What to do if you think you have the Coronavirus, a guide for patients

2,505 Views | 12 Replies | Last: 5 yr ago by BreNayPop
Kool
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AG
CDC and Emory ED Check your risk for Covid-19

The ED at Emory University, in conjunction with the Infectious Disease Department and the CDC, developed this nice site that patients calling your office can link to to see how likely they are to have Coronavirus and what their next steps should be. I think it's a great idea. It should help physicians' offices when they are being inundated with patients with questions that the front desk staff doesn't feel they should be answering. Depending on your risk and severity of symptoms, it gives the patient "next actions" and contact numbers based on their zip code. Hopefully some of you/us can use this on your office websites to help in this time of crisis, particularly those of you/us operating with a reduced office staff. Also, it makes your office's recommendations directly in line with CDC recommendations.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
LondonAg89
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Outstanding!
AgResearch
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Hope they're not tracking much data from that since I dummy tested a few scenarios.
Mr President Elect
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I only have a cough and thought it would tell me not to worry. Said my symptoms were consistent with Covid.
Bill Bigfoot
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If you choose any of the first three "cough, fever, or shortness of breath" it says you are positive. Even with "none" selected on everything else.

I don't think this is very useful.
Kool
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By design, the app has to default towards letting people know that their symptoms are consistent with Coronavirus and that they should take precautions and assume that they are infected. The benefit of it comes more in gauging the urgency of the situation and the next steps to take. JMO
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
BCO07
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willjohnathan said:

I only have a cough and thought it would tell me not to worry. Said my symptoms were consistent with Covid.
Depending on your age/comorbidities that may be the only symptom you have. The major benefit of this site will be helping people to decide when to seek a higher level of care and keeping people from getting others sick.
KidDoc
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Nice thanks for sharing!
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
RVAg02
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I'm having trouble differentiating between shortness of breath and just anxiety from all this.

My "shortness of breath" definitely comes when I'm reading about all this Corona stuff, and then goes away when I'm doing other things.
BreNayPop
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I realize this checker is specifically designed for the 18+ age group...

Anecdotally, we've had 2 Ped pneumonias that has presented as dry cough and Intermittent fever that didn't have SOB until late- normal crap is still out there and dangerous but treatable and important to catch in time. And the listed symptom checker makes it concerning that they would tell an 18 year old with CAP to stay at home until SOB develops because he is low risk. Just fuel for the fire and things for others to consider as well. Shoot- in one kid we even sent them for swabs and had positive flu B- and those symptoms fall in line with regular flu- telemedicine makes lack of exam difficult to catch the normal bad crap. Short of swabs and cxr on everybody- what are the rest of y'all doing?
FDXAg
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If it helps, I'm the same way. I think it's just anxiety. When mine comes, it feels like I can't inhale deeply enough. But when I work on staying calm or I get distracted with other things, it goes away.

But the more I think about the coronavirus stuff, or the more I focus and worry on the shortness of breath, it'll get worse....

AggieBaseball06
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FDXAg said:

If it helps, I'm the same way. I think it's just anxiety. When mine comes, it feels like I can't inhale deeply enough. But when I work on staying calm or I get distracted with other things, it goes away.

But the more I think about the coronavirus stuff, or the more I focus and worry on the shortness of breath, it'll get worse....




I've dealt with that feeling my whole life because of having bad anxiety and I assure you it's 100% in your mind. You don't have actual shortness of breath.
KidDoc
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BreNayPop said:

I realize this checker is specifically designed for the 18+ age group...

Anecdotally, we've had 2 Ped pneumonias that has presented as dry cough and Intermittent fever that didn't have SOB until late- normal crap is still out there and dangerous but treatable and important to catch in time. And the listed symptom checker makes it concerning that they would tell an 18 year old with CAP to stay at home until SOB develops because he is low risk. Just fuel for the fire and things for others to consider as well. Shoot- in one kid we even sent them for swabs and had positive flu B- and those symptoms fall in line with regular flu- telemedicine makes lack of exam difficult to catch the normal bad crap. Short of swabs and cxr on everybody- what are the rest of y'all doing?
So what my group is doing (100+ providers in multiple clinics multispecialty) is we made one clinic the respiratory clinic. We phone triage and if we think the pediatric patient needs an exam for AOM, pneumonia, flu, etc then they are transferred to that clinic and they set up an appointment. That clinic has all of our PPE and COVID testing kits in addition to normal diagnostic tests. I am currently seeing nobody with cough or fever they are all being funneled to one express clinic.

Non-sick patients are very happy with it, cough & fever patients who think their kid only has an ear infection are not happy about it because they think they are exposing their child to risk. The Respiratory clinic has no wait room, no wait time, and every patient is masked prior to entering the building, and each room is sterilized with bleach after each visit.


No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
BreNayPop
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Thanks for the reply. Rural med is going to get hairy in New Mexico and I assume the smaller towns of most of the country as well.


My office is a 3 person group, and 3 total Peds clinics having 7 providers -only 4 docs- in the area (all independent but working to stay on the same page here), we are all stressed by this issue- we had another clinic but the 82 year old running it Understandably closed his doors until this blows over. Have enough PPE for maybe 10 exams per clinic and only option would be to ER dump ( and only 2 ERs located in the county separated by 30 miles), and so we are trying our best to figure it out as we go and catch what we need to an not have everything go to the ER.

If we think we need testing (strep/flu/ cxr), we are holding an order with mask and having them get it placed on their car windshield with them still inside and instructions to place the mask on their kid and use one of the 2 hospital labs (Tricore isn't doing any swabs as they don't have any PPE). State just mandated all providers notify the public health office of what PPE we do have in case the hospitals need more. Our entire county only has 50 or so swabs (70,000 plus people) and this far have found one case- a fatality that presented late and died 12 hours later... and denied fever/cough/sob to the ems who brought him, to ER check in staff, and to ED providers who saw him... creating an exposure to an entire ER staff that really doesn't have loads of replacements. So that scenario is what we are trying to prevent- saving all our resources and localizing them as can be... hunkered down and waiting.

I appreciate everyone sharing what they are doing seeing as how telemedicine and it's "practice" leaves loads to be desired for quality patient care.
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