Preparing for COVID19 this Winter - MATH+ Protocol

In the last two weeks, we have seen an uptick in COVID cases; our % positive rose from 4.5% to 14%. This could be a post-Thanksgiving bump, or it could be the new Omicron strain. We continue to see high numbers of breakthrough cases; 41% of patients who have received IV monoclonal antibodies for symptomatic COVID19 at our clinic in the last 2 months were fully vaccinated.

I am a firm believer in early treatment for COVID19, and since the start of the pandemic, I have been interested in trying to keep my patients out of the hospital. Before monoclonal antibodies became available, we gave budesonide, albuterol, and hypertonic saline breathing treatments to patients in their cars.

Now the mainstay of my treatment approach for early treatment of COVID19 is monoclonal antibodies, ivermectin and breathing treatments. I cannot emphasize enough the importance of being proactive and not ignoring your symptoms until the disease has settled in your lungs. Looking at various early treatment protocols, I am most aligned with the MASK+ protocol for outpatients the MATH+ protocol for inpatients developed by the Front Line COVID19 Critical Care Alliance. Although BreatheMD is an outpatient clinic, we are able to provide many of the medications on the MATH+ protocol that patients would receive if they were in the hospital with COVID19.

Other recommendations not included in the MASK+ protocol:

  • Purchase a nebulizer (Amazon.) Get one that plugs into the wall. Most are about $80.

  • Purchase an incentive spirometer (Amazon.) This is a cheap and easy way to expand your lungs.

  • Purchase a pulse oximeter (Amazon) to monitor your blood oxygen level.

  • If you are taking high amounts of Vitamin D, check your blood level. Too much Vitamin D can cause hypercalcemia as well as deplete your magnesium stores.

  • Take magnesium with Vitamin D. Magnesium is essential for activation of Vitamin D to its useful form.

Last week, I had the honor of appearing on the weekly FLCCC webinar with Dr. Pierre Kory and Dr. Paul Marik. We share the common belief that early treatment saves lives and have all had backlash from our peers and hospitals over this.