RE: CORONA VIRUS COVID-19 3 years ago

At this time, East Cobb Pediatrics does not have the ability to test your child for Coronavirus. The COVID-19 situation is actively evolving and changing so please check our website for the latest updates and information.
We know you have all heard of COVID-19, the new strain of Coronavirus that has made its way to the U.S. Coronaviruses are a family of viruses that typically cause mild colds and are more prevalent in the winter. It is very likely that you and your children have had at least one, if not several, types of Coronavirus in the past.
So what is all the fuss about? Because this is a novel, or new, type of Coronavirus, our immune systems haven’t seen it before. It seems to be most severe in those over 50, especially men, and especially if the infected person uses tobacco products. Thus far, there have been NO reported pediatric deaths in any country.
How can you help prevent the spread of this virus? We hate to say this, but COVID-19 likely will spread despite our best efforts. However, the best prevention is what everyone should be doing anyway: WASH YOURS HANDS. TRY TO AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH YOUR HANDS. IF YOU ARE COUGHING, COUGH INTO A TISSUE, THEN THROW IT AWAY AND WASH YOUR HANDS.
COVID-19 causes cough, congestion and runny nose, and fever. We know that the CDC has reported that anyone can get tested for Coronavirus with a doctor’s order, but at this time, East Cobb Pediatrics has not received any testing kits. We do not know if and/or when we will get them in the future. Therefore, AT THIS TIME, WE DO NOT HAVE THE ABILITY TO TEST YOUR CHILD FOR COVID-19.
So what do you do if your child has fever, cough, and cold symptoms AND has traveled to a country with a known outbreak OR come in direct contact with an individual who has been diagnosed with COVID-19?
1. First of all, DO NOT panic.
2. STAY AT HOME. There is not a treatment for COVID-19 other than symptomatic care (described below). There is no such thing as “catching it early” and starting antibiotics to try and prevent complications. Just trust us when we say not only does this not work, it is not good medical practice. Therefore, if your child has fever with mild cough and cold symptoms, you do not need to come to the office. We will be able to fax school and/or work excuse notes to your child’s school and your place of employment without seeing you in the office. We will also be attempting to work with the local school systems to lift the attendance requirements for teenagers to exempt final exams.
3. Use supportive care measures to care for your child. This means staying well hydrated with additional fluids such as Pedialyte or G2 Gatorade and treating any fever with Acetaminophen and/or Ibuprofen (never use aspirin in children and teenagers unless specifically told to do so by their doctor). Use nasal saline and suctioning for young children, blowing noses for older children, honey for patients over 1 year of age, and good old-fashioned rest. We do not recommend over-the-counter cough and cold medications for children under the age of 4 given the lack of benefit and risk of side effects.
4. Your child should be seen if:
a. They are a baby under 60 days old with fever of 100.4 or higher (rectal temperature)
b. They have respiratory difficulties, including breathing fast, grunting, sucking in between their ribs to breath, having their nostrils flare in and out while they breathe, have wheezing or a barking cough, or feel short of breath. Respiratory difficulty DOES NOT mean trouble breathing through a congested nose.
c. They are refusing liquids and seem dehydrated (dry inside of mouth and decreased urinary frequency)
d. They are difficult to wake up
e. Their fever lasts longer than 5 days, resolves for 24 hours then returns, or does not respond to medications with the child “perking up.” The height of the fever is not as important as the response to medications – a child should be more playful, such as willing to look at books or watch a movie, after their fever is treated.
f. They are crying without the ability to be calmed down
Finally, please call our office if you have additional questions or concerns. Keep in mind that our healthcare system can handle this virus, but only if the public remains level-headed and does not rush to Urgent Care facilities and the ER with mild symptoms. If you think your child has COVID-19 and needs to be seen, PLEASE CALL OUR OFFICE AHEAD OF TIME, so that we can instruct you on how to enter our office without exposing other people to the viruses.
Your healthcare team at East Cobb Pediatrics and Adolescent Medicine

Posted: 3 years ago
By: Sophia