How to Recover From Covid-19 at Home

This post was originally published on this site

Getting infected with Covid-19 is a frightening, isolating experience. But as more people endure it, the community of survivors is growing — and with them comes better guidance.

My husband and I got sick from the coronavirus in late March. We had so-called mild cases, meaning only that we weren’t hospitalized: In fact, we were sicker than we had ever been. Because we could breathe fine, we knew we weren’t supposed to go to the hospital. But what were we supposed to do?

The standard advice — rest, fluids and fever reducers — was and is essential, but at times it felt inadequate to the severity of the illness.

As we recovered, I spoke with many friends, colleagues and internet strangers going through similar ordeals. Here is some collective wisdom on how to manage noncritical cases of Covid-19. (If you develop any symptoms on this list, including trouble breathing, persistent pain or pressure in the chest, new confusion, an inability to wake or stay awake and/or bluish lips or face, seek emergency care.)

What you’ll need

If you’re reading this while healthy, buy basic supplies now, including a thermometer, acetaminophen or ibuprofen, and rehydration drinks like Pedialyte.

A pulse oximeter can also be helpful, both in flagging severe illness and in reassuring you of the opposite, my colleague Dana Goldstein says: You may feel short of breath, but if your oxygen level is normal, you can avoid the hospital. (You should still contact your doctor.)

If you’re sick and don’t have supplies, see if a friend can pick them up for you, or if a grocery store or bodega will deliver. (Tip well!) Either way, avoid contact: Whether it’s a friend or a delivery person, have the bag left outside your door, and don’t open the door until the delivery person is gone.

Prescriptions can help

Over-the-counter drugs may not be enough. In particular, the coughing and nausea caused by Covid-19 can be severe enough to warrant prescription medication.

For my husband and me, benzonatate (for the cough) and promethazine (for the nausea) were lifesavers. Some colleagues were prescribed codeine-based cough medicine or Zofran. If you feel you might need them, ask your doctor about medications sooner rather than later. Don’t wait until you’re doubled over coughing or can’t keep anything down.

If you don’t have a primary care doctor, some urgent care clinics offer virtual appointments, and some pharmacies offer prescription delivery.

Ease your breathing

Dry air can exacerbate some symptoms such as coughing and chest tightness. If you have a humidifier, use it. If not, a hot shower works.

Several readers reported that they felt better when they laid on their stomach. A woman in Britain whose partner was sick for several weeks told me that a particular breathing exercise helped him:

You take a deep breath, hold it for 5 seconds and release. Do that 5 times, then on the 6th time on the release, cough hard. Do that cycle twice, then lie on your front and take slightly deeper breaths for 10 minutes. Try to do it a couple of times a day.

In some cases, your doctor may also prescribe an albuterol inhaler to reduce your cough and ease your breathing.

Monitor your symptoms

As soon as you get sick, start a detailed log. Every time you take your temperature — do it several times a day, at consistent times — log it. Every time you take a pill, log it. Every time you eat or drink, log it. If one symptom resolves or a new one develops, log it.

As my colleague Eliza Shapiro noted in a Twitter thread worth reading in full, this creates a detailed record to take along if you end up needing medical attention. It also helps you stay on top of your care.

Can I take more cough medicine yet? How long have I had this fever? Is it a little lower than it was yesterday? You won’t be able to keep these things straight while shivering in bed, but a spreadsheet can.

Mental health matters

Having Covid-19 is intensely stressful. It’s not unusual to feel depressed or anxious, or to have panic attacks. Don’t be embarrassed to talk to your doctor about your mental health — it’s just as important as your physical health.

Derek Norman, a news assistant at The Times, says that in the worst moments of his illness, when he felt short of breath and panicky, he would sit upright, focus on breathing steadily and picture a vivid memory.

I’d close my eyes and picture the exact details of a scene I had once experienced, and I’d completely immerse myself in that memory. Something like sitting at an outdoor cafe in Morocco. I’d try to recall the sounds of street life and the dry desert air on my skin, or the smell of the spices, hookah and exhaust swirling in the air. Very, very specific details that I look back fondly on. I’d continue to slowly breathe through it.

Tim Herrera, our Smarter Living editor, emphasized fresh air. That can be hard to come by safely when you’re contagious, but even if you live in a crowded area with no private outdoor space, it can help to open a window.

  • Frequently Asked Questions and Advice

    Updated May 26, 2020

    • How can I protect myself while flying?

      If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

    • What are the symptoms of coronavirus?

      Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

    • How many people have lost their jobs due to coronavirus in the U.S.?

      Over 38 million people have filed for unemployment since March. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.

    • Is ‘Covid toe’ a symptom of the disease?

      There is an uptick in people reporting symptoms of chilblains, which are painful red or purple lesions that typically appear in the winter on fingers or toes. The lesions are emerging as yet another symptom of infection with the new coronavirus. Chilblains are caused by inflammation in small blood vessels in reaction to cold or damp conditions, but they are usually common in the coldest winter months. Federal health officials do not include toe lesions in the list of coronavirus symptoms, but some dermatologists are pushing for a change, saying so-called Covid toe should be sufficient grounds for testing.

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • How can I help?

      Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities.

It’s also OK to not be OK. You don’t have to handle this “well,” whatever that means. You just have to get through each day. So go ahead and cry, binge Netflix, do a jigsaw puzzle, reread the entire “Animorphs” series — whatever gets you through the day.

Don’t expect a linear recovery

Some people have mild symptoms for the first few days and then suddenly get sicker. Some have fevers that go up and down repeatedly. Some are sick for two weeks straight, then have a few symptom-free days, then relapse. Some have lingering symptoms for months.

This is both maddening and very common. Give yourself as much time to rest as your job and financial situation will allow. For me and for several colleagues, that meant nearly three weeks of sick time.

Since tweeting about my experience last month, I’ve received many emails from people in the “this will never end” phase. I share the same screenshot with all of them: a text I sent to a friend on April 5.

“Why do I even bother giving good news when it’s only going to last a few hours?” I wrote. “I’m just so tired of this. I don’t know how to keep dealing with it.”

Every day, more people will hit that wall — and every day, more people will find their way past it. They will feel alone, but they won’t be.

Sarah Maslin Nir contributed reporting.