Negative test but only 4 days after exposure...

7,148 Views | 38 Replies | Last: 5 yr ago by HowdyTexasAggies
Aggie
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Is 2 week self quarantine necessary?

KidDoc
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Not generally. The current guidelines suggest testing 3-5 days post exposure and if negative you should be good. This is assuming it is a accurate PCR nasopharyngeal swap with a low false negative rate.

The 14 day post exposure quarantine was started before widespread testing was available. Now that it is possible to get tested you should be able to mostly trust that result.
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Aggie
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That's what I though .. thanks

AggieFactor
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My doc recommended another test to me at least 48 hrs the last one. My latest exposure was last Monday. Scheduled a Friday and Monday test, both came back negative and I was back at work, 8 days after my last known exposure.
lazuras_dc
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KidDoc, not that I don't agree with that protocol but do you have a reference for that ? I'm trying to nail down protocol for my office in the event of a 1st or 2nd party exposure.
AggieKO
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Ring dunk is Saturday and have been on a trip with someone who was at a little kids birthday party last Saturday. We get back tomorrow. Any way to be tested and have results before Saturday?
BowSowy
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Did anyone at that party test positive? How soon after they were at that party did you travel with them? Have they shown any symptoms?

If no one at the party tested positive, I wouldn't be concerned about it, if I was you. But to answer your question, I think you should google for rapid testing sites near you.
AggieKO
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The only 2 people he knows there tested negative and he feels fine. Was just wanting to take precaution for everyone else going to the dunk.
KidDoc
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lazuras_dc said:

KidDoc, not that I don't agree with that protocol but do you have a reference for that ? I'm trying to nail down protocol for my office in the event of a 1st or 2nd party exposure.
Plenty of guidance from the good ole CDC: https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-in-home-patients.html
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Complete Idiot
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My wife ate a restaurant Monday night and today got notified by the restaurant that two workers tested positive. So she scheduled a test like two hours ago and is getting it now, it's less than 72 hours since eating there and I was thinking it was too fast to get a test but apparently not per the doctor she spoke to. Low likelihood she got it but she is around at risk people and needs to know for peace of mind. More importantly than the illness I want to know how the brain scraping felt.
HowdyTexasAggies
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KidDoc said:

Not generally. The current guidelines suggest testing 3-5 days post exposure and if negative you should be good. This is assuming it is a accurate PCR nasopharyngeal swap with a low false negative rate.

The 14 day post exposure quarantine was started before widespread testing was available. Now that it is possible to get tested you should be able to mostly trust that result.

That's great news if the 14 day number is going away.
KidDoc
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Complete Idiot said:

My wife ate a restaurant Monday night and today got notified by the restaurant that two workers tested positive. So she scheduled a test like two hours ago and is getting it now, it's less than 72 hours since eating there and I was thinking it was too fast to get a test but apparently not per the doctor she spoke to. Low likelihood she got it but she is around at risk people and needs to know for peace of mind. More importantly than the illness I want to know how the brain scraping felt.
That is a bit early but still in the 3-5 day post exposure window. The only risk of early testing is a false negative.
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eric76
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Aggie said:

Is 2 week self quarantine necessary?
My symptom showed up on the 13th day after exposure.
lazuras_dc
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eric76 said:

Aggie said:

Is 2 week self quarantine necessary?
My symptom showed up on the 13th day after exposure.


Curious if you had tested at day 3-5 if it would shown up though
KidDoc
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lazuras_dc said:

eric76 said:

Aggie said:

Is 2 week self quarantine necessary?
My symptom showed up on the 13th day after exposure.


Curious if you had tested at day 3-5 if it would shown up though
The current data says yes, assuming it was a nasopharyngeal PCR which seems to have the lowest false negative.
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Complete Idiot
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KidDoc said:

Complete Idiot said:

My wife ate a restaurant Monday night and today got notified by the restaurant that two workers tested positive. So she scheduled a test like two hours ago and is getting it now, it's less than 72 hours since eating there and I was thinking it was too fast to get a test but apparently not per the doctor she spoke to. Low likelihood she got it but she is around at risk people and needs to know for peace of mind. More importantly than the illness I want to know how the brain scraping felt.
That is a bit early but still in the 3-5 day post exposure window. The only risk of early testing is a false negative.


She was tested around 68 hours after eating at the restaurant so not quite even 3 days. So it may have been a bit early. She tested Thursday at 3pm or so and they said 3-7 days for results, she got a negative result this morning so just a day and a half for her test result.
AgsMyDude
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Doc, just found out a Mom from one of the kids at daycare had her test taken Thursday and came back positive. Worth seeking out a test now?
KidDoc
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AgsMyDude said:

Doc, just found out a Mom from one of the kids at daycare had her test taken Thursday and came back positive. Worth seeking out a test now?
Your child would be a tertiary contact. For some reason it seems like children do not spread COVID well. If your child started to show symptoms I would get the child tested but the odds of it passing from the + mother to her child is high-- but child to child seems to be rare based on current data.

Nobody knows why.

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AgsMyDude
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KidDoc said:

AgsMyDude said:

Doc, just found out a Mom from one of the kids at daycare had her test taken Thursday and came back positive. Worth seeking out a test now?
Your child would be a tertiary contact. For some reason it seems like children do not spread COVID well. If your child started to show symptoms I would get the child tested but the odds of it passing from the + mother to her child is high-- but child to child seems to be rare based on current data.

Nobody knows why.




Thanks! What about from child to adult? I guess my worry is Mother - > child - > day care provider (just 1 person) -> our child.

Provider has been very proactive. Doorstep drop-off, kids must chance shoes before entering, etc.
KidDoc
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AgsMyDude said:

KidDoc said:

AgsMyDude said:

Doc, just found out a Mom from one of the kids at daycare had her test taken Thursday and came back positive. Worth seeking out a test now?
Your child would be a tertiary contact. For some reason it seems like children do not spread COVID well. If your child started to show symptoms I would get the child tested but the odds of it passing from the + mother to her child is high-- but child to child seems to be rare based on current data.

Nobody knows why.




Thanks! What about from child to adult? I guess my worry is Mother - > child - > day care provider (just 1 person) -> our child.

Provider has been very proactive. Doorstep drop-off, kids must chance shoes before entering, etc.
Yeah even child to adult appears to be rare. That is based on current data and may prove to not be true with time. The lack of child to child spread and child to parent spread is a very confusing aspect of this virus that is not consistent with most respiratory pathogens.

Now parent to child is well documented and appears to be common.
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CowtownAg06
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Sorry if you've addressed this but given that, do you think schools should start back as normal?
AgsMyDude
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Wow that's very interesting! Thanks for the information. Reassuring but won't let our guard down. Obviously kid isn't allowed back for at least 14 days so we'll see.
KidDoc
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CowtownAg06 said:

Sorry if you've addressed this but given that, do you think schools should start back as normal?
Above my pay grade. The risk for the students overall is low if they are healthy. The risk to staff can be a significant problem. Plus the liability of a system that forces kids to attend then can expose them to a potentially lethal virus. THe first kid that dies from it due to mandatory school is going to be an ugly law suit.
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discobrob
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My wife had close contact one of her friends last Monday. Outdoors, but still together for several hours. The other person felt ill Wednesday and received a positive test result today. It's been 8 days since my wife's last exposure, but should my whole family test and quarantine until we know the results? We are showing zero symptoms.
KidDoc
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discobrob said:

My wife had close contact one of her friends last Monday. Outdoors, but still together for several hours. The other person felt ill Wednesday and received a positive test result today. It's been 8 days since my wife's last exposure, but should my whole family test and quarantine until we know the results? We are showing zero symptoms.
Yes she needs to get tested and self isolate until the result is back. The rest of the family can take reasonable precautions but does not need to self isolate at this time.

This spreads slowly-- so day 1 was exposure- if your wife caught it from her friend she just started to become contagious on day 6-8 (~ 5 days post exposure). So if she is + and has spread it to the rest of the family they will not become contagious until day 11-13. Hopefully she will get her negative test result prior to that.

Now if your wife tests + then the entire family needs testing and self isolation.


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discobrob
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the soonest she can get a test is Friday. Is that even worth scheduling? If she shows no symptoms by then she's in the clear, right?
thirdcoast
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I don't trust PCR swab tests. No telling where those swabs go and it's very likely the lab capacity (Houston) may not meet the huge spike in demand.

I just had classic COVID symptoms for a week, after being exposed to known positive family member. I got swabbed on day 2 of fever. Just got results back and it was negative. I am going to get antibody blood test next week to prove if false negative. If it is indeed a false neg, then it will still show as a legit result in data even though it's not....who knows how many others there are like that.

On another note, the nurses at these urgent cares are morons. I asked if the test was a rapid antigen or PCR test and they didn't even know the difference. I have no confidence in the competency of these shops. No excuse for not knowing what is going on in June.


lunchbox
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discobrob said:

the soonest she can get a test is Friday. Is that even worth scheduling? If she shows no symptoms by then she's in the clear, right?
That's only day 11 so I would make the appt just in case she does start showing symptoms.

ETA - I'm not a doc.
discobrob
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Found a place to get tested tomorrow afternoon.
AgLiving06
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What do y'all consider symptoms worth going to get tested for?

I've had a mild headache today, no fever and a slight cough. No other material symptoms. I had a weird sleep pater

My son(s) are at summer camp and my oldest had a cough for a bit, but no fever, etc.

So odds are it's just a cold, but curious what I should watch for.

For what it's worth, we haven't gone out in a meaningful way in weeks. Just to the grocery store and Church (which is taking very good precautions and we wear a mask when out in public...

edit....my son change the emoji. Meant it to be a question mark.
AgsMyDude
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Nice! How'd you find it?
Petrino1
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AgLiving06 said:

What do y'all consider symptoms worth going to get tested for?

I've had a mild headache today, no fever and a slight cough. No other material symptoms. I had a weird sleep pater

My son(s) are at summer camp and my oldest had a cough for a bit, but no fever, etc.

So odds are it's just a cold, but curious what I should watch for.

For what it's worth, we haven't gone out in a meaningful way in weeks. Just to the grocery store and Church (which is taking very good precautions and we wear a mask when out in public...

edit....my son change the emoji. Meant it to be a question mark.



I would go get tested based on those symptoms. I tested positive and my first day of symptoms I had a very slight cough. The cough went away after the first day but it was enough to make me go get tested.
discobrob
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AgsMyDude said:

Nice! How'd you find it?
A doc friend of mine pointed us to a kids med clinic in town that does adult tests. Had to schedule a video screening, and then from there they schedule a test for you. Getting the video screening was difficult, but we were able to get one at 5pm yesterday. The next test available was today at 4. We'll see how it goes. My wife's friend that tested positive today had her husband test positive last night. So.......
Pelayo
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KidDoc said:

CowtownAg06 said:

Sorry if you've addressed this but given that, do you think schools should start back as normal?
Above my pay grade. The risk for the students overall is low if they are healthy. The risk to staff can be a significant problem. Plus the liability of a system that forces kids to attend then can expose them to a potentially lethal virus. THe first kid that dies from it due to mandatory school is going to be an ugly law suit.
this is where rational leadership at the state and federal level should come into play. They must set reasonable guidelines that can be realistically followed so ISD's etc can continue on without fear of lawsuits.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
discobrob
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NEGATIVE
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