ROJ-TMC-rl-Body Weakness

ROJ-TMC (ROJoson Telemedical Consultation)

Concern: Body Weakness

20mar24 / 20mar25

20mar24 -

Telemedical consultation -

male ~70, running nose 3 weeks ago with purulent discharge, followed by moderate cough, no fever, no diarrhea, with body weakness, poor appetite. No history of contact with PUI or confirmed COVID.

With the video chat, I was able to assess his external appearance or health. I could sense he was weak. No fever at the moment (since 3 weeks ago). No colds. Occasional dry coughs now. He claimed body weakness and poor appetite have been stable, no increase, no decrease in degrees during the past 2 weeks. He is on maintenance meds for hypertension and diabetes mellitus. My primary clinical diagnosis: systemic viral infection (nonspecific). My recommendations: continue to rest at home (both physical and mental wise); force himself to eat more with the goal of maintaining adequate nutrition to boost resistance; drink plenty of fluid for adequate hydration; stress management; continue to be productive (computering and vibering) but controlled; and to do a little structured exercise which is lacking at this point (advised to do a little intentional stretching and flexing exercises 5 to 10 minutes 3x a day. No medicines prescribed at the moment (he just has to continue his maintenance meds for hypertension and diabetes). He can stay home but has to do self-monitoring and observation. He and his wife will update me tomorrow.

March 25, 2020

Follow-up

You look better today externally from my medical point of view. Continue to build your resistance. Add something today - a project - Project Help Rey Joson Health Educational Advocacy - come out with a design and development plan good for one year. Focus on xxxxxxxxxxx. you can extend it to your xxxxxx classmates. Show me the plan - complete with situational analysis with triggers (what initiated this), goals and objectives, key performance indicators, implementation plans, monitoring and evaluation plans. OK?

your main concern up to now are the dry cough and still with body weakness. Let's use ROJoson Way of boosting immune resistance to overcome these two concerns. You are free to take robitussin and other home remedies you wish. I don't mind.

March 27, 2020

Follow-up - looks stable on the outside - still with body weakness and intermittent cough - stable no progression - still with poor appetite but forced eating (good), drinking a lot of fluid, can do gardening about 3x a day (intermittent)

Advised him to continue to boost his immune system (add exercise and productive work that distract his mind from his illness)

Told him most likely NOT COVID-19 as symptoms have been there for 3 weeks although cannot entirely rule it out - just to continue monitor. No need for the moment to go the hospital. No need for COVID-19 testing.

Most likely, a prolonged systemic non-COVID-19 viral infection. Hope and pray for the best.