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... in a not-so-tiny nation called Spain, a nursing home had a nasty virus get into it.

It was March of 2020. The nasty virus was called Covid-19. And this nursing home, like so many others all over the world, was full of elderly, morbid people. The mean age of residents was 85 and 48% were over 80 years old. It was a killing field, like so many others.....

Within three months 100% of the residents had caught the virus. Not presumed to have -- proved to have.

How do we know this? Because almost every one of them seroconverted. All but three out of 84 of them, to be precise.

Think about that last sentence for a second.

1. Early start of treatment, regardless of the severity of patient symptoms.
- Antihistamines every 12 h: dexchlorpheniramine 2 mg, cetirizine 10 mg or loratadine 10 mg.
- Azithromycin 500 mg orally every 24 h for 3 days if there is rapid improvement, and for 6 days if the duration of symptoms is prolonged.
- If pain or fever, acetaminophen 650 mg/6–8 h.
- Nasal washing and gargling with sodium bicarbonate water (half a glass of warm water with half a teaspoon of sodium bicarbonate).
2. Patients with mild or recent-onset symptoms (cough, fever, general malaise, anosmia, polymyalgia):
- Antihistamines + Azithromycin (see mild treatment management)
- Levofloxacin 500 mg/12 h, up to 14 days of antibiotic treatment from diagnosis.
- Mepifilin solution, 50 mg/8 h as a bronchodilator, until subjective improvement. Patients with previous lung disease (asthma or COPD) used their usual bronchodilators.
- If the patient experienced increased breathing difficulty, prednisone 1 mg/kg/day divided into two doses until clinical improvement, and then it was slowly tapered down.
3. If symptoms of severity (dyspnea, breathing difficulty, mild or moderate chest pain, with SpO2 >80%, heart rate <100 beats per minute at any time of the process):
4. Prophylactic treatment for close contacts, including all asymptomatic residents:
- Antihistamines at the same dose as symptomatic patients.