eddie Ray Band leader and who runs Tenacious Tuesdays.  I have been filling in each night.  On occasion we have Steve Klopp come and join Phil a few mornings at the house.  Nathan (Brandon's roommate) has been at the house each day and plays the drums when he is around with Phil and Brandon.  The bright spot for Brandon and for me, is listening to some great music that we probably would never hear if it wasn't for our new reality.  We really appreciate this and try to support our musician friends. 

The new normal for us looks familiar.  I think I have spent 27 years not in isolation like we are now, but very conscious about those that are sick around Brandon, the latest bug on the street and keeping Brandon free of major illnesses. I wont take him out when he looks like he is getting ill, has a seizure, has a bad cough or running a fever.  I would rather stay home and hope it passes without a trip to the ER.  We have a routine of my magic potion that everyone has to take the minute there is a possible illness.  So our new normal for now seems pretty familiar to us.  It is why I now have a 2 acre garden.  Lots of time at home during long periods of illness, surgery, recovery.  It has gotten better over the years but there are times it is the same and it is always on my mind.  I have friends (and you know who you are) that have taken amazing care of their young adults with disabilities who have way outlived predictions by physicians over the years.  It is because those moms do the same thing I do to make sure they jump on any possible illness.  I am amazed at what they do daily. 

For Brandon life right now is not perfect but it is better than when we began.  Honestly, unless the cases of COVID 19 go to 0 or there is a vaccine it is unlikely things will change too much for Brandon.  In the last few weeks Brandon began announcing to everyone that "we will be back together again".  That is a much better way to think about this.  Because we will, it may not be exactly the same, but we will. 

Next week we head back to MD Anderson for Brandon's 1 year cancer check.  This one is the big check because they will have a scan of his entire trunk (chest, stomach, lungs, heart, etc) with contrast which will require sedation.  I was very nervous about Brandon going to any physicians or hospitals right now, but I feel like we need to get this checked given his weight loss and new eating pattern.  I am pretty certain those are related to a little depression, but better safe than sorry.  MD Anderson is very strict on coronavirus and will test both of us as we enter the facility.  There are no guests allowed in the facility, but they will allow me to accompany him.  They have machines all the floor that kill germs and have been there for years.  So of all the hospitals this one is pretty safe.  However, we will be geared up and I will have a ton of hand sanitizers in my purse. 

A few other changes in the plans for this year.  I cancelled two trips for Tony and me - one to Mexico and one to San Francisco.  I canceled a trip to Florida with Brandon for the Beatles on the Beach Festival.  Lastly, we just received notice that the International Beatles Festival/Week is cancelled in August in Liverpool.  Going to the trip was Brandon, me, Mary, Kurt Ruzika and Rush Evans (KOOP Radio Off the Beatle Path).  We somehow managed to add a short excursion to Paris during this time as well.  But unfortunately we had to cancel for this year.  Brandon had been very nervous about cancelling this trip.  We all had a ZOOM call this week and decided we will plan for 2021 hoping that there is a vaccine or the illness is over by then.  So 2021 International Beatles Week here we come. Now to change the reservations. 

Brandon also has changes in his living arrangements.  Nathan and his brother have found an apartment and will be moving out.  The apartments are here in Dripping Springs and will have a few other friends there as well.  So I feel great about it for Nathan and his brother and for their friends.  Moving in will be another Brandon (really we will have two Brandon's) with his mom and brother.  Brandon is very happy we found the perfect match.  We are busy purging stuff we don't really need, cleaning and making room for them.  Brandon has decided to move rooms.  Lots of work to get ready.  Lots of changes, all while trying to stay safe. 

During this time of working at home I have taken the opportunity to catch up on a ton of paperwork, cleaning and purging at my house and trying to make life a little easier around here.  I managed to finally get the taxes off for me, Brandon and my Aunt.  I am about to finish reporting all of Brandon's earnings (yes I am really late).  I am trying to take a little Leah time outside with gardening those 2 acres and walking which seems to help with my stress.  When Brandon is stressed I get get stressed.  While trying to do some clean up at his house last week I walked a little too fast across the living room, tripped on a large chair, fell and landed on the arm of another chair.  I landed on my teeth and gums.  It was a mess.  Luckily I was able to get in with my dentist and I didn't break a tooth and the gum was already healing.  I am still a little sore but probably more embarrassed that it even happened at all.  The dentist said he only sees these kind of things with his female patients.  Hmmmmm. 

A little controversial section here.  I have been watching so many of you express your concerns for your rights to not wear a mask, to go out and socialize in larger than recommended groups, the list goes on.  I also see many of you arguing the opposite.  I also feel badly for those of you without jobs, without income, without health insurance all from COVID 19 and understand the need to get back to some sense of normal.   As we begin to re-open I am more fearful now than I was early in March because it is likely more people will not protect themselves or others hoping to get back to the old normal.  I am conflicted because I want to go out to hear music, I want to go to concerts, I want to eat in a restaurant, I want to hang out with my friends, I want to travel.  Brandon wants to work at UT and Longhorn, he wants to do the radio show each week, he wants to play in the band and go to gigs and he wants to see his friends.  But neither of us wants Brandon to end up on a breathing machine fighting for his life.  This is almost certain where he will land if he catches COVID 19 given his lungs.  So until there is a safe way for him and I to stay safe, the only thing I ask of you is to remember Brandon's desire to one day "we will be back together again".  It will only happen if we are all smart about those few things that keep us all healthy. This is not forever, this is just for now in this moment in time and this is for us all to be start being smart about staying well.  The goal is to hold off this illness as long as we can as that curve starts to head down or until one of those great vaccines works.  Be smart, stay safe, wash your hand obsessively, stay home if you are sick and and know there are people possibly standing right next to you who are vulnerable.  If we all do our part - and you have to decide what that is based on the best information we have, we will all be back together again.  No judgement, just stay aware.  In the meantime we will be doing what we have been doing for 27 years years.  Trying to keep Brandon as safe as possible and hoping to avoid this illness.  We are all in this together - we can let this divide us or we can join together and beat this thing.  Brandon and I are up for the fight. 

Be safe.  We care about you all. 
Later
Leah
Brandon's Beatles Mask

Monday, March 9, 2020

Calm before the Corona Storm

I have been working on posting this blog for days.  I have to admit I an conflicted in many ways.  Right now Tony and I should be on a beach in Mexico hanging out with my brother.  He is in Mexico right now and soon will fly back to Italy.

This is the year I decided that life is too short and quality time is a priority. So I booked some short trips to have a little quality time with family.  But quality time at least for the next few months may be at Casa Rummel by the pool.

When Brandon was born and in the ICU for over a month we followed strict sterile techniques to make sure he would not get an infection.  Brandon was so severely medically fragile.  I followed these guidelines for the first two years of his life.  Brandon still caught several pneumonias during this time, but we were able to jump on them and treat aggressively.  When Brandon was around 3 I needed more care for him during the day so I could work.  I decided to try a special day care for him.  I knew this would be great for socialization and it would be much more affordable during the day.  He was in day care for 2 weeks.  He was then in the hospital for 3 weeks.  He caught a severe bug from some of the kids in the daycare.  In the middle of the hospital stay, his doctor came to me and told me there was nothing else they could do for Brandon to treat his illness.  I of course said no way and called every specialist seeing Brandon at the time.  They all gathered at the hospital, called each other and adjusted his medication.  It was a close call but at the end of three weeks he fought off pneumonia and turned it around.  I changed doctors and took Brandon to Houston to a new specialist to treat his lungs.  Life changed for us.  We had a protocol, we knew Brandon was high risk if he caught anything and we knew how to be aggressive on treatment.  Brandon had other pneumonias in the last 27 years, but as he grew older they were fewer and further apart.  I knew Brandon needed to catch some of these illness to build up his immune system.  So when the H1N1 started to appear in Texas I wasn't too concerned.  I was watching to see if we again needed to be aggressive in treatment if he caught it.  He caught it and within 24 hours he had 104 temp and we landed in the  hospital.  As I have said before on this blog, Brandon was in ICU letting a breathing machine breath for him for 3 weeks.  It was real and it was scary.  And darn it - I wasn't going to let a flu change our lives.  Once again the physicians (all of his) checked on us regularly, worked with the ICU team at Dell and Brandon survived.  Others on the same floor as Brandon did not. It was scary.

I have always said to people who work with Brandon, people who see Brandon, parents of Brandon's friends, family and pretty much anyone having contact with Brandon to please stay home rather than expose Brandon to any horrible illness.  Since Brandon is no longer in school this has been much better.  From all those pneumonias and silent aspiration Brandon had in the past Brandon now has consolidation at the bottom of both lungs and one lung always looks like he has pneumonia.  Brandon does really well with this limited lung capacity and we try to avoid any illness.  Brandon also takes a ton of supplements and a great diet to help keep Brandon strong and healthy.

But here we are.  This new virus scares me. Why.  Because it attacks the lungs, there is no cure and no one is immune because this coronavirus has not been around previously.  True that 80% of people who catch it have mild or no symptoms.  But Brandon is in the 20% that might have more severe forms of this.  So what to do.

1. Please, please, please, do not hang around Brandon if you are experiencing any symptoms.  We need to be overly sensitive while this nasty coronavirus is a thing.  I hope for the sake of everyone it dies a quick death within a few months.
2.  As we see this virus continue to spread we will need to limit Brandon's exposure to crowds.  We will just have to take it day by day and event by event.
3.  I am working with Brandon on the thing he loves the most - don't hold people's hands.  Many of you love it but for now he just needs to not do it.
4.  Be flexible with us as we work through what is best for him.
5.  We made it past cancer so far, H1N1, and all the other illness for 27 years.  We will make it past this one.
6.  I also am watching this illness for everyone at Casa Rummel including me.  I have also limited myself to not traveling much right now and hanging out more at the house.
7.  We are washing clothes like crazy, washing hands much more, using alcohol and sanitizers to kills germs and cleaning more often.
8.  I am sure this list will grow before it gets shorter.

How is Brandon handling this corona storm.  Not that great.  He is very concerned because we cancelled our Beatles on the Beach festival trip.  He said that was okay as long as he could still see the Monkees and the Beach Boys when they come to Austin.  For now I said yes.  But I also said we need to keep monitoring.  He is the most concerned about our trip to London and Liverpool.  I told him that is 6 months away and not impacted by the coronavirus for now.  He is still concerned and calls me about it a couple of times a day.

I was also very conflicted this week when SXSW cancelled.  I played SXSW in the early days when it started and I know how much the city, the musicians, the restaurants and many businesses rely on the extra income coming from SXSW.  Brandon and I would not have gone.  But many other's would.  I am conflicted because if I was 20 and still playing I would be all in.  As Brandon's mom I don't want to see a quick spread of this virus in Austin putting those at highest risk of higher chances of catching this scary illness.  For now we are staying small and local and monitoring where this crazy corona lands.

Speaking of local, Brandon's band, The Eddie Ray band is playing this Saturday March 14th from 6:00 to 8:00 pm at Do-Rite BBQ at Graceland.  We will have a large band for this special gig with many of Brandon's friends and local musicians. Here is a link to the gig
Eddie Ray Band March 14th Do-Rite BBQ .

If you don't have anything to do and still want a little local unique music, come to support the band.

We have other great news coming this week so look for another post from me soon.  Brandon is in great spirits otherwise and is always excited about music.

That's all for now.  Everyone stay healthy out there. (Added note below from Brandon's Integral Medicine Physician)
Leah



From Brandon's Integral Medical Physician.  
Given the recent spread of Coronavirus from China to other countries including western Europe and the United States, we have been receiving many questions about the virus and what precautions can be taken to help prevent infection and/or limit severity of the disease.   The following provides information from both the World Health Organization and the Centers for Disease Control.  We have also included information regarding natural anti-viral supplements that can help to boost the immune system and theoretically limit the severity of the disease for those who become exposed and/or infected.  

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Coronarivus (COVID-19) is a respiratory illness that can cause symptoms such as fever, fatigue, dry cough, body aches, runny nose, sore throat, and/or diarrhea.   Most people who contract the virus will be asymptomatic or experience very mild symptoms and recover from the disease on their own.    Some may experience more severe symptoms such as difficulty breathing that may require hospitalization and/or result in death.  (The World Health Organization notes that deaths have occurred in approx 2% of the people infected with the virus.  You can go to https://www.who.int/news-room/q-a-detail/q-a-coronaviruses for a WHO Q&A section that provides more information regarding the virus.) 



According to the CDC, symptoms of coronavirus may appear in as few as 2 days or as long as 14 days after exposure.   Coronavirus is spread via respiratory droplets from an infected person who coughs or sneezes to another person who is in close contact.   A person can also contract the virus by touching an infected surface or object and then touching their own mouth, nose, or eyes.

To help prevent the spread of this virus, the CDC recommends the following:



--Avoid close contact with people who are sick.

--Avoid touching your eyes, nose, and mouth.

--Stay home when you are sick.

--Cover your cough or sneeze with a tissue, then throw the tissue in the trash.  You can go to https://www.cdc.gov/healthywater/hygiene/etiquette/coughing_sneezing.html for additional cough etiquette tips.

--Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.

--Follow CDC’s recommendations for using a facemask.

--CDC does not recommend that people who are well wear a facemask to protect themselves  from respiratory diseases, including COVID-19.

--Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).

--Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.  If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.  You can go to https://www.cdc.gov/handwashing/  for more information.



SOME INTEGRATIVE PREVENTIVE OPTIONS:

Although there is currently no vaccine available to prevent Coronavirus, there are several natural anti-virals and other immune boosting options that you can keep at home and take with exposure to/ first sign of any viral type illness.



1.  Sambucus 1-2 lozenges daily for exposure, increasing to 1-2 lozenges three times a day for signs of viral illness.  Sambucus also comes in liquid (2-3 tsp daily for exposure, increasing to three times a day for illness) and gummies (the gummies may contain zinc, so we do not recommend the gummies for long term use). Gummies are also lower in concentration (2 gummies contain 50 mg of Sambucus; 2 lozenges contain 200 mg; 10 ml (2 tsp) contain 100 mg)

Here is a research article showing the link between Sambucus nigra and coronavirus: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899428/



2.  Viracid -- contains Sambucus as well as Andrographis and Astragalus which further boost the immune system against both bacteria and viruses.   Recommended dosing:  2 capsules once daily for exposure;  2 capsules 3x/day for illness. Do not take Viracid longer than one week. 

Viracid, if taken close to bed, can affect sleep in some individuals.  You also have the option of taking the Viracid 2 capsule twice a day (morning and early afternoon) and Sambucus at night. 

If you are going to travel, we recommend you take either Sambucus or Viracid the day of your flight prior to getting on the plane. 


3.  Allqlear -- made from Quail eggs and is a natural protease inhibitor.  Was developed to help with dust, mold, and pollen allergies -- theoretically may be beneficial in decreasing Coronavirus's ability to enter the nose as a protease inhibitor, but has not been tested.  



4.  Beta Glucan -- helps to boost the immune system.  Recommended dosing: 1-2 capules twice a day 



5. Avmacol Extra Strength (formerly known as Avmacol Immune; sulforaphane with beta glucans from maitake mushroom extract) -- helps to boost the immune system.  Study showed decreased risk of serious illness and death from flu in animal studies.  Recommended dosing: one tablet daily 



Dosing recommendations may be different for children <100 lbs.="" nbsp="" span="">