COVID-19 INFORMATION AND POLICY UPDATE

RVAchironeuro • March 16, 2020

  3.16.2020

  As a health-care provider, it is important to keep our office open and our services available to you. We will still be seeing patients and we have initiated protocols to ensure that all surfaces are disinfected. Right now, there are no vaccines or other anti-viral medications that are known to be effective against COVID-19, thus only supportive care is available. At this point, your best defense is your own health, and this is where the supportive care we offer can be helpful and may often be critical. A list of supportive care supplements and actions you can take will follow below.

STOP and THINK BEFORE COMING IN TO SEE US

We also need your help to make sure we can continue to be here to serve your supportive health care needs. To that end, we ask anyone wanting to come to our office to stay home if they’re not feeling well and/or have had any contact with any ill/sick people. There are a lot of respiratory viruses out there, and just because you have symptoms does not necessarily mean that you have COVID-19, and these include the flu, rhinoviruses and other corona viruses. However, you should be aware what the symptoms of COVID-19 are and if these appear, you need to contact your primary care physician or nearest Emergency Department:

·       Any sign of respiratory illness, any trouble breathing

·       Coughing (usually dry or non-productive)

·       Sneezing

·       Fever (usually greater than 100.4 F but can be less)

·       Shortness of breath

WHY the QUARANTINE?

The U.S. health care system is not adequately prepared to handle an additional stressor to public health. In a recent  interview , infectious disease expert Dr. Michael Osterholm describes the health care system as “stretched thinner now than ever” with no “excess capacity,” especially given concerns with current levels of public health funding. The current government strategy is as follows: Essentially, the rationale is that effective quarantine can reduce the rate of disease spread even if the total number of cases over time remains the same, which would help prevent the health care system from being overloaded.

Just like you, we have families we care about and want to keep safe. When something like the coronavirus hits the news, it can make us worry about everyday decisions. One of the most important things we can do is continue with our normal lives, doing the things we enjoy and need to stay healthy, while taking reasonable precautions. Living our lives keeps us healthy and happy and teaches our kids good behaviors. Here are some tips to help you and your family feel safe and ready to face the world.

In General

Wash, wash, wash your hands . Did you know soap and water are more effective than hand sanitizer (and apparently easier to find right now)? To really get rid of any germs, wash for at least 20 seconds – which just happens to be how long it takes to hum Row-Row-Row Your Boat three times.

Be sneeze- and cough-courteous . Coughing or sneezing into the inner crook of your arm catches the droplets that would otherwise end up in the air or on the surfaces around you. The COVID-19 virus is transmitted through droplets, not through breathing, so this is important.

Save the mask for Halloween . The benefit of a mask is that it controls the outbound expression of germs when someone coughs or sneezes. If you’re healthy, a mask won’t be very effective in preventing the spread of germs. If you’re sick and need to be out in the world, a mask can help protect those around you from the germs you send out when you cough or sneeze.

Don’t touch your face ! The easiest way to get sick (with any kind of virus) is to introduce germs from your hands to mucus membranes – like your eyes, nose and mouth.

Netflix and chill . If you’re not feeling well (whether it’s coronavirus or an old-school cold) please stay home, cuddle with your dog and catch up on your favorite show.

Out in the World

Wipe it out . Many of us do this anyway, but grab one of those wet wipes at the grocery store entrance to clean the cart (buggy for you southerners) handle.

Declutter!  A clean desk or counter makes it easier to run a cleaning cloth across.

Personal space.  Keep at least 6 feet between you and someone who is sneezing or coughing.

Sharing = caring? Not right now!  We’re usually all about sharing, but for now the kindest thing you can do is avoid sharing food, drinks, even lotion or sanitizers – and the germs that ride with them.

Breathe in, breathe out.  Ventilation is a good thing. Weather and location permitting, crack a window.

Taking Care of Yourself

Be on your best behavior.  Keep yourself in good shape by getting plenty of sleep, being physically active, drinking lots of water and eating nutritious foods. A stressed body is a weak body, so manage your stress through exercise, meditation or conversation with a trusted friend. Caring for yourself is the best thing you can do for your overall health.

Websites

For additional trusted resources about the coronavirus, we recommend these websites. We will monitor and update the list as the situation evolves.

 

 

SELF-CARE SUPPORTIVE STRATEGIES (for the next several months only)

Vitamin C 500 mg. three times a day

Vitamin D: 4000 i.u. per day for adult sized individuals/2000 iu for adolescents/ 1000 iu per day toddlers.

NAC: 600 mg. three times a day

Oil of Oregano: one capsule three times a day, or liquid oil of oregano 5 drops per day, with food.

Selenium: 200 mcg. per day (mcg is micrograms)

Zinc: 30 to 50 mg. per day (zinc lozenges may work better..Cold Eeze is one brand)

Immunopad: 1 capsule 3 x per day. (contains Andrographis and other herbs for immune support)

Reishi mushrooms: 1 capsule three times a day

Quercitin: 250 mg. at 4 per day

 

Other helpful hints:

1) NO HANDSHAKING! Use a fist bump, slight bow, elbow bump, etc.

2) Use ONLY your knuckle to touch light switches. elevator buttons, etc.: lift the gasoline dispenser with a paper towel or use a disposable glove.

3) Open doors with your closed fist or hip – do not grasp the handle with your hand, unless there is no other way to open the door. Especially important on bathroom and post office/commercial doors.

4) Use disinfectant wipes at the stores when they are available, including wiping the handle and child seat in grocery carts.

5) If possible, cough or sneeze into a disposable tissue and discard. Use your elbow only if you have no other choice. The clothing on your elbow will contain infectious virus that can be passed on for up to a week or more!

Note: This virus is spread in large droplets by coughing and sneezing. This means that the air will not infect you! BUT all the surfaces where these droplets land are infectious for about a week on average – everything that is associated with infected people will be contaminated and potentially infectious. The virus is on surfaces and you will not be infected unless your unprotected face is directly coughed or sneezed upon.

If you are seeing Dr. Smith only for nutritional needs,  then you can certainly schedule a phone consultation/appointment at 804-897-9194.

By Mark Smith January 5, 2026
Health News Update: Happy New Year 2026! 1.5.26 Hey there everyone: Here is some news you can use to help you age optimally. I have written before about circadian rhythms and meal timing where it has been shown that eTRF (early time restricted feeding) has many benefits. But what happens as we age and shift our mealtimes away from our natural circadian clocks? Here are some snippets from this paper: “Chrononutrition, the study of the timing of eating, has emerged as a modifiable risk factor for adverse health outcomes The role of eating schedules is biologically relevant as dietary intake acts as an environmental cue influencing the circadian clocks of peripheral metabolic tissues and therefore can contribute to circadian misalignment and internal desynchrony 2 , 10 . The emerging evidence largely suggests that later mealtimes, particularly eating during the biological evening, is detrimental to health, Physical and psychological illnesses, including fatigue, oral health problems, depression, anxiety, and multimorbidity, are primarily associated with later breakfast. Later breakfast timing is also associated with increased mortality Importantly, eating breakfast later with aging was linked to a higher risk of death” https://www.nature.com/articles/s43856-025-01035-x meal timing important for health Bottom Line: While this paper focuses on the elderly, it is certainly applicable to all of us. I have seen significant health benefits when people adopt eTRF patters…from better digestion to weight loss, to better sleep, to more energy! Here are two links to my earlier blogs for the info on when to eat for optimal health: https://www.richmondchironeuro.com/health-news-update-when-you-eat-is-critical-to-long-term-health https://www.richmondchironeuro.com/health-news-update-when-we-eat-is-as-critical-as-what-we-eat
By Mark Smith December 29, 2025
Health News Update: Health is Your Most Valuable Asset 12.29.2025 Hello again everyone: This blog is a follow up to last week’s Christmas wishes, because it is my sincere wish for each of you that you fully embrace a healthy lifestyle for 2026 and beyond. Health is built on many components, and if you were to choose just one to get started, it would be to seriously upgrade your food choices, which specifically means a whole food, unprocessed or minimally processed (home cooking), plant-based food plan. Why? As you have heard me say, over and over, that inflammation will cause, perpetuate, and/or aggravate ALL chronic conditions and diseases plus it makes us susceptible to acute illness such as infections (flu, mono, Covid, etc.). As noted in the Journal of the American Medical Association (1), the Standard American Diet (SAD) is the leading cause of death and disability in our country and many others. It used to be that the leading causes of death were Communicable Diseases, i.e., infections. Today, the leading causes of death are Non-Communicable Diseases (NCD’s) such as heart disease, cancer, high blood pressure, stroke, diabetes, dementia…these chronic degenerative diseases are responsible for over 70% of all deaths worldwide. (2) Additionally, while we are living longer, we are living sicker. This means that our healthspan is about 10 to 15 years shorter than our lifespan…this is a deplorable condition that I have seen so many suffer through with progressive disability, suffering, and an early and unpleasant death spiral. At this moment, about 40% of us have multiple chronic health conditions while nearly 60% are burdened with at least one chronic health diagnosis…and this situation has only been forecasted to worsen significantly. (3,4) The tragedy is that this situation is largely preventable. You already know that food is the leading cause of death and disability…so what foods are they talking about? The researchers are talking about the Standard American Diet, also known as SAD…which is unfortunately a very fitting abbreviation. The SAD is notable for a high consumption of processed and ultra-processed foods, added sugars, saturated fats, refined carbohydrates, processed meats, red meat, additives, colorings, flavor enhancers, sugary drinks, higher pesticide and chemical burdens, and refined grains…and lacking in clean sources of vegetables, fruits, whole grains, nuts, seeds, legumes, and leaner protein sources. (5) The SAD diet is notable for high energy density and low nutrient density...a recipe for illness. All cellular processed require nutrition, not just calories. No single food has all of the nutrients, vitamins, minerals, phytonutrients, fiber, protein, fat, and carbohydrates that we need to thrive and remain robust and resilient. Consuming a diet that results in insufficiency, deficiency, or an excess of nutrients will eventually lead to some type of illness, disease, or condition as well as predispose you to becoming chronically inflamed, ill, or just sick. The SAD diet has been linked to many chronic diseases primarily because it leads to uncontrolled, chronic, background inflammation that drives health degeneration. Current research states that on average both children and adults consume 60% of their daily caloric intake from ultra-processed foods and only 10% of us meet the daily requirements for recommended fruit and vegetable intake (5, 6, 7) and 73% of our food supply is ultra-processed. Additionally, many studies have revealed that this type of ‘food’ is directly linked to many diseases and conditions and has been categorized as a high inflammatory potential diet. (8) An inflammatory dietary pattern will cause, perpetuate, and/or aggravate all of the leading causes of death and disability…or as some research puts it, “The chronic inflammatory state significantly contributes to the development and progression of many noncommunicable disease processes, including cancer, cardiovascular disease, and neurocognitive decline.” (13) On the flip side, a diet that consists of minimally processed, whole food, plant-based sources of nutrient dense, low inflammatory potential, and calorically appropriate foods is associated with fewer diseases, better health, less disability and an overall higher quality of life. It even helps when you are already not feeling well. (9,10,11,12,13,14) In my practice and clinical experience, without an optimal food plan, no amount of adjustments, vitamins, herbs, exercise, or stress reduction will work nearly as well as they should, if at all. Additionally, you should know that if you would like to experience healthy aging, an anti-inflammatory food upgrade is essential…and this includes both physically and cognitively. By now, I hope you are at least curious about consuming an anti-inflammatory, unprocessed, clean, whole food plant-based dietary lifestyle. This is not a sprint…we are all in it for the long haul and slow and steady (consistency) wins the race. Invest in yourself by taking classes in how to create your optimal food plan. I have recently taken several courses and gotten a lot out of them and upgraded our foods even more. (15,16,17,18,19) Undoubtably there are more classes out there…let me know what you find! Remember, you can start slowly and gradually work your way into this upgrade/shift. For example, in week one, you can start with 2 or 3 plant based lunches and next week add a breakfast, and so on. You can reduce your animal foods gradually at a pace you can be comfortable with. Just start…go plant-based and see what happens…you have nothing to lose (except some unwanted pounds and inflammation) and everything to gain. Part of being a good steward and tending your Temple is realizing that food is an essential part of our worship. We would never put diesel into our gas tank, nor should we put ultra-processed ‘food like things’ into our Temple. Now that you know this, what will you choose to do? So, this is my New Years wish for you and yours: freedom from disability, illness, and disease, a massive recovery if you need it, and the feeling of vibrant health always. Thank you for your time and attention…all the best for 2026! References: 1. https://jamanetwork.com/journals/jama/fullarticle/2678018 (see Figure 2) 2. https://pmc.ncbi.nlm.nih.gov/articles/PMC10830426/ 3. https://chronicdisease.org/wp-content/uploads/2022/04/FS_ChronicDiseaseCommentary2022FINAL.pdf 4. https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.1082183/full 5. https://www.medicalnewstoday.com/articles/western-diet 6. https://foodtank.com/news/2022/11/database-indicates-u-s-food-supply-is-73-percent-ultra-processed/ 7. https://www.medicalnewstoday.com/articles/overall-diet-quality-may-be-more-important-than-how-much-ultra-processed-foods-you-eat#Why-ultra-processed-foods-are-unhealthy 8. https://www.medicalnewstoday.com/articles/overall-diet-quality-may-be-more-important-than-how-much-ultra-processed-foods-you-eat#How-to-have-a-more-healthy-diet 9. https://health.unl.edu/health-benefits-anti-inflammatory-diet-10-foods-eat-and-6-avoid/ 10. https://www.hopkinsmedicine.org/health/wellness-and-prevention/anti-inflammatory-diet 11. https://www.henryford.com/blog/2020/07/health-benefits-antiinflammatory-diet 12. https://www.health.harvard.edu/staying-healthy/quick-start-guide-to-an-antiinflammation-diet 13. https://www.ncbi.nlm.nih.gov/books/NBK597377/ 14. https://pmc.ncbi.nlm.nih.gov/articles/PMC8389628/ 15. https://simplyplantbasedkitchen.com/ 16. https://thriving.foodrevolution.org/join/?frn_source=blog&frn_medium=link&frn_campaign=ppt&frn_content=menu 17. https://hellonutritarian.com/nutritarian-power-prep-program/ 18. https://cookingcourse.forksoverknives.com/ 19. https://www.drfuhrman.com/blog/210/beginners-guide
By Mark Smith December 22, 2025
Health News Update: Tending Your Temple 12.22.25 Hello everyone, and Merry Christmas to you! Health Update: Predictable Crisis Hello everyone: As we celebrate this Holy time and the start of a new year, I want to just speak to you heart to heart. Most of us know that our physical body has been deemed to be the Temple for us to experience this worldly life. Additionally, we are meant to be stewards and caretakers of this awesomely wrought and magnificent Temple. While this may mean different things to each of us, most of us agree that taking care of the Temple involves a health promoting lifestyle. From interviewing thousands of patients, I have seen that deep within each of us there is a feeling or a knowingness of how well we are tending our Temple. And what emerges from these discussions is that most of us have never been taught or shown or educated on the concept of the need to be good stewards and how to do that. For me as a healthcare practitioner, science allows me to peer into God’s creation and be filled with awe and wonder. And yet as great as science has gotten at treating the leading causes of death and disability, it seems to have forgotten that recovery depends upon our innate healing abilities which in turn depends upon our food choices. Chronic unhealthy food choices really do affect your quality of life as well as what diseases or disabilities you may get, along with your ability to recover from them or to even prevent them. On top of that, science now recognizes how food choices have shifted over time and how this is leading to environmental destruction and contributing to climate change. The old saying “Let Food Be Thy Medicine” now applies to each of us as well as the planet. We Have Created a Predictable Crisis Nowhere can this be as easily seen as with the mismatch we are creating between what our body needs and what we are feeding it. Poor food choices, lack of physical activity, and stress drive the leading causes of death and disability. These facts are undeniable, and science has verified this many times over. What do we think will happen when we put diesel fuel into the gas tank? What are we thinking when we put drive-through into a Holy Temple? Each of us can do better and we all should try every day. Poor nutrition is now known to be the leading cause of death and chronic illness…and thus massive and needless suffering. Today, 8 out of 10 of the causes of death and disability are chronic inflammatory degenerative illnesses that are caused, perpetuated, aggravated, and sustained by food choices. Our societies current reactive approach to health care, without improving the underlying health of the patient, is expensive and has led us to the era of predictable yet unnecessary chronic illness, death, and disability. I am truly fortunate to have witnessed people recover their health through simple dietary upgrades. These people were patient, committed, and took one small step at a time until they had transformed their health, their kitchen, and in many cases, they assisted in the transformation of their entire family to better health and wellbeing. This transformation is available to you, too. If you have a chronic health condition, or want to avoid one, you have nothing to lose and everything to gain by going predominantly plant based. Go into this upgrade with a 100% commitment for 6 months and see how it goes. Don’t you owe it to yourself to live a life congruent with your true nature? Shouldn’t we have the self-respect to make the best choices as to how we tend our Temple? Simply by making your food choices compatible with your nature, it is possible for you to massively improve your health and simultaneously feel better about your stewardship of the Temple and the planet that sustains it. Consider for a moment, how good it will feel to live in alignment with your true Nature. If you can imagine that, then you can achieve it! All of us here at Richmond Chiropractic Neurology wish everyone a healthy, safe, happy, and loving Holy Day and Blessed New Year!
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