What to Do When I Have Covid

  1. My Covid+ Plan                                                                                Page 1
  2. My Covid+ Supplies                                                                        Page 3
  3. Covid+ Daily Symptom Tracking                                                                Page 5
  4. Dose Schedule                                                                                Page 7
  5. Post-Covid Checkup and Bloodwork                                                        Page 9
  6. Free and Low Cost Resources                                                                Page 10

Part of responsible citizenship during a pandemic involves avoiding becoming infected (and likely spreading infection) as much as possible. It also involves having a plan in place in case we do get infected. Just like we’re more likely to survive a fire or an earthquake if we’ve planned ahead for it (including gathering supplies, educating ourselves on risks and common mistakes, and developing protocols for ourselves and our families), we’re more likely to have a mild experience with Covid if we plan ahead.

This document is meant to get you thinking about what your Covid+ plan might look like. It is just a starting point – you are encouraged to download this, modify it, check the contents against your own medical history and medications (especially in the case of contraindications), and run it by medical professionals, friends, and family members to get second, third, and fourth opinions. Everything written here is for informational purposes only – it is not medical advice. It is information for you to begin developing your own plan.

You are also encouraged to begin acquiring the supplies that will be needed in the case of Covid infection. Altogether, the items listed in this document are quite expensive and out of reach for many people. This economic precarity is unjust and intertwined with the same capitalist mode of production that has allowed for the pandemic to spread unchecked. I’ve linked to free resources at the end, but they do not cover everything.

If you see something in here that is incorrect or incorrectly cited, or if you would add something to this document, please email emily@cleanairclub.org.

This document is best accessed on a desktop computer. Leer en español aqui (traducida por Juan).

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My Covid+ Plan

Below is a sample Covid+ plan and protocol for what to do within the first hour, day, week, and beyond of testing positive for Covid. There are many things on here that may not apply to you; there are many things not on here that you may want to add. This is a starting point for you to begin building your Covid+ plan.

If I test positive for Covid-19, either on a rapid test or PCR, my plan is to:

  1. Within the first hour:
  1. Isolate
  2. Mask (KN-95 or better)
  3. Open windows
  4. Turn on air purifiers
  5. Notify all household members
  6. Begin radical rest[1]
  1. Within the first day:
  1. Schedule same-day telehealth appointment (Obtain: prescriptions, letter for time off work or school)
  2. Contact tracing: notify all close contacts from prior week
  3. Cancel all social plans for the week
  4. Zoom chat with household members to discuss isolation plan, who will take on your household and care labor
  5. Begin medications[2] 
  6. Arrange time off from work or school
  7. Schedule PCR test
  8. Turn on humidifier
  9. Begin tracking symptoms and test positivity[3]
  1. During the First week:
  1. Continue radical rest
  2. Continue medications and symptom management
  3. Daily rapid test if possible
  4. Continue tracking symptoms and test positivity
  5. Learn the signs of heart attack and stroke[4]
  1. Until PCR negative:
  1. Continue radical rest
  2. Continue medications and symptom management
  3. Every other day rapid test if possible
  4. Schedule weekly PCR test if possible
  5. Continue tracking symptoms and test positivity
  1. After PCR negative test (for one month or more)
  1. Schedule checkup and lab work[5]
  2. Refrain from moderate-to-vigorous exercise
  3. Take post-Covid medications for immune support, anti-clotting, and antiviral management
  4. Reflect on how the infection was acquired and make changes to covid-cautious strategies going forward[6]


My Covid+ Supplies


Some of these supplies are easy to find; some are a bit harder. All of them are better obtained
before you are positive for Covid. It is important to check the contraindications for everything you put in and on your body – adverse interactions can occur with other medications and pre-existing conditions. The below is a starting point for you to consider and research further in consultation with a medical professional.

  1. Tools
  1. Vaccination
  2. KN-95 Masks or better
  3. Air purifier
  4. Humidifier[7]
  5. Thermometer
  6. Pulse Oximeter
  7. Rapid Covid Tests
  8. Neti pot and Saline Packets[8]
  1. Over the Counter Medications
  1. Ibuprofen[9]
  2. Expectorants, Flu meds
  3. Cough Drops
  4. Cetylpyridinium Chloride Mouthwash[10]
  1. Prescription Medications
  1. Paxlovid[11]
  2. Metformin ER[12]
  1. Supplements
  1. All herbal tinctures listed in Stephen Buhner's herbal protocol for acute covid infection[13]
  2. Melatonin[14]
  3. Lumbrokinase/Nattokinase[15]
  1. Other
  1. Antiviral nasal spray[16]
  1. Other lists to review:
  1. https://rthm.com/articles/youve-got-covid/
  2. https://pharmd.substack.com/p/i-have-covid-what-should-my-kids 


Covid+ Daily Symptom Tracking

It is very important to track your symptoms and positivity status throughout the infection. It will keep you and your doctors well-informed, it will help you track any Paxlovid rebound, and it will alert you to some emergent situations as early as possible.

Rapid Test

PCR

Temp

O2

Symptoms

Notes

Day 0

This is the first day you test positive

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 12

Day 13

Day 14

Day 15

Day 16

Day 17

Day 18

Day 19


Covid+ Daily Symptom Tracking

SAMPLE

Rapid Test

PCR

Temp (F)

O2

Symptoms

Notes

Day 0

+

99

95

Sore throat

First positive test; begin Paxlovid

Day 1

+

+

100

96

Sore throat; congestion; fatigue; fever; flu-like symptoms; night sweats; chills

Day 2

+

101

95

Sore throat; congestion; fatigue; fever; flu-like symptoms; night sweats; chills; brain fog

Day 3

+

99

95

Fatigue; congestion; fever; flu-like symptoms; brain fog

Day 4

+

98

95

Fatigue; congestion; brain fog

Last day of Paxlovid

Day 5

97

94

Fatigue; brain fog

Day 6

97

95

Fatigue; brain fog

Day 7

+

97

95

Fatigue

Day 8

+

99

95

Fatigue; fever; flu-like symptoms; night sweats; chills; brain fog

Paxlovid rebound 🙁

Day 9

+

100

95

Fatigue; fever; flu-like symptoms; night sweats; brain fog

Day 10

+

100

95

Fatigue; fever; flu-like symptoms

Day 11

+

99

95

Fatigue; fever

Day 12

+

98

96

Fatigue

Day 13

97

95

Fatigue

Day 14

+

97

95

Fatigue

Day 15

97

96

Fatigue

Day 16

97

96

Fatigue

Day 17

97

94

Day 18

97

95

First negative PCR test since infection 🙂

Medication Dose Schedule

It can be very hard to keep track of all the medications required during Covid and when to take each one, especially when they are on different dose schedules. A dose schedule, like the one below, is extremely helpful to have (both for yourself and for any caregivers that may be helping you through a covid infection). I’ve included a blank one for you to fill out as well as a sample one to see what a complete one can look like.

Time

General time of day

Medication

Dose

6 am

Before breakfast

7 am

8 am

Breakfast

9 am

10 am

Late morning

11 am

12 pm

1 pm

Lunch

2 pm

3 pm

4 pm

Late afternoon

5 pm

6 pm

7 pm

Dinner

8 pm

9 pm

Before bed

10 pm


SAMPLE Dose Schedule

(This is a sample for informational purposes only; it is NOT your dose schedule.)

Time

General time of day

Medication

Dose

6 am

Before breakfast

Nettle tea

Saline nasal rinse

1 cup

7 am

8 am

Breakfast

Paxlovid

Herbal tinctures
Nasal Spray
CPC Mouthwash

3 pills

1 tbsp

2 sprays

1 gargle

9 am

10 am

Late morning

Nattokinase

Take temperature

Pulse oximeter reading

4,000/FU (titrate up to this)

11 am

12 pm

1 pm

Lunch

Herbal tinctures

Nasal Spray
CPC Mouthwash

1 tbsp

2 sprays

1 gargle

2 pm

3 pm

4 pm

Late afternoon

Nattokinase

4,000/IU (titrate up to this)

5 pm

6 pm

7 pm

Dinner

Herbal tinctures

Paxlovid

Nasal Spray
CPC Mouthwash

1 tbsp

3 pills

2 sprays

1 gargle

8 pm

9 pm

Before bed

Nasal Spray
CPC Mouthwash

Melatonin

2 sprays

1 gargle
3 mg

Post-COVID Checkup and Bloodwork

Covid infections damage the body. It is extremely important to get a new baseline for your health and to discover any changes to your health that should be addressed. The CDC recommends the following lab tests post-Covid:

Concern

Tests

Blood count, electrolytes, and renal function

  • Complete Blood Count with possible iron studies to follow
  • Basic metabolic panel (calcium, carbon dioide, chloride, creatinine with GFR estimated, glucose, potassium, sodium, BUN, BUN/Creatinine ratio)
  • Urinalysis

Liver function

  • Liver function tests (albumin, globulin, albumin/globulin ratio, total bilirubin, ALP, ALT, total protein, LDH, PT, AST, GGT)
  • Complete metabolic panel

Inflammatory markers

  • C-reactive protein
  • Erythrocyte sedimentation rate
  • Ferritin

Thyroid function

  • TSH
  • Free T4

Vitamin deficiencies

  • Vitamin D
  • Vitamin B12

Rheumatological conditions

  • Antinuclear antibody
  • Rheumatoid factor
  • Anti-cyclid citrullinated peptide
  • Anti-cardiolipin
  • Creatine phosphokinase

Coagulation disorders

  • D-dimer
  • Fibrinogen

Myocardial injury

  • Troponin

Differentiate symptoms of cardiac vs. pulmonary origin

  • B-type natriuretic peptide

In addition to the recommended tests from the CDC, you may consider testing for:

  • Cholesterol
  • Glucose / Insulin
  • Epstein-Barr reactivation

Free and Low Cost Resources

This will be updated as more information comes in.

  1. Tests
  1. Medicaid continues to cover 8 at-home rapid tests per month, as well as lab testing through Sep. 30, 2024.[17]
  2. Illinois households outside of Chicago can order 5 free Covid tests here.
  3. The CDC ICATT program will continue to provide free Covid testing for people without insurance. Those testing locations can be found here. You can also search here for community-based testing locations that may offer free tests.
  4. The website RTMed occasionally has very affordable tests and masks.
  5. You can order 6 free Covid tests through the NIH’s “Test to Treat” program if you are uninsured or underinsured. DISCONTINUED 2024
  1. Vaccines
  1. You can get free Covid vaccines through the CDC’s Bridge Access Program (ending August 2024)
  1. Medical Care
  1. Search online for a free clinic in your area. Here is a list of Chicago free clinics.
  2. The NIH’s “Test to Treat” program offers free telehealth appointments for suspected covid, free Lucira at-home molecular tests,  and Paxlovid for diagnosed covid. DISCONTINUED 2024
  1. Masks
  1. There are “Mask Blocs” in various cities around the U.S. that you can contact. Search on social media for your city name plus “mask bloc” and see what comes up.
  2. You can also search the Covid Action Map to find mutual aid organizations and mask blocs in your area.
  1. Prescriptions
  1. If you are able to obtain a prescription for Paxlovid, Paxcess can help you get it for free fairly quickly.
  2. It’s always worth checking on GoodRx to see if you can get a discount on a prescribed medication.
  1. Air Purification
  1. The cheapest way to improve your indoor air quality is to open the window. The second cheapest is to build your own DIY air purifier. Thousands of people with no prior experience have done this during the pandemic to great success.
  1. Finances
  1. Consider seeking aid for other life expenses so that you have funds available for non-covered medical expenses. This could include local food banks, tenant relief funds, local mutual aid organizations, and cash assistance programs.


[1] Jamie Ducharme, “Why You Should Rest - a Lot - If You Have Covid-19,” Time Magazine (Sep. 23, 2022).

[2] The medications you use to treat COVID and its symptoms will be specific to you; this may include a mix of prescriptions, over-the-counter medications, and herbal supplements. For more on this, see page 3, “My Covid+ Supplies.”

[3] See Symptom Tracker on page 5.

[4] See here for signs of heart attack and stroke.

[5] See “Post-COVID Checkup and Bloodwork” on page 9 below.

[6] See here for more info from The People’s CDC.

[7] Jennifer Chu, “Keeping indoor humidity levels at a ‘sweet spot’ may reduce spread of Covid-19,” MIT News Office (Nov. 16, 2022).

[8] See Baxter, et al., “Rapid initiation of nasal saline irrigation to reduce severity in high-risk COVID+ outpatients,” Ear, Nose, and Throat Journal (Aug. 25, 2022).

[9] Best to avoid acetaminophen, as evidenced here: https://c19early.org/acemeta.html 

[10] Found in many mouthwashes available at common pharmacies like Walgreens and CVS. For more info, see Takeda et al., “Antiviral effect of cetylpyridinium chloride in mouthwash on SARS-CoV-2,” Scientific Reports (Aug. 18, 2022).

[11] Paxlovid eligibility criteria here.

[12] “Outpatient treatment with metformin reduced long COVID incidence by about 41%, with an absolute reduction of 4·1%, compared with placebo. Metformin has clinical benefits when used as outpatient treatment for COVID-19 and is globally available, low-cost, and safe.” From Bramante et al., “Outpatient Treatment of COVID-19 and Incidence of Post-COVID-19 Condition over 10 Months,” The Lancet (June 8, 2023). 

[13] Stephen Harrod Buhner, Herbal Antivirals: Natural Remedies for Emerging and Resistant Viral Infections, 2nd ed., Workman Publishing Co. (2021). Important note: some of these tinctures reduce the efficacy of Paxlovid, and should not be taken simultaneously with it. Internet friendly version here: https://americanherbalistsguild.com/sites/americanherbalistsguild.com/files/coronavirus-1.pdf 

[14] Faridzadeh et al., “The role of melatonin as an adjuvant in the treatment of COVID-19: A systematic review,” Heliyon (Oct. 2022).

[15] See, e.g., Tanikawa et al., “Degradative effect of Nattokinase on Spike protein of SARS-CoV-2,” Molecules (2022). Some people have found that this classification of medication interacts poorly with those who have connective tissue disorders.

[16] See this roundup of nasal sprays shown to reduce transmission and severity of covid infection.

[17] See here and here.