Coronavirus Update

Coronavirus Update
Posted on 10/01/2020

Coronavirus Update 10/1/2020

10/1/2020 update about rapid antigen testing & well vs. sick appointments
9/17/2020 update with information for atheletes returning to sports after COVID
8/10/2020 update regarding status of COVID in Arizona
7/21/2020 update with Advice for Return to School
6/25/2020 update: NS Peds mask requirements for kids over age 2 for all office appointments.

Patient Instructions for Quarantine

coronavirusWhat is Coronavirus?

- COVID-19, is a new strain of Coronavirus. It is in the same family of viruses as SARS and MERS

How is it transmitted?
- Coronavirus is transmitted through droplets spread through cough, sneezing or touch

What are the symptoms and how serious is it?
- Cough, fever, shortness of breath, and/or muscle aches. Some notice significant loss of appetite and/or loss of smell. Symptoms can range from asymptomatic or mild to severe.
- Many people have mild disease, including most children. Most of the serious cases were in older patients and/or patients with complex medical conditions.
- You can find more information on a very rare inflammatory syndrome reported in some children: Multi-System Inflammatory Syndrome in Children

How is it treated?
- Currently there is no specific treatment or vaccine for most patients with Coronavirus. Treatment is supportive care to help relieve symptoms. However, some companies are working on vaccines and treatment, so it may be available in the future.
- There are no drugs or other therapeutics approved by the US Food and Drug Administration to prevent COVID-19 currently. There are some newer drugs showing promise for critically ill patients. Current clinical management includes infection prevention and control measures and supportive care, including supplemental oxygen and mechanical ventilatory support when indicated.

How can it be prevented?
- Best way to prevent is good hand washing with soap and water for at least 20 seconds. If soap/water not available, use hand sanitizer with at least 60% alcohol
- Avoid touching hands to face and eyes.
- If you are sick, stay home. Cough or sneeze into your elbow if you have no mask.
- Avoid close contact with people who are sick.
- Clean surfaces regularly with products labeled effective against bacteria and viruses.
If you are sick it is recommended to wear a mask or face covering over the nose and mouth even at home to prevent spread of droplets that can infect others.

What to do if you are exposed or you think you may have or at risk for Coronavirus?
- If your child has had contact with someone with COVID19 but is currently asymptomatic, stay away from others and monitor for symptoms for 14 days from last exposure.
- If you have any symptoms of illness, please call your doctor for medical advice or schedule an appointment to be evaluated.

- If your child is having any respiratory distress, take them to the ER, and let them know you are at risk for Coronavirus.
- Adolescents over the age of 12 years who have had moderate illness due to COVID (prolonged fevers, bedrest, respiratory symptoms but not requiring hospitalization) are recommended to have a screening EKG prior to return to play of vigorous athletics. Children and adolescents who have had assymptomatic or mild infection should be assymptomatic for minimum 14 days before return to play. Call the office or portal message your pediatrician if you have questions or concerns.

Wear a mask. Save a life.Protecting yourself and the community
- Keep yourself informed and know where to find up to date information (,,
- Know the signs and symptoms of COVID-19 and what to do if you are sick
- Wash your hands, clean surfaces regularly, practice good hygiene control measures
- Masks are now required in many areas of Arizona when you are out and about and unable to practice physical distancing. 
- If you are sick, please stay home!! Refer to the Patient Instructions for Quarantine handout if instructed to self quarantine by your provider.
- Parents and families must continue to make choices they feel is best for their family with regards to return to day care and school.
 The AAP is advising against play dates and outside play on play structures/playgrounds.
- We must all adapt to disruptions in our regular routines (i.e. telecommuting, school closures, event cancellations) and follow advice from our local/state officials.
- Avoid nonessential travel
What is our office is doing to keep your family safe?
- We are keeping well child visits and sick visits separated. We will be seeing well visits in the mornings at both locations and sick visits in the afternoons only. The location of the sick visits will vary by week, so make sure you check the portal closely or confirm with the schedulers where your appointment will be. Saturday sick clinic is still temporarily being held at our Deer Valley office location.
- We ask that children and family members who are bringing their children to their appointment during WELL CLINIC HOURS (includes well check appointments) be healthy and free of any signs of illness including fever (100.4 or greater), cough, congestion, significant fatigue, body aches, or loss of taste or smell. We also ask that you reschedule your appointment if you have had known close exposure/contact to anyone with COVID in the last 14 days. You can call our office anytime and we will be happy to help accomodate a change in appointment date. This is imperative for us to be able to keep our staff and other patients healthy.
- Conversely we ask that you make appointments for things like musculoskeletal injuries, urinary complaints, wart removal, med checks, anxiety/depression consults, infant feeding issues, etc (ie, your child does not have any illness symptoms) during our well clinic hours to keep you and your family healthy. Please call our office if you are having difficulty scheduling.

- We are offering telemedicine appointments when an in-person exam is not required. Please contact our team to schedule.
- Our schedulers will be scheduling any sick appointments with fever or cough to make sure that patients are screened appropriately. Other sick visits can still be scheduled through the portal.
- We are currently seeing children of all ages for their well checks.
- We ask that all families and patients (over age 2 -- to the best of their ability) wear a mask for their appointment. This helps ensure our staff and providers stay safe and healthy as well.
- Our staff and cleaning company are taking extra precautions to make sure both offices are appropriately cleaned.
- We are checking everyone's temperature at the front desk during "well" hours and anyone who has a fever will need to be rescheduled during our "sick" hours.
- Our staff and providers are wearing protective equipment and are monitoring frequently for any signs of infection.

Testing for Coronavirus
- We now have the capability to use in-house rapid antigen testing for COVID as well as send out PCR testing to LabCorp or Sonora Quest. These different test types and their utilization will be based on your child's symptoms and history of illness or exposure.  We are only testing children who are our patients and cannot offer testing of parents.
- If your child has been exposed directly to someone with COVID (close contact is less than 6 feet for at least 15 minutes) but is asymptomatic currently, we recommend quarantining for 14 days to monitor for symptom development.
- We are currently testing patients based on symptoms and history.
* If your child is well with NO symptoms, no testing is currently recommended for Coronavirus. However, if your child has had direct contact with someone who has tested positive for COVID-19, please call our office for further guidance.
* If your child has had fever (100.4 or higher) and/or cold symptoms (including cough or shortness of breath) AND has been exposed to someone who has tested positive for COVID-19, please notify our office as they may meet criteria for testing. Please DO NOT come to the office before notifying us so we can take the proper precautions to keep our patients and staff safe.
- We understand that antibody testing for Coronavirus is very much in the news. While we hope that this will help us identify who has had COVID-19, the tests are still very new and haven’t been thoroughly studied over time to know how accurate the tests are and how we will use these tests to manage our patients. Our current recommendation is until we know more about whether these antibody tests are accurate and useful, we are not routinely recommending antibody testing. As more information is known, we may change our position. If you have any additional questions or any extenuating circumstance that you need to discuss, please make an in-person or telemedicine appointment with your doctor. Here are some issues with antibody testing:
· Not very good for checking if you are acutely infected as it takes several weeks for antibodies to appear
· We don’t know how accurate these tests are. May miss those who have antibodies or can falsely positive.
· Too early to know if having antibodies means you are protected. We may find people can get re-infected, so may give false sense of security.
· Too early to know if having antibodies is a good way to tell if you are safe to go back to work/school or safe from being infective to others
· New information tells us coronavirus antibodies appear to diminish significantly over a 2-3 month period.

Important Travel Restrictions
- Delay travel plans if able. Travel by car when circumstances permit.  
- For up to date information on travel recommendations please refer to:

What is the risk for Maricopa County and Arizona?
- Overall we are remaining relatively stable in our cases per day over the last month or so, which represents a significant decline from the peak of COVID locally in July. Please remember to continue to practice social distancing, stay at home when able, and wear a mask when out of the house.
- For best up to date information on risk in Arizona and Maricopa county:

Helpful Links & Resources:
CDC Coronavirus Symptom Self-Checker
Patient Instructions for Quarantine
Home Isolation Guidelines
CDC Coronavirus
Maricopa County Health Department
Additional COVID Testing Locations
Social Distancing After AZ Reopening
AAP Guidelines for School Re-entry
AAP Guidelines for Return to Sports
ACC Guidelines for Return to Play following COVID

AAP Guidelines Infants of COVID Positive Mothers

Breastfeeding Guidelines
Article on Helping Kids Wear Face Masks
Activity Ideas for Kids
Helping Your Kids Cope
Parent Coaching available from our Behavioral Health team

North Scottsdale Pediatrics

  • Ironwood Office - 9827 N. 95th St. Suite 105, Scottsdale, AZ 85258 Phone: (480)-860-8488
  • Deer Valley Office - 21807 N. Scottsdale Rd., Scottsdale, AZ 85255 Phone: (480)-860-8488

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