EXTENDED CoVID-19 Protocol: Sublingual Laser
Case Report #1
Clinical details
Onset of Symptoms: September 3, 2020
Diagnosis: CoVID-19 positive by RT-PCR September 10, 2020
Treatment Approach: Unable to administer standard Medlouxx PPR protocol as the treatment window had expired. Medlouxx Sub-Lingual Laser used at day 12 after onset of symptoms.
Symptom Progression:
September 3 - Mild sore throat (3/10 severity), low grade fever 99.5F
September 6 - patient report: “I began to feel extremely congested (10/10 severity) to the extent that my nostrils felt like they had been sealed shut and my airways felt clogged with mucus. My throat pain increased to 8/10”.
September 7-9 - Persistent dry cough, myalgia, temperature 101.5F
September 10 - CoVID-19 confirmed by RT-PCR positive test. Prescribed Azithromycin 500mg once daily for 3 days, dexamethase 4mg one tablet twice daily for 3 days, zinc supplements 1 tablet once daily for 5 days and acetaminophen 1000mg tablets twice daily.
September 11 - Headache, congestion, joint pain (4/10 severity), coughing increased in severity and frequency causing pain to chest and back. Lightheaded, dizziness, loss of appetite, drowsiness. Temperature 98.1F
September 12/13 - Temp 97.8F. Symptoms as day before plus additional symptoms: “confusion, throat pain now 7/10, discomfort on breathing and extreme dry cough. Only 3 hours sleep at night due to cough and breathing discomfort”
September 14 - Telemedicine advice from physiotherapist regarding exercises to dislodge mucus. Experienced “A feeling of shortness of breath as though my lungs are not filing up to 100%”. Breathing difficulty (10/10 severity). Advised by Ministry of Health doctor who had been checking in regularly by phone, to report to the in-patient CoVID-19 government center for assessment and treatment as she was concerned about the patient’s level of breathing difficulty. However, she was turned away at the gate, most likely related to capacity issues. She reported only having 2 hours sleep that night as very uncomfortable and afraid.
September 15 - Temperature 97.2F. Constant productive cough. Dizziness. Patient reported: “Odd feeling of inflation in the chest cavity and head that felt like a balloon being blown up against my breathing”. Offered home therapy by Dr. Juliette Hepburn with Medlouxx sublingual laser device. Recommended 80mg methylene orally followed by sublingual laser therapy. 40 minutes 405nm (28mJ) followed by 20 minutes 658nm (90mJ). This was commenced at 11:30am. Patient was advised to discontinue acetaminophen if possible so we could determine the true temperature. This was discontinued immediately. Following the methylene blue/sublingual therapy, the patient was able to sleep for several hours and upon awakening at 10pm there was still some chest soreness and still felt slightly weak. However she reported that breathing was significantly more comfortable (4/10 severity) and she could now resist the urge to cough.
September 16 - Temperature 97.2F. Slight dizziness. Breathing more comfortable than night before (2/10 severity). Repeated sublingual therapy as above at 12:30pm and 8:20pm. By that evening patient reported: “Breathing is basically normal but still slightly lightheaded. Had a full night’s rest”.
September 17 - Temperature 97.2F. Still slightly lightheaded but no coughing and effortless breathing. Two sublingual treatments carried out as before. By 8.49 Temperature 97.8F, no coughing, breathing effortlessly (0/10 severity) and dizziness had settled completely.