COVID-19  Information  

The COVID-19 pandemic has brought many changes to the office, from visitor restrictions in our building and appointment check-in from the car, to telehealth appointments and drive-by testing. Thank you for being flexible as we adapt to an ever-changing situation.

Here are two things you can do to make sure you get the information you need:

  • Make sure you have an active portal account. Not only is this an easy way to ask questions and see growth charts and immunization records, this is the fastest way to get your COVID test results if needed for school or work. Not sure if you have an account? Call us!

  • Be sure we have your correct phone and email information so you can receive important announcements and updates. 

I'm Sick or Have Been Exposed

 
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Call to make a telehealth appointment. We can review symptoms and exposures, and provide guidance on testing.

Check out the
CDC's guidance.

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Go to school? Stay home? Test?

 

Updated 1/11/22

Recommendations are changing rapidly. For the most updated guidance, please consult these resources:

OHA COVID-19 Guidelines

CDC Overview of COVID-19 Isolation for K-12 Schools

CDC Overview of COVID-19 Quarantine for K-12 Schools

Symptoms

or

Positive

COVID Test

Students, teachers, and staff who test positive for COVID-19 with or without symptoms should isolate for at least 5 days. Day 0 is the day of the positive viral test (based on the date of testing) and day 1 is the first full day after the specimen was collected for the positive test.

  • If they continue to have no symptoms, they can end isolation after at least 5 days.

  • They should continue to wear a well-fitting mask around others at home and in public until day 10 (day 6 through day 10). Children < 2 years of age or other individuals who are unable to mask should continue to isolate for 10 days.

  • Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.

  • If they develop symptoms after testing positive, the 5-day isolation period should start over. Day 0 is the first day of symptoms.

When to end isolation.

Exposure

&

NOT

Up to Date

on COVID

Vaccine*

People who are asked to quarantine should take the following steps:

  • Stay home and away from other people for at least 5 days (day 0 through day 5) after their last close contact with a person who has COVID-19. The date of exposure is considered day 0. Wear a well-fitting mask when around others at home, if possible.

  • For 10 days after their last close contact to someone with COVID-19, watch for fever (100.4◦F or greater), cough, shortness of breath, or other COVID-19 symptoms.

  • If they develop symptoms, get tested immediately and isolate until they receive their test results. If they test positive, follow isolation recommendations.

  • If they do not develop symptoms, get tested at least 5 days after they last had close contact with someone with COVID-19.

    • If they test negative, they can leave home, but continue to wear a well-fitting mask when around others at home and in public until 10 days after their last close contact with someone with COVID-19.

    • If they test positive, they should isolate for at least 5 days from the date of their positive test (if they do not have symptoms). If they do develop COVID-19 symptoms, isolate for at least 5 days from the date their symptoms began (the date the symptoms started is day 0). Follow recommendations in the isolation section.

    • If they are unable to get a test 5 days after their last close contact with someone with COVID-19, they can leave their home after day 5 if they have been without COVID-19 symptoms throughout the 5-day period. Wear a well-fitting mask for 10 days after the date of last close contact when around others at home and in public.

Test

to Stay

Some schools are using the Test to Stay program for unvaccinated students who had an in-school exposure. If the exposure happened outside of school, this does not apply.

  • Unvaccinated students in these settings are able to remain in school if they are asymptomatic and complete 2 tests during their quarantine period: a test when the exposure is identified and a test at 3 to 5 days following the exposure.

  • Students and staff participating in test to stay may attend school-related extracurricular activities but must always mask during these activities for 10 days.

  • Students and staff participating in modified quarantine must observe quarantine outside of school-related activities for 5 days and wear a mask around others for 10 days.

The school is responsible for testing in this scenario.

Exposure

&

Up to Date

on COVID

Vaccine*

Students, teachers, and staff who came into close contact with someone with COVID-19 and are in one of the following groups do not need to quarantine:

During quarantine:

  • Everyone should wear a well-fitting mask around others for 10 days from the date of their last close contact with someone with COVID-19 (the date of last close contact is considered day 0).

  • They should get tested at least 5 days after their last close contact with someone with COVID-19.

  • For 10 days after their last exposure to someone with COVID-19, they should watch for fever (100.4◦F or greater), cough, shortness of breath, or other COVID-19 symptoms.

  • Those who test positive or develop COVID-19 symptoms should isolate from other people and follow recommendations for isolation.

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I Need a COVID-19 Test

 

* * * Severe Testing Shortage * * *

COVID-19 testing supplies are on restriction and this is affecting our day-to-day ability to provide tests . In an effort to ensure access to those most in need for as long as possible, we are making significant changes to our procedures.

  • A physician appointment, via telehealth or in-office if appropriate, is needed in order to determine necessity, timing, and choice of test. We are closely following OHA guidelines as we make these decisions. 

  • Tests for exposures with no symptoms will only be eligible for PCR tests. Processing times for PCRs are increasing at this time and we recognize it is less convenient, but it is necessary. Please check to see if your child's school is able to offer testing as this may be a faster option.

  • We are still not testing for events or travel.

You do NOT need a test if:

  • You have a positive home antigen test.

  • If your child meets the criteria for a presumptive diagnosis of COVID-19, we will not be doing a test. A test in this case is not necessary, and even if it came back negative we would not trust that result.

Get a
test at
our office

  • Call our office and we can set up a telehealth appointment to discuss exposures, symptoms, and which test would be appropriate.

  • For those patients who have symptoms that require an in-office appointment, testing can be done at the appointment if indicated.

  • Testing supplies are limited. We are not testing for travel or events.

  • Use the OHA's COVID-19 Testing Locator. If your child needs a test for school, be sure to check which type of test they will accept. Look for non-pharmacy options for best availability; there are a number of testing sites at schools, churches, and other community locations.

  • OHA now has drive-up vaccines and testing without appointments at the Expo Center. No appointments needed, but check the schedule here.

  • OHSU has two testing sites for community members, Mondays through Fridays. Appointments can be made online or by phone.

  • Curative has many Portland-area locations.

  • Covid Clinic has locations in NE Portland, Tigard, and Vancouver.

  • Many urgent care centers offer COVID testing but most require a visit as well.

Find a place
to get tested

Insurance paying for home tests

​Beginning January 15, 2022 insurance companies are required to cover the cost of FDA-approved at-home tests, up to 8 tests a month for each member covered by the health plan.

  • Some insurances will establish a preferred network of pharmacies or stores to buy your tests from. If so, they will cover the full price of tests purchased there. If you purchase a test elsewhere, they will reimburse up to $12 per test.

  • Some insurances may have arrangements for obtaining tests at no cost.

  • Keep receipts for any test you purchase on 1/15/22 or later and you may submit paperwork to your insurance for reimbursement.

  • Check with your insurance plan for details.

Starting January 19, 2022 the  Biden administration will open up a website and allow every household to oder up to 4 at-home COVID tests.

COVIDtests.gov

  • ​They will set up a hotline number for those without internet access.

  • Tests will start shipping out within 7 - 12 days.​ Shipping to households in under-served communities will be prioritized.

  • There is no information yet on when further tests can be ordered.

Order
4 free
home tests

I Have a Positive Test

 

If you have had a positive test or suspect you have COVID-19:

ISOLATE

Isolate away from others for 10 days. If you must return to work or school you may do so at day 6 as long as you are well, and can mask well around others.

QUARANTINE
Quarantine others in the family for 10 days and monitor carefully for symptoms. If you are exposed and fully vaccinated, you do not need to quarantine, but again monitor carefully for symptoms.

NOTIFY CLOSE CONTACTS
Notify your school or work, as well as anyone you have been in contact with going back to two days before your symptoms began or your positive test.

REPORT YOUR CASE TO THE OHA
Oregon now has a website where you can report your case of COVID in case you had a positive home test. All tests done in our office and hospital labs are reported.

QUESTIONS?
Check out Oregon's COVID-19 Support Website and Hotline.
Call us if you have other questions!
 


Get immediate medical care for these symptoms:
• Difficulty breathing
• Pain or pressure in the chest or belly
• Unable to drink or keep liquids down
• New confusion or inability to wake up
• Bluish lips or face


Learn about symptoms to watch for after a COVID-19 infection.

 

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Find answers to your other questions 
in OHA's
What To Do If You
Test Positive

guide

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Learn More About COVID-19

 
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COVID-19 FAQs

My child has a cough. How do I know if they have COVID-19?

The classic symptoms of COVID-19 are fever, cough, nasal congestion, and shortness of breath. With Omicron we are also seeing a lot of sore throats and diarrhea, as well as croup symptoms. Some people's symptoms are severe and others have symptoms of a common cold. In general, children are more likely to have little or no symptoms. Unfortunately the only real way to tell the difference between COVID-19 and other illnesses such as colds, RSV, or croup is to test.

In general, we will treat all respiratory symptoms the same way we always have, regardless of if it is a cold, influenza, or COVID-19. Rest, fluids, steamy showers and nasal saline are still your best bet. And just like always, we are here to answer your questions (even if it takes a little longer to get to your call!), and we are ready to take further steps if your child gets worse. How we do that has changed; we may start with a telemedicine visit, or if you need to come to the office how you enter and how we are dressed may be different. Regardless, your first step is to call us!

How can I tell if my child is getting worse and I need to call?

While this may look different for every child and every situation, we definitely want to hear from you if you are worried. We want to know if your child is too lethargic to respond to their name or look at a toy, if they are unable to drink fluids or are not urinating, or if a fever is lasting more than 3-4 days.

 

These are the symptoms we would want you to call for right away:

Shortness of breath, having trouble talking

Working hard to breath, stomach and chest heaving with each breath

Retractions: seeing the ribs stick out with each breath

Having trouble eating, talking, drinking

Breathing fast

Wheezing

Color change: face is blue or very pale

This video demonstrates some of the breathing difficulties infants can have. It shows an infant working hard to breath with RSV (starts at 0:12). 

I have a family member with COVID-19-like symptoms. How do I keep the rest of the family from getting sick?

The key words are distance, masks, ventilation and cleaning! Keep food and personal items separate, wash high-touch surfaces frequently, and keep the sick person away from others as much as is possible depending on age and home situation. Wear masks if possible. Keep windows open when you can to encourage ventilation. A separate bedroom and bathroom would be ideal. The CDC has some more detailed tips. And as always, lots of hand-washing!

Can my child get a COVID-19 test?

Currently there are multiple options for testing. We offer both PCR and rapid tests for our patients, but are unable to test parents. The Oregon Health Authority has a web page devoted to finding testing.

Why do we have to wear masks in the office? Why can't I wear one with a valve?

 

There is solid evidence that masks help limit the spread of the COVID-19 virus. We wear masks to protect ourselves, each other and you, and we ask that you do likewise. When you wear a facial covering you are protecting yourself and your family, and are helping us protect ourselves and all of our patients. Thank you!

We do not allow masks with exhalation valves or vents in the office. Per the CDC, "The purpose of masks is to keep respiratory droplets from reaching others to aid with source control. However, masks with one-way valves or vents allow air to be exhaled through a hole in the material, which can result in expelled respiratory droplets that can reach others.  This type of mask does not prevent the person wearing the mask from transmitting COVID-19 to others. Therefore, CDC does not recommend using masks for source control if they have an exhalation valve or vent."

 

We do not allow wearing a face shield without a mask. You are welcome to wear one along with a mask if you would like. Again, per the CDC, "A face shield is primarily used for eye protection for the person wearing it. At this time, it is not known what level of protection a face shield provides to people nearby from the spray of respiratory droplets from the wearer. There is currently not enough evidence to support the effectiveness of face shields for source control. Therefore, CDC does not currently recommend use of face shields as a substitute for masks."

 

Remember, infants and children under the age of 2 should not wear masks or face shields. 

My family is healthy. ​Why do we need to practice social distancing? My kids need to get out!

We don't have a cure. We don't have a vaccine. We don't have enough hospital beds and ventilators if too many people get sick too fast. Staying at Home is the best way you can protect yourself, protect others in your community who could easily die from COVID-19, and help the doctors and nurses and many other people working hard to save lives in the hospital. We are all in this together, and we each can make a big difference in flattening the curve.

In the words of Dr Kate Tulenko, a pediatric global health expert, "Every day you stay home is another day the health care system can prepare and can work on treatments and a vaccine."

That being said, playing outside, taking a walk, or going for a hike in areas without many people are good for our physical and mental health.

Below is a video explaining why social distancing is important, and a video story for young children.

Should I keep my child's appointment for their check-up?​ Is it safe to come to the office?

Yes! One of the ways we can keep our community healthy is to keep individuals healthy. Check-ups and other preventive care is just as important, and even more so, than it was 2 months ago. We still need our infants and children vaccinated, we still need to screen for other diseases or developmental delays that continue to happen even in a Coronavirus world, and we need to check in on the mental health of adolescents (and their parents!). Chronic diseases such as asthma and diabetes need to be managed proactively. We are also following the CDC's and the Oregon Health Authority's guidance that vaccines are an essential service, as is well-child care as long as it is done in a manner that is safe and separates well patients from those that are ill.

 

Here are the measures we have taken to ensure safety for patients, families, and staff.

We are physically separating well and sick patients. Our main office (suite 30) is being used for well patients, and our adolescent clinic (suite 32) is being used for any ill patient who need to come in. Suite 32 has its own separate entrance and we can bring patients in straight from a side door in the building.

We are screening patients and family for symptoms of illness before coming into the office.

We are practicing social distancing in the office by not having people stay in the waiting room. You will be asked to call from your car when you arrive and will be directed straight to a room. 

We are using telemedicine video visits when appropriate. 

We are having staff work from home when possible.

We are wearing masks at all times as do our patients and families.

You can see what these changes look like here.

What can I do if my child has a chronic medical condition or other risk factors?

The best way to protect your child is staying home and practicing strict social distancing. It is also important to keep your child's medical condition well-controlled.

  • Don't miss doses of maintenance medications. This includes any steroids for asthma.

  • Make sure you have a month's supply of your child's prescription medications, such as inhalers.

  • Call us if you have any concerns.

How can I help?

You have all been amazing in your support for us and our community. Your donations to our office help us to continue caring for children while keeping families and staff safe. Thank you! Here are other ways to help.

  • Stay strong with social distancing... it's working! The curve is flattening which is not only good news for Oregonians, it's allowing us to share resources with New York. Don't let up now!

  • Keep checking in on family, friends, and neighbors. Can you pick up someone's prescriptions, deliver their groceries, or sew them a mask? Each time you pitch in like that for your community, you are helping avoid a potential exposure.

  • If you have PPE to donate, contact your local fire station.

  • If you want to help the larger Portland community, check out the PDX Mutual Aid Network.

How can I get help?

Do you need help with groceries or picking up a prescription? Something else? The PDX Mutual Aid Network may be able to help. Complete a form describing what you need and they will connect you with someone able to help.

Need help with food, utilities, rent or more? Congressman Blumenauer has collected multiple resources all in one place. You can also call 211 from a landline or 503-222-5555 for assistance.

I have so many questions!

You are in good company! Our questions are coming faster than the answers. As we learn more every day, the CDC is updating their FAQ page regularly.

Multi-System Inflammatory Syndrome in Children (MIS-C) sounds scary. What do I need to know?

MIS-C is an extremely rare but serious condition in children that requires hospitalization. It appears to be complication of COVID-19. As explained by the CDC, "Multisystem inflammatory syndrome in children (MIS-C) is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. We do not yet know what causes MIS-C. However, we know that many children with MIS-C had the virus that causes COVID-19, or had been around someone with COVID-19. MIS-C can be serious, even deadly, but most children who were diagnosed with this condition have gotten better with medical care."

MIS-C typically develops in the six weeks following a COVID-19 infection or exposure to COVID-19. Here are the symptoms to look for:

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Why can't my child exercise even if they have a positive test but have no symptoms?

COVID-19 infection has been shown to cause heart inflammation in youngsters, even with mild or asymptomatic infections. Both myocarditis (inflammation of the heart muscle) and epicarditis (inflammation of the lining around the heart) have been seen. Steps need to be taken to either clear a student athlete or possibly obtain an ECG or a cardiology consultation before returning to sports is safe. Read more here.

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