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Trying to provide the best environment for someone with dementia in the present crisis: the three ‘Ss’

Dementia

It’s a difficult time for all of us – and particularly so for anyone with dementia. We are all being urged to stay at home and people in care homes are no longer allowed even to see visitors. How can those of us caring for people with dementia provide an environment that gives them the best experience in these circumstances?

First, it is important that the environment is supportive. Life does not always run smoothly and those of us who still have plentiful cognitive reserves learn to cope with that fact. We can acknowledge the need to limit our social contacts and our outings in the present circumstances. We can accept that we may feel anxious, bored and annoyed and we all hope to ‘come out the other side’ when life resumes its normal path.. Someone who has little cognitive reserve, for whom even following a routine is difficult, will find any change or complication doubly difficult. People with dementia need support. They need support from those around them and it is doubly important that those they rely on for support continue to give calm and consistent care.

As much as possible carers should keep to the habitual routine. There is no need to force the person with dementia to stay indoors, for example. If the rest of us are allowed outdoor exercise then so are they. ‘Social distancing’ can easily be maintained simply by walking in quieter areas or gently directing the person you care for in the right direction.

Secondly, the environment should feel safe. Note that I am not saying here that the environment should be safe but that it should feel safe to the person with dementia. Naturally, we should aim for a clean home environment – but becoming over-protective about touching surfaces or cleaning areas is not going to help someone with dementia to feel more safe and secure. It is more likely to cause extra stress as they cannot understand the need for such precautions. And bear in mind that most people with dementia confronted with a person wearing a mask and gloves are likely to feel terrified rather than safe.

Thirdly, the preferred environment for people with dementia should be stimulating to the senses and provide an opportunity for social interaction. Now that day centres and dementia cafes have been forced to close many carers are finding it quite challenging to provide activities for people with dementia and even more challenging to provide social interaction.

The fact is that without stimulation any of us may become bored and doze off. How often has this happened to you whilst watching a boring TV programme? People with dementia are frequently bored because many of the occupations with which they passed the time previously are now closed to them. Boredom can lead to difficult behaviour and restlessness, but often it just results in sleepiness. Simple tasks can be enjoyed – think sorting books by size, pairing socks, ‘tidying’ shelves, dusting and polishing. And remember that an impaired memory can be an advantage. If you ask someone to dust a piece of furniture more than once they are unlikely to remember that they have just completed the task. Outdoor jobs like watering plants, raking up leaves, and carrying trimmings to the compost heap combine fresh air and exercise as well as passing the time and ‘tidying the shed’ can occupy a good few hours even if the result doesn’t live up to the job description! Watching visitors to a bird table can be absorbing and this can be done through a window if the weather is not so good.

Providing social interaction is more challenging. Today we are being urged to use technology and social media to keep in touch with others but this is not an acceptable alternative for people with dementia who progressively lose the ability to work even simple devices such as a remote control. Many people with a cognitive difficulty will also be unable to associate screen pictures with the ‘real thing’ and may even find them frightening.

Telephone calls are often still acceptable as this is a method of communication that is still familiar so ask your relatives and friends to use the telephone to make contact.

You can also talk to neighbours ‘over the fence’ or whilst keeping an acceptable distance on a walk. Carers from care agencies are still allowed to visit to provide personal care or companionship if this is necessary so don’t cancel your regular care and remember to give them tips about chatting to the one you care for.

Blog post written by Mary Jordan, author of The Essential Carer’s Guide to Dementia

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This is What I am Doing for My Scoliosis During the COVID-19 Lockdown

Written by Caroline Freedman, author of The Scoliosis Handbook

Depending on whether you are working or running around the house cleaning, our daily routines have changed dramatically.  My Personal Training classes, like many people’s work, have all changed to Zoom or FaceTime.  I am not moving around as much as I used to. Usually I am demonstrating and then walking around a client checking their posture and positioning, now I am sitting on my exercise ball closely watching the screen to check the exercises are being done correctly.  My clients say they are working harder than ever but what about me?  After the first week, I found I was stiffening up quite a lot, after three Zoom sessions, my legs and glutes went to sleep and cramped.  The same problem applies if I am sitting writing.  Speaking to clients, the huge change for many people working from home is that they tend to sit for hours in one position once they have got into deep concentration and have become focused.  Time also appears to just run away so it is easy to eventually glance at the time and realise most of the day has just disappeared and you still need to fit in cleaning, the washing, shopping, some voluntary work, cooking and…exercise….and don’t forget socialising on HouseParty to catch up with your friends. I also cannot visit my physiotherapist or book a home visit massage.

I have found the following changes to my day have really made a difference since the first two weeks of lockdown.

SITTING/WORKING/WATCHING TV/LAPTOP  etc

Set an alarm on your phone to remind you to get up and walk around and do some stretches.  Keep hydrated and if you have a garden, get some air.

CLEANING

I found that I was using my right arm to clean which is the same side as my curve.  Using one side repeatedly can result in an imbalance of the muscle build up, especially if you are cleaning every day.  One night I woke up with a spasm on the right side of my spine.  After a few stretches to release the back muscle (Lats) I was fine.  I have switched arms to do the cleaning. Yes, it does feel a bit weird at first but I found I became used to it quite quickly, with the exception of ironing, which I am definitely not bothering with.  Mopping for example, use your weaker side to do the work.  Anything heavy –  like lifting the vacuum up the stairs – ask someone else to help you if they are around. Try and delegate jobs. Note: if you run the home this can be a challenge and that whole discussion is probably for another blog!

EXERCISE

Schedule that walk into your day and don’t miss it out.  Some fresh air and change of scenery does wonders for your mental health and I find I always come back home feeling calm and happy.  I also make sure I train every day.  You will find exercises in The Scoliosis Handbook that can be done at home.  I have floor exercises in my book you can do without the need for gym equipment.  Many of the equipment suppliers have run out, so for bands, replace them with tights or leggings and for weights, find some tins, bottles of water, books, bags filled with packets of rice/pasta.  There is also an abundance of exercise classes available online.  With scoliosis or any person with back issues you have to be careful. I have found that @yogaberry.scoliosis is really good to follow.  She is on YouTube with some free downloads or you can book into one of her Zoom classes.  I am offering one-on-one Personal Training sessions on Zoom for 30 minutes or 1 hour.  Please do get in touch if you would like to train with me.

MISSING YOUR PHYSIOTHERAPIST/MASSAGE?

Many scoliosis or back pain patients usually try to keep up regular visits.  If you have recently had surgery you may still be visiting your physiotherapist as part of your recovery.  Below are some stretches that may help you feel better.  You can also try ordering a spiky massage ball to roll up and down against a wall.  They are around £5.  For tired muscles try and order some magnesium salts to put in a hot bath. I find these salts are really great at easing aching muscles.  I find stretching really helps me.

STANDING NECK PUSH AGAINST WALLSTANDING NECK PUSH AGAINST WALL (a John Rutherford physiotherapist exercise backpainspecialistslondon.co.uk)

This movement could come under exercises OR stretching depending on how slowly it is done. I recommend super slow.

It works the neck muscles and helps with strengthening the neck and improving posture.

  • Stand with your back to the wall and your knees slightly bent.
  • Gently push your head back using your neck muscles to try to touch the wall at eye level.
  • Make the push a very small movement towards the wall making sure your chin is tucked slightly in, hold for a few seconds, then relax.
  • Repeat the pushes six times and build to 10 repetitions x 3 sets.

HAND HANGINGHAND HANGING

I find this stretch a great relief.

  • Find a high bar or top of a door you can just reach.
  • Hold with both hands. Bend your knees and try to sit, so you are dropping your spine downwards. Do not arch your back, but suck your abs in.

SEATED OBLIQUE STRETCHSEATED OBLIQUE STRETCH (a John Rutherford exercise)

This movement offers excellent release.

  • Sit on a chair, bench or Swiss ball (see the Scoliosis Handbook for guidance) with your knees at a 90° angle.
  • Cross your arms above your head with your hands on opposite shoulders.
  • Really try to sit up as tall as you can.
  • Move gently from one side to the other, lifting your hips off the chair alternately.

BANISTER STRETCHBANISTER STRETCH

This is my all-time favourite stretch. It is my go-to stretch for any client who walks into my studio complaining that they have ‘done something’ to their back, or when I just want  a lovely  waking-up stretch.

If you sit at a desk for work, the banister stretch is great for pulling out a compressed

spine, opening up your vertebrae.

  • Find a banister or fixed pole.
  • Feet one and a half hip width apart
  • Grip with your hands and squat down and outwards.
  • Keep your back flat, head in line with your body, core sucked in.
  • Do not arch your back.
  • Imagine someone is pulling your hips towards the back of the room. Sit further down to get a deeper spinal stretch.
  • Hold for a few seconds up to 60, and repeat.

Always check with your doctor/physio that these exercises are safe for you. 

Illustrations by: Dunelm Digital – www.dunelmdigital.co.uk

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Eating to Protect Your Health and Your Arthritic Joints

Fruit and Vegetables

Eating healthily is more important than ever at a time like this. Notwithstanding the problems with finding food available in the supermarkets, there are still regular deliveries of all foods to the stores.  As explained in One Step Ahead of Osteoarthritis, The Mediterranean diet is recommended for both osteoarthritis and general health and well-being.   In addition to fruit and veg, this plant-based diet also comprises pulses, beans, nuts and fish,  chicken and turkey, and the all important olive oil – best drizzled over vegetables or salad.

Supplements boost the immune system

There are several supplements that can be helpful for osteoarthritis, and which boost the immune system at a time when you need all the defences you can muster.

  • Vitamin C is reputed to fight viruses, and has been proven to be effective in reducing inflammation in osteoarthritis and impeding its progress[1] Taking high amounts (such as 1,000mg or more) of Vitamin C cannot harm you as excess is excreted out of the body, although some people find it upsets the stomach.
  • Turmeric too has a good reputation for easing inflammation in osteoarthritis and is often taken as a spice, as a liquid, or in capsules. What is lesser known is that it has antibacterial, antiviral and antifungal properties as well.
  • Vitamin D is made in the body when your bare skin is exposed to the sun a lot, but in reality after a British winter it’s likely to be low. Dr Andrea Darling and Professor Susan Lanham-New, the University of Surrey, claim, ‘Vitamin D can help prevent respiratory tract infections[2] so it is important to have good Vitamin D levels during the COVID-19 pandemic.’

Dr Rod Hughes, rheumatologist at St Peter’s Hospital, Surrey,  is convinced of the importance of Vitamin D for those with osteoarthritis, ‘About 50 per cent of the population is deficient in Vitamin D, due to lack of exposure to the sun. Deficiency can mimic arthritis providing the same symptoms. It’s very easy to take a blood test and treatment is simple with capsules or injections, and the patient gets better very quickly.’

Cider vinegar

Although not the most tasty of drinks, taking a dessertspoonful of (apple) cider vinegar in water every day is helpful for easing osteoarthritis, and it also is full of beneficial bacteria and minerals.  It’s important to buy Cider Vinegar with the Mother, which means it is not pasteurised and retains all its health benefits.

While it seems counter-intuitive to have an acidic drink, the body metabolises cider vinegar so that it turns alkaline. However, it does taste acidic so if you find it unpalatable add a teaspoonful of honey, another healthy food.

So do eat healthily and exercise regularly all the time, but particularly during this difficult period in all of our lives.  Stay home if you can and stay safe.

Blog post written by Frances Ive, author of One Step Ahead of Osteoarthritis.

[1] Chiu PR, Hu YC, Huang TC, Hsieh BS, Yeh JP, Cheng HL, Huang LW, Chang KL.

Vitamin C Protects Chondrocytes against Monosodium Iodoacetate-Induced Osteoarthritis by Multiple Pathways. Int J Mol Sci. 2016 Dec 27;18(1). pii: E38. doi: 10.3390/ijms18010038.

[2] Martineau et al (2017)

Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data.   Br Med J 2017; 356 doi: https://doi.org/10.1136/bmj.i6583 (Published 15 February 2017) Cite this as: BMJ 2017;356:i6583

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Exercise in Lockdown for Osteoarthritis

Knee

We are all facing the very real threats of Coronavirus and many of us are self-isolating now, especially the over 70s. Life as we knew it has completely evaporated.  For anyone with osteoarthritis, there are plenty of things that you can do to help the condition and keep yourself generally healthy in the face of such a threat.

What better way to spend all our cooped up time than doing some exercise, at whatever level you can manage?  It helps to have an exercise slot during your very long day so that you remember to do it and it gives you something positive to do.

If you have an exercise bike, now is the time to build up the muscles around the knee which protect arthritic joints and make legs stronger.  Just 10 minutes a day can make your legs feel good and strengthen the knee area.

There are also specific exercises for  osteoarthritis in the knees,  hips and hands.

  • For arthritic fingers: try some gentle stretching/splaying of the fingers, or make a fist with your hand and then completely relax it.
  • For knees: sit well back in the chair with good posture. Straighten and raise one leg. Hold for a slow count up to 10, then slowly lower your leg. Similar exercises can be done lying down or standing. If you are unsteady on your feet hold on to a firm surface and do a few squats bending your knees so that they are over your feet, making sure you only do as much as you can.

Knee squats

  • For hips: Hold onto a work surface and march slowly on the spot bringing your knees up towards your chest alternately. Don’t raise your thigh above 90 degrees. Also, holding on to a surface, bend each knee in turn, putting your heel up towards your bottom with the kneecap pointing towards the floor.

Heel to butt

There are more diagrams (courtesy of Versus Arthritis) in One Step Ahead of Osteoarthritis with helpful instructions.

So with all this time on our hands, do something helpful for your fitness, to keep your joints working well and avoid getting bored.  Above all, stay safe.

Blog post written by Frances Ive, author of One Step Ahead of Osteoarthritis.

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Artemesia annua and the Treatment of Viruses

Artemesia annua

The outbreak of COVID-19 has advanced through the human population at an accelerated rate with devasting effects not only on our health, but by bringing fear and uncertainty in its wake.

Originating in China, it has now spread worldwide, and whole regions have been locked down in order to try to contain the advancement of this virus.

Any scientific research data on the effects of  therapeutic strategies is scarce at this time, but the FDA in the US have recently approved the use of some existing drugs in the battle to contain and treat this virus, including the anti-malarial drug, hydroxychloroquine, which is showing encouraging results.

In my book,  Irritable Bowel Syndrome & Giardia, I explain how to use Artemesia annua (Sweet Wormwood) which is widely used to treat malaria, but is also very effective in treating Giardia, a parasite which can cause very debilitating bowel and digestive disturbances.   Artemisinin, the active principle of Artemesia annua, has been shown to have anti-viral properties.

Therefore, it would be well worth considering taking Artemesia annua as detailed in the book, Irritable Bowel Syndrome & Giardia, for the treatment of viruses. I have also created, as another part of my treatment strategy for viral infections, Optimal Support #1, a holistic herbal spray that offers energetic support to the mind and body. Both myself and my clients have found it very useful. This is fast becoming a best seller for Herbal Energetix. Due to the high demand, please sign up to our newsletter where details of how to obtain these products will be shown shortly.

I would also recommend the vegetable juice recipe, featured in the book, is taken daily to boost the immune system, together with three organic oranges or one grapefruit to help boost the vitamin C intake

For more information and copies of Susan Koten’s book and sprays, please  go here or visit our online shop at www.herbalenergetix.co.uk

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How to Boost Your Body’s Ability to Heal Itself

Coconut

We have all had too struggle with recovery from an injury, surgery or an infection at some time in our lives. To do so requires extra energy and the best raw materials, and these raw materials – along with the microbe-fighting properties of many plant components – need to come from what we eat and drink.

The following excerpts come from Recovery from Injury, Surgery and Infection, the latest book in the Nature Cures series from Nat Hawes.

Coconut (Cocos nucifera)

Coconut, in all its forms (flesh, oil and water), can eliminate infectious illnesses including those caused by viruses due to its components capric acid, caprylic acid and lauric acid.

Breast-feeding mothers who consume pure virgin coconut oil have high levels of these healthy fatty acids in their milk, which is of great benefit to the infant because it protects them from infections and toxins.

Lauric acid

Lauric acid is a type of medium-chain fatty acid found in only a handful of foods but especially in coconut; it is converted into monolaurin, in the body, which has antibacterial, antifungal and antiviral properties.

Lauric acid is useful for treating viral infections, including colds (caused by a coronavirus) and influenza, cold sores and other herpes infections.

In addition to coconut, which is by far the richest source, sources include cow’s milk, curry leaf, goat’s milk and palm kernel oil

Capric acid

Capric acid, together with lauric acid and caprylic acid, helps to increase levels of ‘good’ high-density lipoproteins (HDL cholesterol) relative to ‘bad’ low-density lipoproteins (LDL cholesterol).

Capric acid is also very useful for treating viral infections.

Additional sources include: aubergine; cow’s milk (full cream); goat’s milk (full cream) and palm kernel oil.

Caprylic acid

Caprylic acid can help counter many types of infection.

Research has revealed that it can activate a hormone called ghrelin, which in turn stimulates the hunger centre in the brain and increases appetite. This may prove to be particularly useful for patients with poor appetites following illness.

Because of its unique chemical structure, caprylic acid is able to seep through the outside shell of the mitochondria (the energy-making micro-structures in all our cells) where it can then be broken down to release energy. In this way, overall energy levels are increased, which helps aid recovery.

Consuming natural foods containing caprylic acid may also curb a deficiency in vitamin A. Sources other than coconut include cow’s milk, goat’s milk, palm oil and pomegranate seed oil.

You can find out more about Nat Hawes book here, or follow Nature Cures on Twitter or Facebook

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Coping with loneliness and depression if someone has to self-isolate

Lonliness

The word ‘isolation’ can also be described as ‘the condition of being alone’, so it is no surprise that many of us are struggling with being lonely, low mood and depression. This is especially worrying for those who are over 70. In the younger generation, the term ‘self-isolate’ means staying at home with family, for those who are older, they may already live on their own, and their only human connection is when they go out and visit friends.

If you have an elderly loved one, or neighbor who is self-isolating, check up on them as often as you can, it need only be a short phone call, but you may be the only person they have spoken to that day. If you are the person who is struggling with the loneliness whilst having to self-isolate, there are many help lines who can offer support and a friendly voice when in times of need, such as The Silver Line, who offer a confidential, free helpline or telephone friendship for the elderly; call them on 0800 470 80 90.

Encourage your loved one or neighbor to limit their intake of the news. The more you hear, the more you buy into the panic. This only adds to the current anxiety. Instead, encourage them to watch a lighthearted TV programme or film.  You can even watch it alongside them whilst chatting on the phone so it gives them the feeling of company.

Encourage them to stay in touch with the outside world via Skype, WhatsApp or other messaging apps. Many of the elderly now have smartphones and will be aware of these forms of contact, even though it might not be their instinct to use them.

I hope some of these tips will help to keep our loved ones and neighbours in a positive state of mental wellbeing, after all…..self-isolation does not have to mean mental isolation.

Blog post written by Hammersmith author, Lynn Crilly, author of Hope with Depression, Hope with OCD and Hope with Eating Disorders

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Coping with anxiety in this time of crisis

anxiety in a time of crisis

As we are all already aware, this is a very distressing and unsteady time for many. I would like to offer some hope to those who are suffering from anxiety and anxious feelings, whether you are  or have been a sufferer of anxiety in the past, or whether the unsteadiness of this current time has caused the feelings of anxiousness and unease, I hope some of the strategies below will be able to help you cope.

  1. If you have read any of my ‘Hope’ books, you will be very aware that I am a great advocate for positive exercise and mental well-being. Many of us would leave the house on a regular basis, whether it was walking to work, or walking to drop the children at school, or a regular member of the gym, we are finding ourselves suddenly cooped up with our regular activities on hold. Making sure you are still getting regular exercise is paramount to our mental health, there are so many exercise videos on YouTube and online from beginner HIT sessions to yoga and Pilates. If you are able to leave the house, taking a brisk walk whilst getting fresh air will be invaluable. A good nights sleep and eating a balanced diet also complement exercise for their benefits on the mind.
  2. Onto my next topic….the media….whilst it is extremely important that we are all keeping up to date with the current situation, it is also important that we take our minds off it for our own sanity. Having a ‘media free’ or ‘tech free’ time each day will help us to focus on other topics and calm our minds. I love doing puzzles and find them very therapeutic. Other activities could include, reading a book, or even cooking a nice dinner.
  3. Spending more time at home is probably on most people’s wish lists, however, when it is suddenly thrown on us, we don’t know what to do with ourselves. The risk of not being able to socialize as we usually would could lead to a low mood slowly setting in. Getting up each day and giving yourselves a little self-care will go a long way to keep our minds positive and fresh.Wash your hair, shower regularly, put on fresh clothes, and you will feel ready to face the day.

Blog post written by Hammersmith author, Lynn Crilly, author of Hope with Depression, Hope with OCD and Hope with Eating Disorders

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Coronavirus – what you need to know

coronavirus

By Dr Sarah Myhill

Introduction

It now seems inevitable that sooner or later we will all be exposed to coronavirus. This is because people can be carriers of this new virus without showing any symptoms. The strategy to slow and treat therefore is FIRST slow the rate at which the epidemic grows so that medical services are better able to cope. SECOND, reduce the loading dose of infection so that the viral numbers take longer to build up in the body and so not overwhelm the immune defences. THIRD, start to improve the body’s immune defences now before you are exposed to the virus. FOURTH, kill the virus directly with vitamin C (well known for its antimicrobial actions as it is used widely as a food preservative) and iodine (a disinfectant with long pedigree)

We know that coronavirus, like the flu virus, will kill some people. However, the vast majority will live – survival is determined by good immune defences. So:

  • Act NOW to improve the body’s immune defences (our standing army)
  • STOCK UP NOW with ascorbic acid 500 grams (at least), Lugol’s Iodine 15% (30 ml) and salt pipe

Before you show any signs or symptoms of illness

The severity of any infection partly depends on the loading dose of infection. Take action to keep this loading dose low so that it takes longer for the numbers of viral particles to build up in the body. This gives the immune system time to generate an effective immune response. At this stage do not suppress symptoms with medication since this inhibits inflammation – the very tool the immune system needs to fight infection.

Make sure you have this package in place:

What Why
Eat a low carbohydrate diet, ideally paleo-ketogenic High blood sugar encourages all infections (diabetics are especially susceptible to infection)
Take a good multivitamin/mineral supplement The immune system cannot function without raw materials
Vitamin D at least 5,000 iu, ideally 10,000iu daily We get more infections in winter because we are at our most deficient then
Vitamin C at least 5 grams daily This vitamin contact-kills all viruses – the key is the dose – you have to take heaps!

For more detail see– ‘Groundhog basic’ in my book The Infection Game: life is an arms race

If there is any hint of possible exposure, keep the infectious load down with:

  • Good hygiene – wash hands regularly. After washing rub iodine oil into your hands. You can make an iodine oil yourself using 10 parts of coconut oil to 1 part of Lugol’s iodine 15%. Iodine contact-kills all microbes, as I have said; it is the best disinfectant – ask any surgeon – this is what is used before surgical incision and to prevent post-operative wound infections. Yes, your hands will be stained slightly yellow but then you will know the iodine is there.
  • Sniff and inhale Lugol’s iodine 15% 2-3 times a day using a salt pipe. I suggest 2 drops in a salt pipe sniffed up into the nose and inhaled 15-20 times. Iodine is an effective topical disinfectant. It is also volatile so when inhaled kills or substantially reduces the numbers of all microbes threatening to enter the airways.
  • And/or …possibly use a face mask, drizzle 2-4 drops of Lugol’s iodine 15% on to the lining. for the same reasons as above. Re-apply Lugol’s three times a day.
  • And/or …smear iodine oil (made as above) round the nose and upper lip three times a day. Yes, it does stain the skin yellow temporarily but it slowly evaporates from the skin to generate a disinfectant cloud of iodine. This is good for kids who may not be able to use a salt pipe or tolerate a mask.

For much more detail see my book The Infection Game: life is an arms race

At the first sign of any infection (runny nose, sore throat, cough… you know!):

Strike early and strike hard with…

What Why
Take 10 grams of vitamin C (as ascorbic acid powder) in 500 ml of water every hour until you get diarrhoea – this is called ‘bowel tolerance’ This is of proven benefit – see references below.

You must take enough vitamin C – you can only fail by under-dosing. Vitamin C is completely safe and you can do no harm with it. As one of my comic patients put it ‘Premature crapping is preferable to premature croaking.’

Inhale Lugol’s iodine every two hours. I suggest 2 drops in a salt pipe sniffed up into the nose and inhaled – this may slightly stain the inside of your nose – but then you know the iodine is present. You will know the iodine is in the right place because you can smell it. Iodine is non-toxic to humans and all mammals (but if you are allergic to iodine then you should not use it)
Good nursing care – go to bed, wrap up warm and allow the body to run a fever Heat kills all microbes
Tell everyone that you are ill so that… …they can put in place all the above to reduce their loading dose and deal effectively with the virus
To quote the poet Dylan Thomas ‘Do not go gentle into that good night….’ Fight hard and stay alive!

For more detail, see ‘Groundhog acute’ in my book The Infection Game: life is an arms race

Advice for children

  • The principles are exactly the same.
  • And no-one has ever had serious side effects from vitamin C – perhaps use 5 grams every hour to bowel tolerance – or less depending on size.
  • Use vitamin D at proportionate body weight – use the 10,000 iu but perhaps every other day or every third day – the capsule can be chewed in the mouth.
  • Really important to use topical iodine oil over the nose and upper lip as this reduces the infectious load when inhaling and exhaling
  • What is interesting is that the Chinese babies whose mothers have had coronavirus have survived fine. I suspect this is about the immune system – with very high viral loads, the immune system over-reacts and it is this over-reaction that kills. It is called a cytokine storm. This is why the very sick patients are treated with anti-inflammatory drugs such as paracetamol, NSAIs and steroids (which you would think counterintuitive. There is a place for these drugs but not with mild symptoms). My guess is these Chinese babies do not have the immune reserves for a cytokine storm and so have survived well.

Very sick patients

Very sick patients will of course need hospital treatment with anti-inflammatories (for the cytokine storm), oxygen and respiratory support (for respiratory failure). The Chinese doctors are currently treating severe cases of covid-19 with additional intravenous vitamin C and seeing excellent results.

Support for the use of high doses of vitamin C

Follow the links below for more information about the science and clinical experience behind using high-dose vitamin C:

From 1943 through 1947, Dr Klenner reported successful treatment of 42 cases of viral pneumonia using therapeutic doses of vitamin C. This was administered by mouth, intravenously and intramuscularly. See:

And there is lots more good science and practical detail at Ascorbate Web

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Using Pro-Resolution Nutrition To Control the Coronavirus

Virus

This post originally appeared on DrSears.com. It is written by Hammersmith Health Books author, Dr Barry Sears, author of The Mediterranean Zone

Viruses and bacteria were here long before we were and will definitely outlast us. So, when a new pathogen crosses from its natural animal reservoir to infect humans, what are you going to do? One choice is the ancient approach to quarantine infected individuals until the disease runs its course. That method was used in fighting the Black Death that started in 1348. Actually, the first appearance of the Black Death occurred about 800 years earlier when it was known as Justinian’s Plague and is estimated to have killed between 30 to 50 million in the Roman Empire. When it re-emerged in the fourteenth century it killed about half the population in Europe or approximately 75 million people. However, it didn’t immediately disappear as it continually reappeared in Europe until about 1660. The most effective interventions against the Black Death were draconian measures ranging from closing the borders, use of quarantines in both international trade (i.e., preventing ships from entering ports) and in domestic travel, and finally in keeping citizens confined to their towns to await their fate.

Newly emerging viruses can even be worse. According to the Centers for Disease Control (CDC), the first appearance of the influenza virus in 1918 infected about 1/3 of the world’s population, killed between 20 to 50 million worldwide including 675,000 in the U.S. between 1918 and 1920 (1). There were no vaccines, no antibiotics to treat secondary infections at this time, just quarantines and good personal hygiene.

Today, the modern way to treat pandemics of bacterial or viral infection is to simply surrender to the power of pathogens and use vaccines and antibiotics and modern medical care (i.e., ventilators, etc.) for the infected until the patient either survives or dies. According to the CDC, we are still not doing a good job in the U.S. as in the 2018-2019 flu season, it is estimated that more than 35 million Americans were infected (about 9 percent of the total population) with the flu, and 34,000 Americans died even though we had vaccines and antibiotics (2). While those numbers are definitely better than they were in 1920, but don’t bode well for future new viruses.

So, how are we handling the current coronavirus since we have no vaccine? The Chinese are using the ancient method of strict quarantines. It is highly unlikely that type of iron-fisted population control will work in the United States and Europe. And without a vaccine, the spread of this virus into an immunologically naïve population can rapidly expand. Is there another approach?

I believe the answer to that question is a definite yes. I call this the immuno-nutrition approach. The body has a powerful internal system to fight viral and bacterial infections. It’s a combination of both the innate and adaptive immune systems. The innate system is ancient and primitive as it reacts quickly to chemical structures. It works as our first responder to any type of microbial invasion. The adaptive immune system is more sophisticated in that it uses immune cells that digest the microbial invader and hopefully remember its structure when it might return. The adaptive immune system is slow to response (especially to a new biological invader) because it needs the innate immune system to prime it. However, unlike the adaptive immune system, the innate immune system is under strong dietary control and that’s where immuno-nutrition comes into play.

Immuno-nutrition is not simple advice to eat a healthy diet, but requires following a highly defined nutritional program to optimize the innate immune system to make the adaptive immune system more responsive to all microbial invaders. The key feature is your ability to optimize the Resolution Response™. The Resolution Response is your body’s internal healing response. It is composed of three distinct dietary interventions to reduce, resolve, and repair the damage caused by an injury including those caused by microbial (i.e., viral and bacterial) infections such as the coronavirus (3)

Without going into great detail in this blog, any injury causes an initial inflammatory response to alert your immune system that you are under attack. The more inflammation you have in your body, the less likely you can optimally activate your immune system to respond to this microbial challenge. This is why your first goal is to reduce excess inflammation in the body, not by taking an anti-inflammatory drugs (which are also anti-resolution drugs that inhibit the next step of the Resolution Response), but by following an anti-inflammatory diet such as the Zone diet (4-6). That is only the first step. Next you have to resolve the inflammation induced by the microbe by increasing the production of a group of hormones known as resolvins (7,8). This can only be done by consuming high levels of omega-3 fatty acids in the diet to maintain a low AA/EPA ratio in the blood. What is the right dose of omega-3 fatty acids? Your blood will tell you. If your AA/EPA ratio is between 1.5 and 3, then you are taking enough (3). Most Americans will require at least 5 grams of EPA and DHA per day to reach that ideal AA/EPA range since the average AA/EPA ratio for most Americans is about 20. Finally, you have to optimize the innate immune system using high-dose polyphenols that are water-soluble so they get into the blood to activate the gene transcription factor known as AMPK. How many polyphenols? Enough to keep your levels of glycosylated hemoglobin (HbA1c) between 4.9 and 5.1 per cent. This will take about 1 gram of water-soluble polyphenols per day with delphinidins being the best choice (9).

Of course, the more closely you follow the Zone diet, the fewer water-soluble polyphenols or omega-3 fatty acids you will need to optimize your internal Resolution Response (3). Such water-soluble delphinidins that can activate AMPK are found in low levels in blueberries or in far higher concentrations in delphinidin extracts. Once AMPK is activated by these water-soluble polyphenols, then it begins to orchestrate your immune system to attack and neutralize the microbe. This is definitely a team approach. If any one of the three steps (reduce, resolve, and repair) is not working at optimal efficiency, your ability to control the outcome of the microbial infection (in this case the coronavirus) will be inhibited.

This could mean the difference of either having runny nose or being on a ventilator because the likelihood you will be exposed to the coronavirus is great due to globalization. The choice of the outcome of that coronavirus exposure is yours.

References

https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html
https://www.cdc.gov/flu/about/burden/2018-2019.html
Sears B. The Resolution Zone. Zone Press. Palm City, FL (2019)
Sears B. The Zone. Regan Books. New York, NY (1995)
Bell SJ and Sears B. “The Zone diet: An anti-inflammatory, low glycemic-load diet.” Metabol Synd and Related Disord 2:24-38 (2004)
Hotamisligil GS. “Inflammation, metaflammation, and immunometabolic disorders.” Nature. 542: 177-185 (2017)
Serhan CN. “Pro-resolving lipid mediators are leads for resolution physiology.” Nature 510: 92-101 (2014)
Morita M et al. The lipid mediator protectin D1 inhibits influenza virus replication and improves severe influenza. Cell 153(1):112-125 (2013)
Jin X et al. “Delphinidin-3-glucoside protects human umbilical vein endothelial cells against oxidized low-density lipoprotein-induced injury by autophagy upregulation via the AMPK/SIRT1 signaling pathway.” Mol Nutr Food Res 58: 1941-1951 (2014)